PMT15-01838 i
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City of Menifee Permit No.: PMT15-01838
29714 HAUN RD. Type: Residential Mechanical 1
L ? MENIFEE, CA 92586
MENIFEE Date Issued: 0 7101/2 01 5
PERMIT
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Site Address: 30207 LAKEPORT ST, MENIFEE, CA Parcel Number: 360-421-010
92584 Construction Cost: $5,575.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING 4-TON A/C
Work:
Owner Contractor
JEFFREY SPURGIN AIR FORCE ONE HEATING AND AIR INC
30207 LAKEPORT STREET 31566 RAILROAD CANYON ROAD
MENIFEE, CA 92584 #682
Applicant Phone: 9512440916
STEVEN SCHNIERER License Number: 955952
AIR FORCE ONE HEATING AND AIR INC
31566 RAILROAD CANYON ROAD
#682
CANYON LAKE, CA 92587
Fee Description gty Amount
Ir
Building Permit Issuance 1 27.00
$161.00
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 building 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_Templatexpt Page 1 of 1
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City Of Menifee 1
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LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed 1%
Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class CZO License No. 9355`.T 2 who builds or improves thereon, and who contracts for the projects with a 1
Expires 3 a r lb Signature Ste:✓ '`" - licensed contrador(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to com let Section 3700 of the Labor Code, for the performance of work for which this p Ion of
permit is issued. improvements covered by this permit. I cannot legally sell a structure that I have '..
Policy# built as an owner-building if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
�'� have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available.upon request when this application Is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http:IL\6eLm.leginfo.ca.gov/`calaw.htm],
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier Date
Expires 101'30'I'S Policy# Swctty�Fgs r -
Name of Agent Phone# L(71 C1my Signature below, I certify to each of the following: I am the property
owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction.I authorize representatives of this city or county to enter the above- -
❑ I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes.
shall not emolov any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become ' 5
subject to the workers'compensation provisions of Section 3700 of the Labor property Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
Date; "l l�}S Applicant; -N-vL�-�-�"z- -- City Business License# (.`�35Sr{$
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ✓,4N0 EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY �� SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section 3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name pYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: Sh,, � ,e_rer
License Law for the reason(s)indicated below by the checkmark(s)I have placed pYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s) (Section 7031.5, Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, 6:OAQ SCHOOL?
or repair any structure, prior to its 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 Stale License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or a!5 � INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from lcensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than ($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
11 I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL AEPORIING.
compensation, will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044, Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
ABUILDING & SAFETY PERMIT/PLAN CHECK
PPLICATION
Menifee
DATE 07/01/2015 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
❑NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 4 ton A/C
PROJECTADDRESS 30207 Lake4pwfd4?*- 45i1r 2
ASSESSOR'S PARCEL NUMBER atop- L pi- OIO LOT Ir�- TRACT ^0
OWNER NAME Jeff Spurgin
City o
ADDRESS 30207 Lakespur Menifee, CA 92584
Building & Safety DIP
PHONE (951)329-0211 EMAIL it iL a 1 2015
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 112 Westlake Village,CA 91362 Received
PHONE (818)735-7876 EMAIL
CONTRACTOR'S NAME Air Force One Heating&Air OWNER BUILDER? ❑YES❑./ NO
BUSINESS NAME Air Force One Heating&Air
ADDRESS 31566 Railroad Canyon Road Canyon Lake, CA 92587
PHONE (951)244-0916 EMAIL service@airforcelair.com
CONTRACTOR'S STATE LIC NUMBER 955952 LICENSE CLASSIFICATION C20
VALUATION $ $5,575.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE 07/01/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN ( SMIP
INVOICE 1 - PAID AMOUNT 11 ^^
AMOUNT `lX , lJL 1 ii CASH C%CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH %CHECK# JCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLETTER 0 YES <% NO
City of Menifee Building & Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNIA
ALTERATIONS -HVAC
CEDCFI R-ALT-04-E Revised 06114 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 repared: Permit#:
302-07 Lo��es uc C.k OF „ et -711 L5 O
E ui mentT e Equipment Efficient New ucting,Plenums Lineset: Conditioned
q p yPy Required R-value Floor Area(sq ft) Thermostat
O Packaged System ❑Evaporator Coil AFUE COP 13 R-6 (a 2,8-13)Ducting Served by system �Setback
❑Split System XCondensing Unit ❑R-8' (CXSI,14,SS)Ducting sgft (If notalready
❑Furnace El Lineset
❑Mini Split ❑Compressor ]4 SEER _HSPF ❑R-6(all M)Plenums present,must
El Thy _EER ❑R-5 or R7.5)Uneset° City
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below.%lbYriinp-p'llcation t is 4
form is allowed to be filled out b hand. For final inspection all forms are to be registered(no hand filled forms allowed)and acopy left o site
J11.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF111-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23or24)2-HERS,MECH-25-HEgSS � ®®�d
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23or24)-HERS2,MECH-25-HERS' Received
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage L15%,or<10%to outside,or seal all accessible leaks),Air Flow?300 CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
❑1,Duct system registered with HERS provider as previously sealed,or❑2.There is less than 40 Rnear feet of duct In unconditioned space,or
❑3.Existing ducts stems are constructed,insulated or sealed with asbestos(list manufacture date of building
112.New HVAC System I Required Compliance Documents to be left on site for Final:
All new equipment and All New Ductea CFIR-ALT-02-E
Including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS2
CFSR: MECH-20-HERS,MECH-22-HERS,MECH-(23or24)-HERS2,MECH-25-HERS'
Mini Splits require CF1R-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
❑3.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 CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-2DHERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Compressor,TXV,Lineset,Furnace' CF3R: MECH-20-HERS,MECH-(23or24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow 2 350 CFM/tan(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:01. Existing duct systems are constructed,insulated or sealed with asbestos
❑4.New Ducting over 40 feet Required Compliance Documents to be left an site for Final:
New ducting but less than All New Ducts' I
I CF1R-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.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25
2 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 Iinesets 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-4Y."
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
I certify the following under penalty of perjury,under the laws ofthe 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.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
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 ap Ilcation.
Respn�nsble Des'ener Name: Responsible Designer Signature: Date Si ned:
7 ❑[erne:
cex�'tler S�hn�ecef t�I$ 9513957-
Companyy;�. Address: ❑ty/State/2ip: Pining:
/ai( 4oec�C?ne Net!r F Ar 315bto too ilrr�aCa on lZa �rl D Lckc.CA 92Sy 7 cfi51 -44-Oglto
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