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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 V 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