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PMT18-04961 00000 City of Menifee Permit No.: PMT18-04961 29714 HAUN RD. Type: Residential Mechanical 1 MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 1 011 112 01 8 PERMIT Site Address: 29884 LAMPREY ST, MENIFEE, CA Parcel Number: 338-351-019 92586 Construction Cost: $4,150.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, REPLACE 5 TON CONDENSER AND COIL Work: Owner Contractor JOHNNY NGUYEN LUNA'S HEATING AND AIR 29884 LAMPREY STREET 28833 QUAIL PLACE MENIFEE, CA 92586 MENIFEE, CA 92587 Applicant Phone:9254576320 JUAN LUNA License Number. 1030668 LUNA'S HEATING AND AIR 28833 QUAIL PLACE MENIFEE, CA 92587 Fee Description 01t rr Amount fSl 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 6.65 $167.65 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_Permft 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 contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and in I am exempt from licensure under the Contractor's State License Law for Professions Cade and my license is in full force and effect. C'� the following reason: License Class C_a J Ucen No. Ir),3U 46 b By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have 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 DECLAM N have built as an owner-builder if it has not been constructed in its entirety by ❑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 worker's 7044 of the Business and Professions Cade,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the fallowing website: by Section 3700 of the Labor Code,for the performance of work for which ,,yww leeinfo.ca.aov/calaw.html. this permit is issued. Polity# Date ❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit is Issued.My worker's compensation insurance arrier and policy owner or authorized to act on the property owner's 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 state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires 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 2cI 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 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 shall forthe ith comply ' h those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date G—�( mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING: LURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 Dyes �No 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 Airant Quality Managementhe construction nstSCtionor See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes BJ No I hereby affirm that under the penalty of perjurythere is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency forthe performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes �jrNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements underthe State of California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law forthe reason(s)indicated below by the hazardous mated checkmark(s)I have placed nextto the applicable item(s)(Section 7081.5 I reporting. ❑No Business and Professions Code).Any city or county that requires a permit to qye Date C? construct,alter,improve,demolish or repair any structure,priorto its pR PERTY NER 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 llcensure 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 for 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 or through their ❑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.epa.gov/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 ❑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. No EPA Lead-Safe Certified Firm is required for this project because: ❑1,as owner of the property am exclusively contracting 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 f„ MENIFEE DATE: (_` o 7, PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENTIAL C) MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION 'ALTERATION -DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK (O J . 'Q. ctric( PROJECTADDRESS IhIe6l ZIP / E' ASSESSOR'S PARCEL NUMBER ��� �6�� ��� LOT TRACT OWNER NAME ,� Building Dept. ) /V C� (,I, ADDRESS ? �'e'/ p, OCT 11 2018 PHONE 7����Cjj' '�(j ,�j� EMAIL Received APPLICANT NAME Lvv ADDRESS -y��S 1Y! -3 PHONE Ti - S7-6 A20 / EMAIL �k-t-Aj /,t4/1 I-N P LMcCL CONTRACTOR'S NAME ct C k OWNER BUILDER? O YES O NO BUSINESS NAME q•,"i ( 7T1 ADDRESS p asp .3 . �A.Ci. +P I P PHONE l:�S"� 1 'i_j_� c�D 9 EMAIL /LAX'0I lCONTRACTOR'S STATE LIC NUMBER b S O L62O LICENSE CLASSIFICATION 26 VALUATION$ _�j ISO ,60 SQ FT LSQ FT/ c APPLICANT'S SIGNATURE d7n DATE DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEEBUSINESS LICENSENUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586(951)672-6777 www.cityofmenifee.us NIF STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALT-04-E Revised 03115 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-SR-ALT-HVAC) (Page 1 of 1) Site Address: Enfor ement ry: Date Prepared: Permit#: ILAullb New Ducting,Plenums,Lineset: Conditioned Equipment Type Equipment Efficiency New R-value Floor Area(sq ft) Thermostat ❑Packaged ❑Evaporator Coil AFUE COP 0 R-6 (CZ2,8-13)Ducting Served by system 13 Setback System ❑Condensing Unit ❑R-8' (CZ 11,14,15)Ducting sqft (if not already 9 Split System ❑Compressor _SEER HSPF 0 R- present,must ❑Mini Split ❑Lineset be installed) ❑Furnace ❑TXV — EER ❑R-5(all CZ's)Plenums R7.5)LineseNenums 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)an e ©.1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: Building Dept. All uiq_ pment, CFIR-ALT-02-E rt .'Condenser Unit,`Evaporator Coil,, CF2R: MECH-01,MECH-20-HERS,MECH(23 or 24)s-HERS,MECH-25-HERsOCr+T 11 1 2018 Compressor,TXV,Unese, CF3R: MECH-20-HERS,MECH-(23or24)-HERS2,MECH-25-HERS' Air Handler/Furnaces(Can include new ducting) a Installer Requirement:Duct leakage LS 15%,or<10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton, CVUL 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 building ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R: MECH-OS,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERSs CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERSs Mini Splits require CFIR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<691,Fan Efficacy(.58W/CFM),Air Flow;!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 Ducts'and one or more of the following CFIR-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 or24)-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:0 1. Existing ducts stems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet IRequired Compliance Documents to be left an site for Final: New ducting but less than All New DuctS' I CFIR-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 '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 handler,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-2%",2.5-3T-2%",3.5 to 4T-2sb",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. 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. S. 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. Responsible Designer Name Responsible Designer Signatu re: Date Signed: license: L Ju zo � Company: ) Address:.! Ir 1)� City/State/Zip: Phone:C r _ �l� �l�/ti 1. •- l /�_ For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300