PMT18-04841 City of Menifee Permit No.: PMT18-04841
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 1 0/0 412 01 8
PERMIT
Site Address: 28365.RAINTREE DR, MENIFEE, CA Parcel Number: 340-220-021
92584 Construction Cost: $13,618.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, REPLACE 5 TON 90,000 BTU COMPLETE HVAC SYSTEM
Work:
Owner Contractor
DAVID DANIELS W C HEATING&AIR CONDITIONING INC
28365 RAINTREE DRIVE 41085 GOLDEN GATE CIR
MENIFEE, CA 92584 MURRI ETA, CA 92562
Applicant Phone:9516000700
STEVEN SCHNIERER License Number:779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA,CA 92562
Fee Description ON Amount IS)
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 carded 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_Bldg Permk Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION propertywho builds or improves thereon,and who contracts far the projects
hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License taw).
Chapter9(commenting with section7000)of Division 3 of the Business and 0 l am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
Ucense Class C�20 License No. 9(c`0F By mysignature below l acknowledge that,except for my personal residence
Expiresli '130 2.0 Signature in which l must have resided for at leas[one year pdor to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.)cannot legally sell a structure that 1
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:) licensed contractors.I understand that a copy,of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 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 of the Labor Code,for the performance of work for which
this permit is issued. www.leeinfo.ca eov/aiaw.htmL
Policy a Date
6>1�have and will maintain worker's cumpensatkin insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,fur the performance of the work for which ,y my signature below l 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 awners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and slatelaws relating to
—f building construction.1 authorize representatives of this city or county to
Policy# WC-L0a G0—r5`t3 Expires 1�, �rI enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred .;rG� 1 Date f S f
dollars($SDD)or less PROPERTY OWNER OR AUTHORIZED AGENT
01 certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CiTYBUSINESSUCENSEN h--,czn2
worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant -�rzy��---� Date 1 5 $ amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ratio
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($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideli es
CONSTRUCTION LENDING AGENCY O Yes
I herebyafflrm that under the penalty of perjury there isa construction Will the proposed building or modified facility be within 1000 feet of the
lending agencyfor the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) 0 Yes
cpk
OWNER BUILDER DECLARATIONS Ihave read the Hazardous Material Inrcum ion Guide and the SCAQMD
I hereby permitting checklist.I understand my requirements under the State of
Contractor's License
Law for
a pesonry sha[lam exempt by throm e
California Health&Safety Code,Section 25505 and 25534 concerning
Cantactars License laced next
to
p iicableedhelowbythe dour material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to Date [ - I$
construct,alter,improve,demolish or repair any structure,prior to 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING MRP)
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 painting pre-1978
and the basis for the alleged exemption.Any violation of Section 7031S by residence ompenor atinforre mosty to RRP-certifiedbspairms nincomplypre-19th
thn($5an 0n[fora permit subjects the applicant too civil penalty af not more required practices.This includes rental property owners and property
than{$S00). managers who do the paint-disturbing work themselves or through their
al,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 or or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Centerat
not Intended or offered for sale.ISection 7044,Business and Professions 1.800-424-LEAD(5323).
Code,The Contractors State Ucense Law does not apply to an owner of a a 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. a No EPA Lead-Safe Certified Firm is required for this project because:
a I,as owner of the property am exclusively contacting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
` Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: 1 rl 12 PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL dMECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK ND OOC7 BTV lee 94 A S �, e
PROJECTADDRESS 012 36S 0':Z'}ve-� �r 1 ZIP g2S 84-IF
ASSESSOR'S PARCEL NUMBER 3}D-o'2c01O'Od1 LOT TRACT
OWNER NAME
City of Menifee
�U, L,q� � �, r, M r. Dept.
ADDRESS ',)(o_ c��vS.}cee 1 1 ev�.'tge CA �Z==2'-F
PHONE EMAIL OCT 4 2018
APPLICANT NAME
ADDRESS 31Z?5 Lc� a ) ')�21 n^.� V�If a a CA
PHONE ?%'' 735 %,R-7(a EMAIL
CONTRACTOR'S NAME L)e Cc�e OWNER BUILDER? O YES 6V_NO
BUSINESS NAME Qe. Care
ADDRESS ylD21S C�c�dev�lna}� C"c M-Tek r- CA `iZS�2
PHONE C15)-&C(>6")CC> EMAIL
CONTRACTOR'S STATE LIC NUMBER 779boL-f LICENSE CLASSIFICATION
VALUATION$ CSO FT LSO FT_f
APPLICANT'SSIGNATURE �w^=< "i DATE i4ldi.--
CITYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE Mb
INVOICETOTAL I �`O GREEN r SMIP d
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE H NOTARIZED LETTER 0 YES O NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
ENIF
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 01116 CALIFORNIA ENERGY COMMISSION 10
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Address• Enforcement ency:
�8Dust ed: errl
3 u
, - iR Equipment Type Equipment Efficiency New butting or Lineset: Conditioned Thermostat
Required R-value Floor Area(ft 2)
❑Packaged ((Evaporator Coil Cb!,AFUE COP 0 R-6 (CZ 1-10,12813)Ducts Served by system 05etback
System WCondensing Unit ❑R-8' (CZII,14-16)Ducts ft2 (If not already
)'Split System ❑Compressor I y SEER HSPF ❑2 R-2.8 Lineset` present,must
❑Mini Split ❑Lineset be installed)
)Y1Furnace ❑TXV EER
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options fAf%-uAtI0VrfflHWpIIcat1on this
form is allowed to be filled out by hand. For final inspection all forms are to be registered(no hand filled forms 51614Ldili"O {y left on site.
RI 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:All Equipment, CFIR-ALT-02-E 18
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)2-H,MCH-25-1-12
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-1-12
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage(515%,al to outside,or seal all accessible leaks),Air Flow 2 306 CIMM"Wer5fitX-RaW.
Exempted from duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or 0 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 building1
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts2 CFIR-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-12
CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-12
Mini Splits require CFIR-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H
Installer Requirement:Duct leakage<5%,Fan Efficacy(0.58W/CFM),Air Flow a 350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts'and one or more of the following CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Compressor,TXV,Lineset,Furnace2 CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Installer Requirement:Duct leakage<5%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:0 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 Ductsa I CF1R-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H
Installer Required to:Duct leakage IS 15%or,910%to outside or,or seal all accessible leaks)
❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
'All new ducting requires R-8 insulation when more than 40 fit installed in CZs 11&14-16 and R-6 in CZs 1-10,12&13,and R-6 insulation 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 MCH-(23 or 24),or Refrigerant Charge verification MCH-25
2 All New Ducts is when at least 75%of the duct system is new duct material,and up to 25%may consist of reused parts from the dwelling unit's
existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material)
4 R-2.8(1"thick insulation)for linesets 1"and less.
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 forthe information on this document.
3. That the 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 Code of Regulations(CCR).
4. That the energy features and performance specifications,materials,components,and manufactured devices for the 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.
nsible 0es'Cna Name: R lble Des ignature: Date Sig led: license:
Ia 4 714to
compan Address: — City/state/Lip: Phone:
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300