PMT18-05431 City of Menifee Permit No.: PMT18-05431
A& 29714 HAUN RD. Type: Residential Plumbing
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 11/15/2018
PERMIT
Site Address: 27269 COMWELL ST, MENIFEE, CA Parcel Number: 335-331-005
92586 Construction Cost: $800.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING 50 GAL GAS WATER HEATER, SAME LOCATION
Work:
Owner Contractor
JULIE CORELLA ALL STAR WATER HEATERS INC
27269 COMWELL STREET 30300 PUERTO VALLARTA WAY
MENIFEE, CA 92586 MENIFEE, CA 92584
Applicant Phone: 9513010067
SIERRA SPRAGUE License Number: 812894
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
Fee Description QQt ii Amount($)
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
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CITY OF MENIFEE CA S 1k e}0w_ vi
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 41n License No. a By my signature below I acknowledge that,except for my personal residence
Expires.Z&/.26 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.1 understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 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
this permit is issued. www.IeRinfo.ca calaw.html.
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.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier 4/�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#,eA�f/!/r0/cl/?_?_ 7 Expires 9 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
za-
dollars($100)or less PROPE '9W,
ER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, /� 3501�
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# (�J!�
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith co ply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAIL RE ECURE WORKER'S COMPENSATION COVERAGE IS o Yes t$Wo
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 o Yes VNo
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 C�No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that 1 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 hazyXes o 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
❑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.sov/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. o 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 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.
m nif�--
DATE _ 1 � PERMIT/PLAN CHECK NUMBER
I
TYPE: O COM_M_ERCIAL Q✓RESIDENTIAL O MULTI-FAMILY O MOBILE_HOME O POOVSPA 0 SIGN
SUBTYPE: O ADDITION O ALTERATION ()DEMOLITION C ELECTRICAL % MECHANICAL
O NEW ✓ZPLUMBING O RE-ROOF-NUMBER OF SQUARES__,^
D?SCRIPTION OF WORE Replace existing water heater. Same size and location.
PROJECTADDRESS 27269 Comwell St.
ASSESSOR'S PARCEL NUMBER _ LOT TRACT Building Do
OWNER NAME Julie Corella
---...- _._.. - - --- NOV-4- —
ADDRESS 27269 Comwell St.
PHONE 951-894-1991 EMAIL
APPLICANT NAME Sierra Sprague
ADDRESS 30300 Puerta Vallarta
PHONE 951-301-0067 EMAIL allstar.sierra@gmail.com
CONTRACTOR'S NAME Sierra Sprague OWNER BUILDER? O 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 SQFT LSQFT
APPLICANT'S SIGNATURE DATE
�aa
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP x _�._____T _�_•.-•
INVOICE PAID AMOUNT iv
AMOUNT \ •15T`5 0 CASH O CHECK N C CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0 CASH O CHECK N 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER C YES r, NO
C1Y�Qf 1VIE'?°l fz;e:I.T(lii:�l."?g c4i Suf�'�y<:7cp;:�rcnrPn"�9;141cru�r RC}.It'.18n;feH, C�.�i':2�Sfi6 951-67?-G%77
:vww.er u�fr,�r'.nl Q .r slnspe�rier Reaoesttrre951-24 -62. 3
saA;re OFy,ALMORNIA
RiSIDEINTIIAL ALTERATICt,JS-VIOATER HEATER AvMb �_ _054��
CECCFIR,ALT-Ot-E(Revised 06�114) ;,At.irO}�NIAEa ftGYGplr,y}iS5iCti
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E WATER HEATER
iPrescr iptive Residential Alterations for water Heater (pageC 0 nifee
Suildin Dept.
A.GENERAL INFORMATION �.
a 70` p 13,0ldling Type: D4Single Family Dwelling NOV 1 4 2018
7 (,a 07141C!/ T ❑ Multi Family Dwellings
City, Zip Code: Menifee
ate Zone: , -ed
rIku
G.WATER 14EAT G SYES a EMS S bor, ISO.
--
413 02 _ 03 04 05 1 06 07 08 09 _ 10 _ 11_ 12 13 1�+ i5
_[
Water Water Water t1 of 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 DIM
System System Type Heaters Storage Type Value Type Value R-Value I Savings Distribution System
Identification Type in Volume I Fraction Type Distribution
or system (gal) Type
Name _I
Whirlpool DHW_ ,�-
rn� / 1 50--_ Gas .6�_� _ _ R-16 Standard
INAT€R HFATING 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(tankless)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.However,changing from gas to electric is not allowed. Mufti-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-NC8-03 to document the crater heater alteration.
Instructions for sections with column numbers are Riven below
1. Water Heating System Identification or Marne:enter a unique name for the water Heating System.
2. Water heating system type:Domestic Hot Water(DHW).Hydronic,Combined Hydronic,or Central.014W 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 _ i --- _ CFIR-ALT-01-E WATER HEATER
prescriptive Residential Alterations for Water heater _ _ (Page 2 of 2)
n. Number of water heaters in system.In single-family�and multi-family with water!-heaters h east dw.eiling uhift theVatue is 1.F'or multi-fam.1%;central stems
serving multiple dwelling uni t.s.enter the total number of water heaters.
5. Water heatervolume(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 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 fired units are Btuh,for electric fired system the units are kW.
B. 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. Heating 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.
12. Exterior 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 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.
DOCI!!�IEIYT MON AUTHOR'S DECi:ARATiON STATEMENT
•1 certrfy that this Certificate of Compliance documentation is accurate and complete.
Name: Sierra Sprague ❑Owner o Authorized agent A Contractor Signature
Company: All Star Wzter Heaters _— Contractor,lice ��9�_...--_-- --_--
Address: 30300 Puerta Vallarta Phone: 951-301-0067
CityjState/Zip: Date: �� /� '�
Menifee, CA 92584
for assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-8130-772-3300.