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PMT18-05596 SCANNEL City of Menifee Permit No.: PMT18-05596 29714 HAUN RD. Type: Residential Mechanical MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 11/27/2018 PERMIT Site Address: 26157 BLUEBELL ST, MENIFEE, CA Parcel Number: 335-426-024 92584 Construction Cost: $8,000.00 Existing Use: Proposed Use: Description of HVAC CHANGEOUT 3 TON 15 SEER AMERICAN STANDARD 80K BTUS Work: Owner Contractor ROBERT AND LINDA BROWN ZACKWOOD INC 26157 BLUEBELL ST 1241 N LAKEVIEW AVE STE H MENIFEE, CA 92584 ANAHEIM, CA 92807 Applicant Phone: 7146609432 KYLE NICOLETTI License Number: 1034914 ZACKWOOD INC 1241 N LAKEVIEW AVE STE H ANAHEIM, CA 92807 Phone: (949)294-4549 Fee Description QQt rr Amount($) 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 MENIKE' 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. the following reason: License Class License No.AID 3 411H By my signature below I acknowledge that,except for my personal residence Expires O Signature t4V 1AA, 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 ❑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.gov/calaw.html. this permit is issued. Policy# Date ❑I 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 ❑By my signature below I certify to each of the following:I am the property this permit is issued.My worker's 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 with all applicable city and county ordinances and state laws relating to Carrier l O p S "rL building construction.I authorize representatives of this city or county to Policy# Z-o V 0 Z 1 Expires Ill, 1101101enter 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 ,11'1 certlfy 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 worker's compensation io Date ns of Section 3700 of the L bor Code,I shall forthwith ply with e r isions. Will the applicant or future building occupant handle hazardous material or a 8 mixture containing a hazardous material equal to or greater that the Applicant amounts spe ified on the Hazardous Materials Information Guide? WARNING:FAILU TO SECURE O KER'S COMPENSATION COVERA EIS ❑Yes T _ 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 guidelines- CONSTRUCTION LENDING AGENCY ❑Yes Y"" 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 bound ry of a school? (Section 3097 Civil Code) ❑Yes i20 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand y re uirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&S ty Code, ti 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous materi re rting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazyyes ❑No Business and Professions Code).Any city or county that requires a permit to Date Z construct,alter,improve,demolish or repair any structure,prior to its )t PROPERTY O N OR A TH ZED 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 Contractor's 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.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 Contractor's 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 Contractor's 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 MENIFEE DATE: y PERMIT/PLAN CHECK NUMBER , ✓ O GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE•46OMMERCIAL RESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA SIGN SUBTYPE: ADDITION ALTERATION DEMOLITION ELECTRICAL AECHANICAL ? NEW PLUMBING RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK < �.- S0 vw OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS YES NO PROJECT ADDRESS 2-10 ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME t 1 I o—w I/,. ADDRESS I,c�Q b 1,( sr PHONE EMAIL APPLICANT NAME �. ADDRESS L X-)• tom-- �0 PHONE cl11� 2A Lf 4t" 1 EMAIL CONTRACTOR'S NAME &Agr4VCUIa�NNER BUILDER? G:!#XERf: ifee Ou"ClIng Dept, BUSINESS NAME ADDRESS Z C♦ cQd/��J NOV 2 7 2018 PHONE 41.1 2cL s L[S'''y EMAIL CONTRACTOR'S STATE LIC NUMBER I Q 3 q ( `'f LICENSE CLASSIFICATION VALUATION$ U D SQ FT r L SQ FT APPLICANT'S SIGNATURE DATE Z.Y l CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE fa I INVOICE TOTAL O GREEN ' a SMIP OWNER BUILDER VERIFIED YES C NO DRIVERS LICENSE# NOTARIZED LETTER YES NO City of Menifee Building & Safety Department 29714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us ENIFE STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permit#: Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset. Conditioned Thermostat Required R-value Floor Area(sq ft) ❑Packaged ❑Evaporator Coil ❑R-6 (CZ2,8-13)Ducting Served by system ❑Setback System Condensing Unit i FUE COP ❑R-8' (CZ11,14,15)Ducting sgft (If not already 'Split System 91 Compressor 1�SEER HSPF ❑R-6(all CZ's)Plenums present,must ❑Mini Split ❑Lineset ❑R-5 or R7.5)Lineset4 be installed) ❑Furnace ❑TXV EER HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site. 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)'-HERS,MECH-25-HERS' Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: 01.Duct system registered with HERS provider as previously sealed,or❑2.There is less than 40 linear feet of duct in unconditioned space, ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_ ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CFIR-ALT-02-E including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HE&MLM CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' Mini Splits require CFIR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge 113.All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts'and one or more of the following CFIR-ALT-02-E Clry replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERIBuilding Dept. Compressor,TXV,Lineset,Furnace' CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge NOV 2 7 2018 Exempted from duct leakage testing if:❑1. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CFIR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage(<15%or,<10%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. ' 'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls,between floors etc. 'Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25 'All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) 4 R-5(1"thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%",2.5-3T-2%",3.5 to 4T-2%",5T-4%" Contractor(Documentation Author's/Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document. \/1 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the W requirements of Title 24,Parts 1 and 6 of the California Code of Regulations(CCR). �. 4. 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 CCR. 5. 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. Responsible Designe�m� _' Responsible Des�n r 5 ure: r A Date�Sig �� License: ��I (///l/ LID O I Qliii. Company: Address: City/State/Zip: Phone: t v✓ 4.k r�. "ke v:e,.� d�},r� t4-(,-I r_ _ �l`M 2`t 4 `61& For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300