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PMT18-05123 City of Menifee Permit No.: PMT18-05123 AV AV 29714 HAUN RD. Type: Residential Plumbing ff MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 10/24/2018 PERMIT Site Address: 29183 BAY BRIDGE CT, MENIFEE, CA Parcel Number: 333-472-004 92585 Construction Cost: $800.00 Existing Use: Proposed Use: Description of REPLACE EXISTING 50 GAL GAS WATER HEATER, SAME LOCATION Work: Owner Contractor THERESA CUMMINGS ALL STAR WATER HEATERS INC 29183 BAY BRIDGE COURT 30300 PUERTO VALLARTA WAY MENIFEE, CA 92585 MENIFEE, CA 92584 Applicant Phone: 9513010067 SIERRA SPRAGUE License Number: 812894 ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY MENIFEE, CA 92584 Fee Description Oty Amount($) Residential Water Heater 1 83.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 4.15 $115.15 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_Bldg_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 contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I 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: License Class License No. pp��a?.Q, By my signature below I acknowledge that,except for my personal residence Expires ?IJ011,r Signature in which I must have resided for at least one year priorto 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 ❑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 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 www.leginfo.ca.gov/calaw.litmi. this permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT 1°4 have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which "y my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply E with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy#,FjZj��f 24.S Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date Z dollars($100)or less PROP NER OR AUTHORIZED AGENT o I 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# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthw" co ply 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 Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAI U SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes n,No UNLAWFUL,AN 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($300,000),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 for guidelines CONSTRUCTION LENDING AGENCY o Yes [3 No 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 o`No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 'oYes c No Business and Professions Code).Any city or county that requires a permit to Date 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 fRRP) 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 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 Contractors 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: o I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors 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. Men,I tee DATE IOI a3 I%Q) PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O✓RESIDENTIAL 0 MULTI-FAMILY C MOBILE HOME 0 POOL/SPA O SIGN SUBTYPE: )ADDITION 0 ALTERATION G DEMOLITION ELECTRICAL 0 MECHANICAL 0 NEW VPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replace existing water heater. Same size and location. PROJECT ADDRESS 29183 Bay Bridge Ct. DM5515 Ciiy of Menifee ASSESSOR'S PARCEL NUMBER LOT TRACT Building Dept. ' OWNER NAME Theresa Cummings _ — �j 2 4-2018 ADDRESS 29183 Bay Bridge Ct. PHONE 951-255-4292 EMAIL Receive..._ APPLICANT NAME Sierra Sprague-____ _..._....___...__._..____.___ _ ADDRESS 30300 Puerta Vallarta PHONE 951-301-0067 _ EMAIL alistar.sierra@gmail.com _ CONTRACTOR'S NAME Sierra Sprague OWNER BUJILDER7 0 YES 0 NO BUSINESS NAME All Star Water Heaters ADDRESS 30300 Puerta Vallarta Way PHONE 951-301-0067 EMAIL allstar.sierra@gmail.com CONTRACTOR'S STATE LIC NUMBER 812894 - LICENSE CLASSIFICATION C36 VALUATION$ 800.00 SQ FT L SQ FT 5:7 APPLICANT'S SIGNATUrtf� ___.... _ - F -/Q DEPARTMENT DISTRIBUTION 11'Of viENIFI F R ING ICCNSC ra lP SMIP BUILDING PLANNING ENGINEERING FIRE GREEN �� INd :i!:E • PAID AMOUNT AMOUNT 0 CASH CHECK 9 0''CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK tt 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED Q YES O NO DL NUMBER - NOTARIZED LETTER_0 YES 0 NO t,*� {N1?rr1 ^r Bcri7cil;•a&Serf.`yUrt7fi,"f!7I?:,P .;;J, , t'. .'Y7•>r?J .:- 9258(, C,- f. LIS tr.:r"rr+Cr, STA TE OF CALIFORMA P=D RESIDENTtAL ALTERAT11011%,15 ­WATER HEATER dS CIEC-CF-IR-ALT-01-11(Revised 0W14) CA1,1FR OMA ENIERG�' CERTIFICATE OF COMPLIANCE CF1R_ALT-01-E WATER HEATER nti-i�IAlteir�;ariar%� -for-Water Hea­te_r Menifee Prescelpoit- (page 10 R—W, Eig Dept, A. GENERAL INFORMA700N SITe Building TVpe: #KSingle Family ------------------------tCT-1 4 2018 29183 Bay Bridge Ct. Dwelling o Multi Family Dwellings Zip Code: i Menifee-- Climate Zone: 10 JReGbived G.WATER HEATING .3ySTEMS (Semi. on. 150.2(b)l 13 01 02 0-3 04 05 06 07 08 09 10 11 14 15. 