PMT15-03605 City of Menifee Permit No.: PMT15-03605
29714 HAUN RD. Type: Residential Mechanical
<A-CCEL/? MENIFEE,CA 92586
MENIFEE Date Issued: 11/17/2015
PERMIT
Site Address: 25770 WARWICK RD,MENIFEE, CA Parcel Number: 339-073-009
92586 Construction Cost: $7,900.00
Existing Use: Proposed Use:
Description of INSTALL PACKAGE ROOF TYPE HEATING&AIR CONDITIONING SYSTEM.3.5 TON AC,65,000 BTU
Work:
Owner Contractor
CAROLYN WILDAY AMBER AIR CONDITIONING INC
25770 WARWICK RD 29885 2ND STREET UNIT A&B
MENIFEE, CA 92586 LAKE ELSINORE,CA 92532
Applicant Phone: 9516746974
ANGIE RODRIGUEZ License Number:621742
AMBER AIR CONDITIONING INC
29885 2ND STREET UNIT A&B
LAKE ELSINORE, CA 92532
Fee Description Qtv Amount I$)
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 carded 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 ❑ lam exempt from licensure under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence in
Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion of
License Class C 20 Li rise Nq. �) 1'�'� improvements covered by this permit, I cannot legally sell a structure that I have
Expires (0I'�I )�1 Signature ihf, br0 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
WORKERS'COMPENSATION DECLARA Q Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one the following declarations: http:/Aw .lecinfo.ca.cov/calaw.html.
have and will maintain a certificate of consentt of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this.
permit is issued. Property Owner crAulhorizedAgent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
idli 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is Issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
eY�a' h construction.I authorize representatives of this city or county to enter the above-
Carrier A II �������In.I)1sYQkiw-bTIL identified property for the inspection purposes.
Policy# a D-lN/ I Expires 1 11 Date
Property Owner or Authorized Agent,/ �f
(This section need not be completed if the permit is for - City Business License# D'J"Ja 1
one-hundred dollars($100)or less)
❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emolov any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. OYES Q AO
Applicent•!6'I Date; f I I -1 116 Will the intended use of the building by the applicant or future building
✓✓ / occupant require a permit for the construction or modification from South
WARNING. LURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OYES 240
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES OYES 121 NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health$Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS ES ov N Ik r(n
❑,
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 0 Date 11 F1 15
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPIJAN kWNEOR 4ikHORIZED AGENT
next to the applicable item(s)(Section 7031.5.Business and Professions Code: EPA RENOVATION.REPAIR AND PAINTING fRRP)
Any city or county that requires a permit to construct,alter, improve,demolish,
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractors State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 70D0)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit:
❑ I, as owner of the ro www.epa.gov/lead or contact the National Lead Information Center at
p pe rty, or my employees with wages as their sole 1-800424-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure is
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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name:
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 Finn Certification No.:
purpose of sale).
❑ 1, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If Your Droiect does not comply with EPA RRP rule please fill out the RRP
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION X
1'wenifee
DATE 11/17/2015 PERMIT/PLAN CHECK NUMBER
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION [-]DEMOLITION []ELECTRICAL ❑✓ MECHANICAL
❑NEW [—]PLUMBING []RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK INSTALL PACKAGE ROOF TYPE HEATING AND AIR CONDITIONING SYSTEM.
31/2 TON A/C,65,000 BTU
PROJECTADDRESS 25770 WARWIC�KR(OAD,SUN CITY, CA
ASSESSOR'S PARCEL NUMBER 9J O O��'�/-1 LOT dplt TRACT
PROPERTY OWNER'S NAME CAROLYN WILDAY
ADDRESS 25770 WARWICK ROAD, SUN CITY,CA
PHONE (951)672-4564 EMAIL
APPLICANT NAME ANGIE RODRIGUEZ
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME PHIL MINNIS OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME AMBER AIR CONDITIONING, INC.
ADDRESS 29885 SECOND STREET UNIT A&B, LAKE ELSINORE, CA
PHONE (951)674-6974 EMAIL angie@amberairoondftioning.com
CONTRACTOR'S STATE LIC NUMBER 621742/319072 LICENSE CLASSIFICATION C20
VALUATION$ $7g00.00 SQ FT 1603 L SO FT 8712
APPLICANT'SSIGNATURIE DATE 11/17/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE
AMOUNT 3a .1° PAID AMOUNT OCASH OCHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/Mc
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us inspection Request Line 951-246-6213
City & SaWY Dep -
t
menitee
ui.lding
Nov 11 2015
Received
CERTIFICATE OF COMPLIANCE CFSR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: Wilday Date Prepared: 2015-11-17
A.General Information
CFSR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented,
use one CFIR-ALT-02 document for each dwelling unit.
O3 Project Name Wilday 02 Date Prepared 2015-11-17
03 Project Location 25770 Warwick rd. 04 Building Type Single family
05 CA City Menifee 06 Dwelling Unit Name Wilday
07 Zip Code 92586 DR Dwelling Unit Conditioned 1603
Floor Area(ft2)
Number of space conditioning
09 Climate Zone 10 10 (SC)systems in this dwelling 1
unit.
