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PMT18-05248 City of Menifee Permit No.: PMT18-05248 29714 HAUN RD. /,Ili` MENIFEE, CA 92586 Type: Residential Plumbing MENIFEE MENIFEE Date Issued: 10/26/2018 PERMIT Site Address: 27946 HIDE AWAY CT, MENIFEE, CA Parcel Number: 333-370-039 92585 Construction Cost: $1,350.00 Existing Use: Proposed Use: Description of REPLACE EXISTING 50 GAL GAS WATER HEATER IN GARAGE Work: Owner Contractor JESSICA SMITH A R S AMERICAN RESIDENTIAL SERVICES OF 27946 HIDE AWAY COURT CALIFORNIA INC MENIFEE, CA 92585 965 RIDGE LAKE BLVD#201 Applicant Phone: 9012719700 JIM PHILLIPS License Number: 765155 A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNIi 965 RIDGE LAKE BLVD#201 MEMPHIS, CA 38120 Fee Description Qty Amount($) 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 M(Y—\ i pro®�. K Ii;�9'�� �A� CITY OF MENIFEE v LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑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 Ir License No. By my signature below I acknowledge that,except for my personal residence Expires 2 I Signature '�ti 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 LA ION have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under pea 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.html. this permit is issued. Date Policy q PROPERTY OWNER OR AUTHORIZED AGENT o I have and will maintain workers compensatlon insurance,as required by 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 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 �'`S�r with all applicable city and county ordinances and state laws relating to Carrier 4 1 // building construction.I authorize representatives of this city or county to Policy#(A?63 D5D&63 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE ft worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith ceaa$I "thOZro!ons Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applican Date 3� amounts sp Fred on the Hazardous Materials Information Guide? WA I FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ra'N0 U FUL,AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building D 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 for guideline CONSTRUCTION LENDING AGENCY ❑Yes O . 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 bouga,ry of a school? (Section 3097 Civil Code) ❑Yes U'No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the CaliforniN. He Ith&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardo rial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ciYes / Business and Professions Code).Any city or county that requires a permit to Date / ry construct,alter,improve,demolish or repair any structure,prior to its ROPER 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 EP ENOVATION REPAIR AND PAINTING RRP 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: ❑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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION - ),-'Men1fee DATE 10/26/2018 PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ✓❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL []MECHANICAL [-]NEW [Z]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replace 50 gallon gas water heater rAA &04- '- Building Dept. PROJECT ADDRESS 27946 Hide Away Ct. Menifee Ca. 92585 ASSESSOR'S PARCEL NUMBER /^J�`� -3-10-01� LOT i `ei F► ed OWNER NAME Jessica Smith ADDRESS same as jobsite PHONE (951)422-8653 EMAIL APPLICANT NAME Jim Phillips ADDRESS 1520 W Linden Street Riverside, CA 92507 PHONE (951)341-9371 EMAIL CONTRACTOR'S NAME AIRS Rescue Rooter OWNER BUILDER? ❑YES QNO BUSINESS NAME ADDRESS 1520 W Linden Street Riverside, CA 92507 PHONE (951)341-9371 EMAIL CONTRACTOR'S STATE LIC NUMBER 765155 LICENSE CLASSIFICATION C36 VALUATION$ $ 1,350.00 SO FT L SQ FT APPLICANT'S SIGNATURE DATE 10/26/2018 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIPINVOICE � X AMOUNT PAID AMOUNT CASH CHECK q CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT C)CASH CHECK# CREDIT CARD VISA/MC OWNER BUILDER VERIFIED YES ':::> NO DL NUMBER NOTARIZED LETTER YES NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 STATE OF CALIFORNIAit) • RESIDENTIAAL ALTERATIONS -WATER HEATER CEC-CFIR-ALT-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE — CF1R-ALT-01_-E WATER EAR Prescriptive Residential Alterations for Water Hcater ofg © p te A. GENERAL INFORMATIONOCT 'Q Site address: /g�r(� �" G� Building Type: ; Single Farnily Dwelling v / ❑ Multi Farnily Dwellings City, Zip Code: MENiFEE, CA �� �'j Climate Zone: 10 e07'r%.%f V G. WATER HEATING SYSTEMS (Section 150.2(b)1G) 01 02 03 04 05 06 07 08 09 10 1.1 17. 13 14 15 Water Water Water ti of Water Fuel Rated Rated Heating Heating Standby Exterior Back-Up Central Dwelling Heating Heating Heater Water Heater Type Input Input Efficiency Efficiency Loss(9S) Insul. Solar DHW System Unit DHW System System Type Heaters Storage Type Value Type Value R-Value Savings Distribution System Identification Type in Volume Fraction Type Distribution or system (gal) Type Na t: _ WATER HEATING SYSTEMS Water heating compliance for an alteration is described in Section 150.2(b)1G.For single dwelling a gas or propane water heater,with a storage tank of 60 gallons maximum or instantaneous(tank)ess)can be used.Dwelling Unit distribution systems are limited to Standard trunk and branch or demand recirculation for gas or 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. I-lowever,changing from gas to electric is not allowed.Multi-family central systems must use certified equipment as defined under Section 11.0.1 and 110.3. NOTE:If the proposed installation does not meet the requirements allowed specifically for alterations,use form CF111-NCB-01 to document the water heater alteration. Instructions for sections with column numbers are given below: 1. Water Heating System Identification or Name:enter a unique name for the Water Heating System. 2. Water heating system type:Domestic I lot Water(DI IW),I lydronic,Combined Hydronic,or Central.DHW is for domestic hot water,hydronic is a water heating system used for 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,Small Storage, Heat Pump,Boiler,Large Instantaneous,Small Instantaneous or Indirect. CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E WATER HEATER Prescriptive Residential Alterations for Water Heater , (Page 2 of 2) 4. Number of water heaters in system:In siingle-family and multi-family with 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. S. 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 i multi-family central systems enter the total storage volume. G. Fuel Type:Gas,Propane,Electric(Only if ikatural gas is not available) 7. Rated Input Type:Enter the equipment input rating type,for gas or propane fired units are Btuh,for electric fired system the units are kW. 8. Rated Input Value:Enter the numeric vall.re of rated input. 9. Heating Efficiency Type:Energy Factor,AFUF,or Thermal Efficiency.From product literature or a California Energy Commission directory. 10. Heating Efficiency Value:Enter the valueifrom 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. 12. Exterior Insulation R-Value:Enter the R-\Ialue if exterior insulation on the storage tank is installed 13. Back-up solar savings fraction:If compliance requires a bark-up solar system,indicate the solar contribution(e.g.,0.30).External calculations arc:required. 14. Central DHW Distribution System:For mi.ilti`amity 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. 15. Dwelling Unit DHW Distribution Type:Far 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. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • I certify that this Certificate of Compliance documentation is accurate and complete. Name: (nS oOwner u Auti�orized agent ontractor Signature: T-,—�--T -�� --_�� an Compy: I Contracto license if: Jj — --- --- -� Address: /5— � U2 [` i �1 ✓�� ) City/State/7_ip: i v-g "`�.,� all G a 5 -7 Date: For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300. Y