PMT18-04511 City of Menifee Permit No.: PMT18-04511
e 29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 09/17/2018
PERMIT
Site Address: 29365 EL PRESIDIO LN, MENIFEE,CA Parcel Number: 340-550-012
92584 Construction Cost: $8,454.29
Existing Use: Proposed Use:
Descrlption of REMOVE&REPLACE SAME LOCATION:5 TON/14 SEER/5 TON COIL& 110,00 BTU FURNACE
Work:
Owner Contractor
HARMON HARTSFIELD TOP TIER MECHANICAL
29365 EL PRESIDIO LN 5663 BALBOA AVE STE 468
MENIFEE, CA 92584 SAN DIEGO, CA 92111
Applicant Phone:8583447373
KATHERINE COUCH License Number: 1032851
TOP TIER MECHANICAL
5663 BALBOA AVE STE 468
SAN DIEGO, CA 92111
Fee Description ON Amount 1$1
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Mechanical 1 14.10
$324.10
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bidg_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3vfthe Business and D I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is In full force and effect. the following reason:
License Class C20 License No. By my signature below l acknowledge that,except for my personal residence
Expires (t Signature in which I must haw resided for at least one year prior to Completion Of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 ofthe Labor Code,for the performance of work for which www.Ieginfo.m.f!oy/c@Iaw.html.
this permit is issued.
Policy# Date
sN have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are:n 1 �^ application and the information I have provided is correct I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#JR W C. LLeW 2- Expires 112-3 12019 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I s_h_alll fo/r�Fswit comply with those pr/ovisions. Will the applicant or future building occupant handle hazardous material or
�I�Li s �.(�. t Date 1 3( I mixture containing a hazardous material equal to or greater that the
Applicant amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes XNO
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelfnes
CONSTRUCTION LENDING AGENCY oyes GNo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes im No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements underthe State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25S34concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardeuus material reporting.
Business and Professions Code).Any city or county that requires a permit to oyes �FiN0construc rl
Date
issuance,also alter,Improve,demolish frepair any ermit to
a signets its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant far a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves orthrough their
o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or Improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
O 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade:The Contractors State License Law does rnot apply is an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
KCL -`TQP-�11 Acknowledgement.
M�ci,_
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE:9/17/2018 PERMIT/PLAN CHECK NUMBER O
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL S RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: QADDITION E)ALTERATION O DEMOLITION O ELECTRICAL () MECHANICAL
ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Remove & replace same location: 5 ton 14 seer condenser, 5 ton coil &
110,000 btu furnace.
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERSQYES ONO
PROJECTADDRESS 29365 El Presidio Lane 21P92584
ASSESSOR'S PARCEL NUMBER 3LIC -e5 V—C)(a LOT 'ON TRACT
OWNER NAME Harmon Hartsfield
ADDRESS 29365 El Presidio Lane Menifee, CA 92584
PHONE 562-335-4880 EMAIL n/a
APPLICANT NAME Katherine Couch
ADDRESS 29365 El Presidio Lane Menifee, CA 92584
PHONE 619-209-7713 EMAILn/a
CONTRACTOR'S NAME Jason Couch OWNER BUILDER? ()YESQNO
BUSINESS NAME Top-Tier Mechanical
ADDRESS 5663 Balboa Ave, Ste 468 San Diego, CA 92111
PHONE 619-209-7713 EMAILOffice@toptiermechanical.com
CONTRACTOR'S STATE LIC NUMBER 1032851 LICENSE CLASSIFICATION C-20
VALUATION$ 8,454.29 SQ FT 2,100 L SQ FT
APPLICANT'S SIGNATURE � DATE 9/17/2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITYOFMEN,IFLEE TNESSLICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE p4 (
INVOICE TOTAL I 5a L. 1 O GREEN SMIP
OWNER BUILDER VERIFIED --YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES Q NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 -
www.cityofinenifee.us
-jC
:ttENIFEEV
STATE OF CALIFORNIA
ALTERATIONS - HVAC sfD
CEC-CFIR-ALT-04-E Revised 03115 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CRY Of WNW Building CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1)
Site Address: Enforcement Agency: Date Prepared: Permit#: I
2g31e5 EI �'resid�o q ,
Equipment Type Equipment Efficiency N Je1UE+� tI a FlooCo4r r ed Thermostat
Re ui I Y LCj Floor Area(sq ft)
❑Packaged ❑Evaporator Coil _AFUE COP R-6 (CZ 2,8-13)Ducting Served by system Setback
System ❑Condensing Unit , (if not already
A Split system ❑Compressor ❑R-6 (Q11,14,nu Ducting Z1017 sgft
Y P SEER HSPF ❑R-6(all CZ's)Plenums present must
❑Mini Split ❑Lineset be Installed)
❑Furnace ATXV Irl-'S EER ❑R-5 or R7.5)Lineset°
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site.
01.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF1R-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)2-HERS,MECH-25-HERS'
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or24)-HERS',MECH-25-HERS'
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow z 300 CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or O 2.There is less than 40 linear feet of duct in unconditioned space,or
❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts3 CF1R-ALT-02-E
including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS2
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS2
Mini Splits require CF111-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement I Required Compliance Documents to be left on site for Final:
All New Ducts3 and one or more of the following CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Compressor,TXV,Lineset,Furnace CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:❑1. Existing duct systems are constructed,insulated or sealed with asbestos
❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New DuCts3 CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(<15%or,<10%to outside or,or seal all accessible leaks)
❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls,between floors etc.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handier,coil,plenums,duct material)
4 R-5(1"thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-25/,",2.5-3T-2%",3.5 to 4T-2'/.",5T-4%"
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document.
3. Thatthe energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts 1 and 6 of the California Cade of Regulations(CCR).
4. That the energy features and performance specifications,materials,components,and manufactured devices forthe building design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the CCR.
5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit application.
R ponsible Designer Name: esp slhle esigner Sig ture: Date Signed: License:
Raw)cvirw- CDtocsf. q 11 I� C-20 10322,5
Company: Address: [iry/State/ZIP: Phone:
tc SmwaBatboo, A a So4,DiNade aazat
For assistance or questions regarding the Energy Standards,contact the Energy int:1-800-772-3300