5 iWai�_r Water water 0-1 Water Fuel Rated Rated Heating Heating Standby Exterior Back-up Central Dwelling Heating Heating Heater water Heater Type Input Input- Efficiency Efficiency Loss Insul. Solar DHW System Unit 1DHW System System Type Heaters Storage Type Value Type valk", R-Value Savin's Distribution System Identification Type J.�I Volume Fraction Type Distribution or systern, (PI) Name Type Nhlrlpool D 20 = 50 Gas --T--- .62 R-16 ;V--Standard- 16- '1�S WATER HEATING SYST-Ems Water heating compliance for an alteration is described in section 150.2(b)IG.For single dwelling a gas or propane water heater,with a storage tank of 60 gallons maximum or instantaneous(tankless)can be used.Dwelling Unit distribution systems are limited to Standard trunk and branch or demand recirculation for gas er propane water heater.Demand recirculation is not allowed for electric water heater-If there is no natural gas connected to the building,an electric water heater may be replaced with another electric water heater. However,changing from gas to electric Is not allowed. Multi-family central systems must use certified equipment as defined under Section 110.1 and 110.3. NOTE:If the proposed installation does not meet the requirements allowed specifically fnr alterations,use form CF2R-NCB-01 to document the water heater alteration. Instructions for sections with column numbers 1. Water Heating System Identification or Name:enter a unique name for the Water Hewing System. 2. Water heating system type:Domestic Hot Water(DHW),Hydronic,Combined Hydronic,or Central.DHW is for domestic hot water,hydronic is a water heating system used far space heating only;combined hydronic are when the water heater will provide both space conditioning and domestic hot water. 3. Water heater type.-For non-central systems only Small Storage or Small instantaneous are allowed.For central systems pick from Large Storage,Synall Storage, Heat Pump,Boiler,Large Instantaneous,Small Instantaneous or Indirect. CERTIFICATE OF COMPLIANCE -- - CFIR-ALT-01-E - WATER HEATER Presc-Optive Residential Alterations bar Water Heater - - (Page 2 of Z) 4. Plumber of water heaters in system:In single-family and multi-familywith water heaters In each dwelling units the value is 1.For multi-family central systems serving multiple dwelling units enter the total number of water heaters. 5. Water heater volume(gal).tank capacity in gallons.For individual water heaters for a dwelling unit this will be 60 gallons or less.If instantaneous,enter n/a. For multi-family central systems enter the total Stange volume. 6. Fuel Type:Gas,Propane,Electric(Only if natural gas is not available) 7. Rated Input Type:Enter the equipment input rating type,for gas or propane fired units are Stuh,for electric fired system the units are kW. 8. Rated input Value:Enter the numeric value of rated input. 9_ Heating Efficiency Type:Energy Factor,AFUE,or Thermal Efficiency.From product literature or a California Energy Commission directory. 10. beating Efficiency Value:Enter the value from product literature or a California Energy Commission directory 11. Standby loss(percent):Applies only to large storage water heaters,Enter n/a for small storage or instantaneous water heaters_ 1.2. Exterior Insulation R-Value:inter the R-value if exterior insulation on the storage tank is installed 13. !lack-up solar savings fraction:If compliance requires a back-up solar system, indicate the solar contribution(e.g.,0.30). External calculations are required. 14. Central DHW Distribution System:For multi-family buildings with using a central distribution system a demand recirculation system with at least two distribution loops must be installed.This requirement applies to any building with eight or more units.if the system is non-central or project is Individual units enter n/a. IS. Dwelling Unit DHW Distribution Type:For a Central DHW this field shall be Standard.if non-central then pick from Standard,Demand Recirculation—Manual Control,Demand Recirculation-Sensor Control.If non-central electric water heater this must be Standard,no recirculation system shall be installed. DOCUMENTATICIN AUTHOR'S DECLARATION STATEMENT •i certify that this Certificate of Compliance documentation is accurate and complete. Name: ❑Owner o Authorized agent ontractor Signature: ' Sierra Sprague Company: Contractor licens f: All Star W�t,�.r Heaters Address: Phone: 30300 Puerta Vallarta 951-301-0067 CG tate i Date: Menefee, CA 92584 For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300.