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PMT18-05428 City of Menifee Permit No.: PMT18-05428 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Plumbing MENIFEE MENIFEE Date Issued: 11/15/2018 PERMIT Site Address: 25256 SILVERWOOD LN, MENIFEE, CA Parcel Number: 339-440-014 92584 Construction Cost: $800.00 Existing Use: Proposed Use: Description of REPLACE EXISTING 50 GAL GAS WATER HEATER, SAME LOCATION Work: Owner Contractor GLEN PAPPAS ALL STAR WATER HEATERS INC 25256 SILVERWOOD LANE 30300 PUERTO VALLARTA WAY MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone: 9513010067 SIERRA SPRAGUE License Number: 812894 ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY MENIFEE, CA 92584 Fee Description QQt rr Amount($) 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 -'A' Vf) - CITY OF MENIFEE CAI! ekX34 w0ka 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 Contractor's State License Law for Professions Code and my license is in full force and effect p the following reason: License Class License No. Q By my signature below I acknowledge that,except for my personal residence Expires D 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 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 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 w ww.leainfo.ca.aov/calaw.html. this permit is issued. -- Policy# Date *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 V 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 Carrier �t �S 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 PROPE O ER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, Cam../ t� I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 1 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 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:FAILURE ECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes �No UNLAWFUL,AND "ALL 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 for guidelines CONSTRUCTION LENDING AGENCY ❑Yes "0 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) ❑Yes VNo 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 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 (&Ces o No Business and Professions Code).Any city or county that requires a permit to Date d,11Z construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 00 A,101ORIZED 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 IRRP) 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 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.epa.eoy/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 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. ❑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. Z r -_::pan.-�•...�_..,..—s.. ::�,.��:,....._:_—.�.�s..::®.,+......a_ ___ —... _ _ ate.. ._ DATE ` PERMIT/PLAN CHECK NUMBER (),, TYPE: 0 COMMERCIAL QRESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION C DEMOLITION O ELECTRICAL O MECHANICAL 0 NEW ✓PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORT: Replace existing water heater. Same size and location. City of Menifee. - —,. -- - ------Building Dept. PROJECTADDRESS 25256 Silverwood Ln. - — NOV 14 2018 ASSESSOR'S PARCEL NUMBER ��-1._.._` ��1"!� LOT TRACT OWNER NAME Glen Pappas ADDRESS 25256 Silverwood Ln. PHONE 951-672-3839 EMAIL APPLICANT NAME Sierra Sprague ADDRESS 30300 Puerta Vallarta PHONE 951-301-0067 EMAIL allstar.sierra@gmail.com CONTRACTOR'S NAME Sierra Sprague OVtINER BUILDER? 0 YES ONO 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 VALUATIONS 800.00 SQ FT L SQ FT APPLICANT'S SIGNATURE DATE /c /d.. :1. -. 1z DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE 6RELN SMIP x INVOICE PAID AMOUNT ` r AMOUNT ` `� )\� Q CASH O CHECK A 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK If O CREDIT CARD VISA/MC 7 OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menifec Building&SUfet y Deportrri&nt 29714;4aum Rd.,Menifee,LA 92586 951.572-677 ;•vw+v.cd }cf.-r1eni�ee.us 1rspectior, Request Line 951,46.5213 STATE OF CAL FORNA P—x�... ID'EhN IAA...ALTERATION —° ?Ak t EIR HEATE EMIT CFC-CF1R•ALT-01-E(ReViSed 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE QF COMPLIANCE C171I1-ALT-01-E WATER HEATER fr es4 ipltive Residential Alterations for Water neater {Pag. of _ f nlfee A.GENERAL.INFORMATION � _.� .__ -_ ___ ept. Site address; uftdirt Type: $,Single Family Dwelling -2f�S`!o �erwoo �n, NOV 14 018 __ � ❑ Multi Family Dwellings City, zip Code: enl ee Climate Zone.- 110 -- ed 01 02 03 04 05 06 07 as 09 10 _11 14 15 Vif'ater Water Water R of Water Fuel Rated Rated Heating Heating Standby Exterior Back-IJp Central Dwelling Heating i Heating Heater Water Heater Type Input Input Efficiency Efficiency Loss(%) Insul. Solar DHW System Unit DHw System I System Type Heeteem Storage Type Value Type Value I R Value Savings Distribution system identification Type in Volume ; Fraction Type Distribution or system (gal) 1 I Name � Type Whirlpool DH tea 50 Gas .62------ - R-16 ,cl Standard WATEP H TIK 5YSTf.:MS 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 6O gallons maximum or instantaneous(tankless)can be used.towelling Unit distribution systems are limited to Standard trunk and branch or demand recirculation for pas or propanewater treater.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 replayed 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 for alterations,use form CF1R-NCB.01 to document the water heater alteration. Instructions for sections with coiumn numbers are eiven below: 1. Water Beating System Identification or Narne:enter a unique name for the Water Heating 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 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 lnstantaneous or Indirect. CERTiFICATE OF COMPLIANCE CF1R-ALT-GI-E WATER HEATER Prescriptive Residential Afterations for Water Heater (Page 2 of 2) t h. Number of water heaters in system:In single-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. 5. Water heater volume(gaff: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 ienter the total storage-volume. 6. Fuel Type:Gas,Propane,Electric(Only if natural gas is not available) T. Rated Input Type:Enter the equipment input rating type,for gas or propane fired units are:8tuh,for electric fired system the units are kW- 8- -hated input Value:Enter the numeric value of rated input. 9. Heating Efficiency Type:Energy Factor,AFUE,or Thermai Efficiency.From product literature or a California Energy Commission directory. 1t3. Heating Efficiency Value:Enter the value from product literature or a California Energy Commission directory It Standby Loss(percent):Applies only to large storage water heaters,Enter n/a for small storage or instantaneous water heaters. 12. Uterior:Insulation R-Value:Enter.the R-value if exterior insulation on the storage tank is installed 13. Back-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 DH'a'Sr 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. 15. P.weliing Unit DKW Distribution Type:For a Central DHW this field shall be Standard.If non-central then pick from Standard,Demand Recirculation—h4anual Control,Demand Recirculation—Sensor Control.If non-central electric water heater this must be Standard,no recirculation system shall be installed. DOCUMENTATION AUTHOR'S U£ct.4RATION STATEMENT •i certffy that this Certificate of Compliance documentation is accurate and complete. Name:Sierra Sprague ❑Owner ❑Authorized agent A-ontractor Signature: Company. ater Contractor a h- eaters Address: 30300 Puerta Wallarta i Phone: 951-301-006.7 city/state/zip.- Date: rn e ee, CPA 92584 // .For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300.