PMT18-05483 City of Menifee Permit No.: PMT18-05483
29714 HAUN RD. Type: Residential Mechanical
r MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 11/21/2018
PERMIT
Site Address: 29269 SPARKLING DR, MENIFEE, CA Parcel Number: 340-230-015
92584 Construction Cost: $15,549.00
Existing Use: Proposed Use:
Description of REMOVE AND REPLACE 5 TON/90,000 BTU COMPLETE HVAC SYSTEM& 13 DUCTS
Work:
Owner Contractor
FRED KEMPF W C HEATING&AIR CONDITIONING INC
29269 SPARKLING DRIVE 41085 GOLDEN GATE CIR
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone: 9516000700
W C HEATING&AIR CONDITIONING INC License Number: 779604
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Phone: (951)600-0700
Fee Description Qty_ Amount($)
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Mechanical 1 14.10
$324.10
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
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 the following reason:
License Class C-z_ License No. By my signature below I acknowledge that,except formy personal residence
Expires p f.30 J 2 CO Signature �� ��`� in which I must have resided for at least one year prior to completion of
f ppp improvements covered by this permit.l cannot legally sell a structure that 1
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 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 www.lesinfo.ca.Rov/calaw.html.
this permit is issued.
Date
Policy# PROPERTY OWNER OR AUTHORIZED AGENT
I have and will maintain workers compensation insurance,as required by J
section 3700 of the Labor Code,for the performance of the work for which , X By my signature below I certify to each of the following:l 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
with all applicable city and county ordinances and state laws relating to
Carrier �� g,ra building construction.I authorize representatives of this city or county to
policy# WC-wC 9075'7 3 Expires 14 I`1 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
Date I I
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# h"'+C 7-n7
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
Will the applicant or future building occupant handle hazardous material or a
Code,I shall forthwith comply with those provisions.
mixture containing a hazardous material equal to or greater that the
Applicant �7�� Date 1 g amounts sp cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes IS,Ldo
UNLAWFUL,AND 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($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 guideli es
CONSTRUCTION LENDING AGENCY ❑Yes
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
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 ous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
o +
Business and Professions Code).Any city or county that requires a permit to hazard �T�- Date L S IS
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(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
0 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.eoa.Rov/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 Certified Firm Name
property provided that the improvements are not intended or offered for -
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 o No EPA Lead-Safe Certified Firm is required for this project because:
not built or improved for the purpose of sale.
0 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.
y Jr
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: November 19, 2018 PERMIT/PLAN CHECK NUMBER �N I I �/ — O �'/ TK�
GRADING/ PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: Q COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 01 SIGN
SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL Q MECHANICAL
O NEW OPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 5 ton / 90,000 BTU complete HVAC system & 13 ducts
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINK(L�ERS O YES ONO
PROJECTADDRESS 29269 2SIplarkling Drive ZIP g25�sL4
ASSESSOR'S PARCEL NUMBER 3L40-Zap-b[ cL_ LOT TRACT
OWNER NAME Fred Kempf
ADDRESS 29269 Sparkling Drive Menifee, CA 92584
PHONE 951-746-3788 EMAIL swschnierer@roadrunner.com
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village, CA 91362
PHONE 818-735-7876 EMAIL swschnierer@road runner.corn
CONTRACTOR'S NAME We Care OWNER BUILDER? O YESONO
BUSINESS NAME We Care
ADDRESS 41085 Golden Gate Circle Murrieta, CA 92562 erg,kee
PHONE 951-600-0700 EMAIL .00q
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATION $ 15,549.00 SQ FT L SQ FT
Steven S Ch n i e re r Digitally signed by Steven S°hn`erer
APPLICANT'S SIGNATURE Date:2018.11.19 06:10:29-08'00' DAT ember 1 9, 2018
1 STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY:, CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE F
INVOICE TOTAL I 0 GREEN SMIP
OWNER BUILDER VERIFIED YES '.> NO DRIVERS LICENSE# NOTARIZED LETTER YES NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
G,SY pF
www.cityofinenifee.us
IiiiFE
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CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: FRED KEMPF Date Prepared: 2018-11-19
A. General Information
CF1R-AlT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
O1 Project Name FRED KEMPF 02 Date Prepared 2018-11-19 fl
03 Project Location 29269 SPARKLING DR N cw
1 04 Building Type Single family :>
05 CA City Menifee 06 Dwelling Unit Name FRED KEMPF O
;' �
07 Zip Code 92584 08
Dwelling Unit Conditioned U
2144
Floor Area (ft2)
Number of Space
09 Climate Zone 10 10 Conditioning(SC)Systems in 1
this Dwelling Unit:
B. Space Conditioning(SC)System Information
01 02 03 04 05 06 07 08 09 10
Is the SC Installing a
SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing
Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new
Name Served System(ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type
System 1 Location 1 2144 Yes Yes Yes Yes No No Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number:418-A020091400A-000-000-0000000-0000 Registration Date/Time:2018-11-19 10:04:55 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2018.0.001 Report Generated:2018-11-19 10:04:55
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CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 2 of 3)
D.Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
Central as All new All new
System 1 g heating AFUE 0.8 Central splitsplit cooling SEER 14 Setback Greater than R-6
furnace components components 40feet
Required Documentation:
CF2R-MCH-01-E-Space Conditioning Systems
-Duct insulation requirement for the new portions of supply-air and return-air ducts or plenums:R6(CZ 1-10,12 and 13)and R8(CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H-Duct Leakage Test required when heating or cooling components are installed in ducted systems,or when more than 40 ft of duct length is replaced
-Leakage rate compliance:<=15 percent or<=10 percent leakage to outside,or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered(applicable in CZ 2,8-15).
CF2R and CF3R-MCH-23 Airflow Rate>=300 CFM per ton required when MCH-25 is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23,or Refrigerant Charge MCH-25.
-Existing duct systems constructed,insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number:418-A020091400A-000-000-0000000-0000 Registration Date/Time:2018-11-19 10:04:55 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2018.0.001 Report Generated:2018-11-19 10:04:55
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CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-iR-ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Ashley McDonald Ashley McD&naU
Company: Signature Date:
I Permit E Raters 2018-11-19
Address: CEA/HERS Certification Identification(if applicable):
31225 La Baya Drive
City/State/Zip: Phone:
Westlake Village CA 91362 818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer).
3. That the energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,
calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable
inspections.I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Michele Smith M%cheie•SMWL,
Company: Date Signed:
We Care Heating&Air Conditioning, Inc. 2018-11-19
Address: License:
41085 Golden Gate Circle
City/State/Zip: Phone:
Murrieta CA 92562 951-600-0700
Digitally signed by CHEERS'"'. This digital signature is provided in order to secure the content of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:418-A020091400A-000-000-0000000-0000 Registration Date/Time:2018-11-19 10:04:55 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2018.0.001 Report Generated:2018-11-19 10:04:55
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