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PMT18-05430 City of Menifee Permit No.: PMT18-05430 AV AV 29714 HAUN RD. 0 MENIFEE, CA 92586 Type: Residential Plumbing MENI EE MENIFEE Date Issued: 11/1512018 PERMIT Site Address: 26622 JAELENE ST, MENIFEE, CA 92586 Parcel Number: 335-282-016 Construction Cost: $800.00 Existing Use: Proposed Use: Description of REPLACE EXISTING 50 GAL GAS WATER HEATER, SAME LOCATION Work: Owner Contractor JOSEPH MARTZ ALL STAR WATER HEATERS INC 26622 JAELENE STREET 30300 PUERTO VALLARTA WAY MENIFEE, CA 92586 MENIFEE, CA 92584 Applicant Phone: 9513010067 SIERRA SPRAGUE License Number: 812894 ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY MENIFEE, CA 92584 Fee Description Qty Amount($) 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 $115.15 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit_Template.rpt Page 1 of 1 Z;:y e. DATE IN, kim PERMIT/PLAN CHECK NUMBER p�� 0 0A050- TYPE: c:COMMERCIAL Q✓RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME G POOL/SPA O SIGN SUBTYPE: ;:)ADDITION O ALTERATION O DEMOLITION CELECTRICAL O MECHANICAL f, NEW aPLUMBING U RE-ROOF-NUMBER OF SQUARES_ DESCRIPTION OF WORK Replace existing water heater. Same size and location. 26622 Jaelene St. - ty Wn PROJECT ADDRESS ^ q��� Buildir�9 peot ASSESSOR'S PARCEL NUMBER � ,r'D,LD LOT TRACTp� p L1110- OWNER NAME Joseph Martz ADDRESS 26622 Jaelene St. ' PHONE 951-961-6136 EMAIL �01� _ __..__.._._ _ -- APPLICANT NAME Sierra Sprague ADDRESS 30300 Puerta Vallarta PHONE 951-301-0067 EMAIL allstar.sierra@gmail.com CONTRACTOR'S NAME Sierra Sprague OWNER BUILDER? 0 YES ONO BUSINESS NAME All Star Water Heaters ADDRESS 30300 Puerta Vallarta Way PHONE 951-301-0067 EMAIL allstar.sierra@gmail.com CONTRACTOR'S STATE LIC NUMBER 8128.94 LICENSE CLASSIFICATION C36 VALUATION$ 800.00 SQ FT L SQ FT APPLICANT'S SIGNATURE -- _.— —_ DATL DEPARTMENT DISTRIBUTION ' � CITY OF MCNIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN INVhICF. PAID AMOUNT AMOUNT �� 1` 1�' Q CASH C)CHECK N Q`CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK N 0 CREDIT CARD VISAJMC OWNER BUILDER VERIFIED 0 YES C NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menffeez Building Suf?ty Jep,vInient 29'14 f-laun Rd.Xllcnrf rC,CA 92586 451-572-6777 WWW.C;gwofmanr,rM.l-r,fnspecr0n Regtresi Li,e 9, -'416-6?,,3 „�A ` vQ ” CA e CITY OF MENIFEE k ekOw- waka 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 ❑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 www.leginfo.ca�ov 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 owner's behalf.1 have read this number are: application and the information I have provided is correct.I agree to comply Carrier 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# (/G&D 11V/2_ 7 Expires ;jV 9 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 `PROPERlY0AliR 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#_ 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,1 shall forthwith co ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide.' WARNING:FAIL RE J ECURE WORKER'S COMPENSATION COVERAGE IS o 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 Jf'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 C�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 Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item hazardous material reporting. $)(Section 7031.5 ges ❑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 ORIZED 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(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 o 1,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.aov/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. SRESTATE OF CALIFORMA I DENTIAL ALTEIRAMNS —VkFPCfER HEATER CEC-CFIR-ALT-01-12(Revised 06114) - 054-460- 4CALIrORNIA ENERGY Cow&S&ON CERTIFICATE OF COMPUANCE CFIR-ALT-01-E WATER"WIX19f enife [Pre-,ceiptivnRp-side;Wi;alAtte,ratio—ns for wat�r4e-a—tW_ age�_T*VQ o e P t, A- GENEPAL INFORMAVION 2018 Sftv address: Building Type: Family*'Dwelling o Multi Family Dwellings �61,2,,_, Z,p couic: 96ii�ifee Climate Zone: 10 ved G,.VV6,TER HEATN(2 SYS-51-EANIS 8 rp O�2 01 02 03 1 04 05 06 07 08 09 10 11 12 14 �5 j- 13 Water - t Water Water #of Water Fuel Rated Rated Heating Heating Exterior Back-Up Central Dwelling Heating lHeating Heater Water Heater Type Input Input Efficiency Efficiency Loss 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 (Sal) Type Name Whirlpool =Hl�_V GasI R 16 Standard iff'X ts.��qvs,mwnNGSY EMS7 Water heating compliance for an alteration is described In Section ISO.2(b)'G.ear single dwellin-a 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 or propanewater 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 electri,,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 caiumn numbers ariLi ven bc1p,),y: 1. Water Heat-fig System identification or:Name:criter 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 awater heating system used for space heating only;combined hydr onic are when the water heater will pi ovide both space conditioning and dornestic hot water. 3. Water heater type-For non-central systpms 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 --— -- ---~-- MR-ALT-014 WATER HEATER��) Prescriptive Residential Alterations for ulster Heater (Page Z of Z) 4. 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. 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 multi-family central syVems enter the total storage 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 tired units are etuh,for electric fired system the units are kW. 8. Hated Input Value:Enter the numeric value of rated input. 9. heating Efficiency Tyne:Energy Factor,AFUE,or Thermal Efficiency.From product literature or a California Energy Commission directory. 10. =veating Efficiency Vaiue: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. 12_ Exterior insulation R-Value:Enter the R-value if exterior insulation on the storage tank is installed 13. Pack-up solar savings fraction:it compliance requires a back-up solar system,indicate the solar contribution(e.g.,0.30).External calculations are required. 1.4. 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. 15. 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. DOClJMENTATiON AUTHOR'S DECLARATION STATEi• EM 1 certify that this Certificate of Compliance documentation Is accurate and complete. -- Name:Sierra Sprague oOwner o Authorized agent Aontractor Signature: company: All Star Water Heaters Contractor licenfeM 12894 Address: Phone: -- ---— 30300 Puerta Vallarta 951-301-0067 City/5tate/Zip: Date:Menifee, CA 92584 Da � �� /� __..._ For assistance or questio;is regarding the Engrg;Standards,contact the Energy Hotline at:1-800-771-3300.