B.Space Conditioning(SC)System Information
01 02 03 04 as 06 07 06 09 10
Is the SC Installing
sCSystem SC System CFA served system 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(ft2) system? component? components? feetofducts? ductsystem? SC system? Alteration Type
packaged unit Whole house 1603 Yes yes Yes No No No Altered space
conditioning system
C.Extension of Existing Duct System,Greater Than 40 Feet(Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number:215-A6396116A-000000000-0000 Registration Date/Time: 2015-11-1709A7:59 REM Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013-1.006 Report Generated:2015-11-17 09:46:51
Schema Version:0.55SSDD
' \J^3
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P
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ACT-HVAC) (Page 2 of 3)
D.Altered Space Conditioning System(Sections 150.2(b)IE and F)
01 02 03 04 05 06 07 08 09 10 31 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 gas All new Central All new This field or This field or
packaged unit furnace heating AFVE so packaged AC cooling SEER 14 Setback section is not section is not
components components applicable applicable
Reouired Oocumemation:
MR-MOH-01-E-Spare Co di lining Systems Ductsand Fans
-Duct Insulazldn requirememfor newplenums:R5.
Un-MOH-1 &63R- CI.1-20-11—Duct Leakawtesting required when heating or cooling componentsare Installed in duped systems,or when more than 40 ftofduff length Is replaced.
-leakage rate compliance:5 15%,or510%l io sto.inue ,er sealallaccessible leaks.
an-MOH-25-H&CF3R-MM-25-H ReGlgaant Charge VenfiaHOn required when reMgerart containing components are Installed or aftered(applimble in Q 2,8-15).
CF2RMR-1001-23&CF3lt .oi!-23 Alr Flow a 300 CRA/ton required when MOI-251s required.
Eviceptimss:
-Duct systems registered with HERS smoulder as previously sealed are exempt from MQ 20 Duct leakage Testing requirements.
-Headog-only syrterm and Air Handler/Furnace changes do not require verification of Air Flow fd H-23,or Refrigerant Charge MECH-25.
-Eyining duct systems wssstructed,Insulated or sealed with asbestos are exempt from MCI-20 Dud leakage Testing requirements.
E.Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150-2(b)3Diia 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:215-A6396116A-000000000-0000 Registration Datetnme: 201541-1709.47:59 HERS Provider.CaICER S
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013-1.OD6 Report Generated:2015-11-17 09:46:51
Schema Version:0.555SDD
CERTIFICATE OF COMPDANCE CFSR-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 Amber Name: pocumentatbn Author Signature: Ie P
Minnis,Phil
-16
rymwm. signature Date:
Amber Air Conditioning,Inc. 2015.11-17 09:47:59
Address: CEA/HEM Cartificad so Ith ndficatlon(if applicable):
29885 2nd Street
Cindstate2P: Phone:
Lake Elsinore CA 92532 951-674-6974
Responsible Person's Declaration statement
I certify the following under Penalty of perjury,under the lawsofthe State of California:
1. The information provided on this Certiarate of Compllanre istrue and mneuu
2. 1 am eligible under Division 3 ofthe Business and Professions Cade to accept responsibility fin-the building design or system design identified on this Cartificate of Compliance(rcWordble deshvarl.
S. Thatthe enegyfeatums and performance spedficatimss,matimiscomponents,and manufadared devicesforthe building design orsyalem design ldenfifiedan thisCamFlcale of Compliance conform to the
re9uimmems&TM.24,Part 1 and Part 6af the California Code of Regulstiom.
4. The buildingdeAV haturesor system design fatness identified an this Certificate of Compliance are cemiaterewith the inromaaan provided on other applicable compliance documents,worloheets,
calculations,plamand specifications submitted tothe erdoroementagency forapproval with this building permit application.
5. 1 will emus that a mgimrtd aopyaf this CertlFlole of Ccmplbnee shall be made avilable with the budding permits)issued forthe building,and made available lathe enhancement agmayfor all appllohle
[.,,Mom.I understand theta registered copy of this CarNfirale of Compllarim U r"ubed to M included with the documentation the builder pow des to the building owner at orcupanq.
Res i o sable Designer Name: Respi m ide Desigm rSh mature:
Minnis,Phil
Compa': Datesigned:
Amber Air Conditioning,Inc. 2015-11-17 09:47:59
Address Umnae:
29885 2nd Street 621742
GN/state/3, Phone:
Lake Elsinore CA 92532 951-674-6974
oigimllysigredbyCd=7S. ihisdgiralsignature isprovdedinorderrosecum the conlentafthisregisteieddocumart arrdm nowayintano Regiansfim RovideirespmsidGry fwsAe accuraryoftheinformnim.
Registration Number.215-A6396136A-000000000-0000 Registration DateRme: 2015-11-1709:47:59 HERS Provider.CalCERTS
CA Building Energy Effclency Standards-2013 Residential Compliance Report Version:2013-1.006 Report Generated:2015-11-17 09.4651
Schema Version;O.SSSSDD