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PMT17-01426
City of Menifee Permit No.: PMT17-01426 29714 HAUN RD. �A_CCELA-? MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 05/03/2017 PERMIT Site Address: 28639 WOODCHESTER WAY,MENIFEE, Parcel Number: 336-501-011 CA 92584 Construction Cost: $8,350.00 Existing Use: Proposed Use: Description of REMOVE&REPLACE 4 TON SYSTEM HVAC, BTU 90,000, SEER 14, NO DUCT WORK Work: Owner Contractor CARROLL NEFF SOUTHLAND AIR CONDITIONING AND HEATING 28639 WOODCHESTER WAY 43397 BUSINESS PARK DR STE D-5 MENIFEE,CA 92584 TEMECULA,CA 92590 Applicant Phone: 9513313838 KEVIN CONKLIN License Number. 955722 SOUTHLAND AIR CONDITIONING AND HEATING 43397 BUSINESS PARK DR STE D-5 TEMECULA, CA 92590 Fee Description Qtyr Amount 1$ 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_Pennit_Template.rpt Page 1 of 1 CITY OF MENIFEE 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 ❑1 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 U e se Nol, By my signature below I acknowledge that,except for my personal residence Expires i �� t/S Signature Jr—� 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 WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o 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 this permit is issued. www.leginfo.ca.gov/calaw.html. Policy# Date ,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 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 CC . with all applicable city and county ordinances and state laws relating to Carrier Gi�'r l�Olrf,.(,ri <�(-( � rCc. I'OV. ff77 � �e3 d� building construction.I authorize representatives of this city or county to Policy#,T?-W es �� 1 !S enter 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 ❑I certify that In the performance of the work for which this permit is issued, Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to thew rkers compensation provisions of Section 3700 of the Labor Code,I shall hwi comply w h se provisions. Will the applicant or future building occupant handle hazardous material or a � S`t,! � mixture containing a hazardous material equal to or greaterthat the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNIN :FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes qMo UNLAWFUL,AND SHALL SUBIECT 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 d(a 1 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 "10 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 CaliforniaHealth Contractors License Law for the reason m hazardo s matteeal Safety Code,Section 25505 and 25534 concerning s)indicated below bythe checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 material reporting. Business and Professions Code).Any city or county that requires a permit to �e N 1 S• - construct,alter,improve,demolish or repair any structure,prior to its � Date issuance,also requires the applicant for the permit to file a signed statement PR PERTY WNER OR AUTHORIZED AGENT 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 Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for facility to be Rost RP-certified that disturbs paint in a ply with 78 an Applicant for a permit subjects the applicant to a civil penalty of not more residencera or cices. hisincludes be RRP-certified firms and and than($500). required practices.This includes rental property owners and property 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.eoa.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 Contractors State license Law does not apply to an owner of a p 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 K was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required forthis project because: D 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. X i:z BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION i DATE S ' 3 ' 1 PERMIT/PLAN CHECK NUMBER 11' O 1 T-qI;P TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY []MOBILE HOME POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBING EIRE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK �Q,L�-��v-e-. �' Plc l c,(-9— 4 r to, C- I�1(� � 0I� � /� A3 J""� PROJECTADDRESS � Vu C., 3 --1W o �,:.� t✓v�e,S-h Q/ (,� 1 S �6�- ASSESSOR'S PARCEL NUMBER 3 •�O'�O ( LOT TRACT A611DA- 3 PROPERTY OWNER'S NAME C�r'�' c I( rr. (' r ADDRESS v 39 W v Ci{ �5�� W e PHONE S ( - )-- �i '�-- U'�/3,.� 11 EMAIL APPLICANT NAME y 1 ,/I ADDRESS a2 0S L? a c.� �' S PHONE �v� S�'�' '��1� EMAIL 14PNC 'r-rr,. .S �r/r,�t �• Ga r CONTRACTOR'SNAMME )0 ✓) �1 /�u_ ✓t�-3 OWNERBUILDER7 [:]YES NO BUSINESS NAME ADDRESSI !n!�'�� ) � � �•�- SG'IO PHONE S � ' �� � ' �� y EMAIL T 7 c L CONTRACTOR'S STATE LIC NUMBER SS --7-->:�- LICENSE CLASSIFICATION C- O J VALUATION$ �� " ' SQ9FT LSQFT APPLICANT'S SIGNATURE A-7 DATE S CITY STAFF USE ONLY DEPARTMEM DISTRIBUTION I� SMIP CITY OF MENIFEE�INESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN INVOICE -5 PAIDAMOUNIT AMOUNT ���I OCASH CHHECK# OCREDITCARD VISAIMC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISAIMC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES 0 NO City of Menifee Building&Sofety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFi R-ALT-04E Revised 01/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE City of Menlfee CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15 I Ing * bafety Liept. (Pagel of 1) Site Address: EnforcemenI'*lncP. J Lull Date Prepared: P r Ity 01 k 4s3�i Woo �C. s-�- W S- 3 - i '"�•"� pip E ui mentT e Equipment Efficien New Ductgc,LjgeSg�`O�,�g Conditioned q P ypEfficiency Required ��kptd�Ci Y d Floor Area(ft') The ❑Packaged ❑Evaporator Coil AFUE COP 0 R-6 (CZ 1-10,12813)Ducts Served by system 0 Setback System ❑Condensing Unit ❑R-81 (CZ 11,14-16)Ducts fe (if not already (split System ❑Compressor SEER HSPF ❑a R-2.8 Lineset' present,must ❑Mini Split 11 Lineset EER be installed) ❑Furnace 11 TXV 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-MCH-03-E,MCH-20-H,MCH-(23 or 24)'-H,MCH-25-H' Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-1-1' Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage(515%,or 510%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or 0 2.There is less than 401inear feet of duct in unconditioned space,or 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-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H',MCH-25-H' CF3R-MCH-20-1-1,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-H' Mini Splits require CF1R-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H Installer Requirement:Duct leakage<5%,Fan Efficacy(0.58W/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 CFIR-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-OS-E,MCH-20-H,MCH-(23 or 24)-H,MCH-25-H Compressor,TXV,Lineset,Fumace' CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H Installer Requirement:Duct leakage<5%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:0 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' I CFiR-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H Installer Required to:Duct leakage(s 15%or,:510%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. All new ducting requires R-8 insulation when more than 40 It installed in CZs 11&14-16 and R-6 in CZs 1-10,12&13,and R-6 insulation 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 MCH-(23 or 24),or Refrigerant Charge verification MCH-25 'All New Ducts is when at least 75%of the duct system is new duct material,and up to 25%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-2.8(1"thick insulation)for linesets 1"and less. 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. I 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. S. 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 pplication. Res o Bible Designer .J r Re sill " ena r : L 0a�F5fglh�:-/ Lirerap(\� ��� any: A /' Ory [e/Zip: P For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300 LAirk" A t—( Solt AR, Q®nl System PR-. t Air Conditioners ;may, y= qe COOLING City of Menlfe Building & Safety Dept. MAY 0 3 20 1 14 SEER Air Conditioner` Received You can count on years of dependable energy efficiency when you choose an Airtemp®air conditioner.Designed with reliable performance in mind, Airtemp outdoor units complement every home. •High efficiency:Meets or exceeds Department of Energy efficiency standards. •Efficiency boost:Performance can increase up to 15 SEER or more Ill 1111i111 when installed with a matched energy-efficient indoor air handler or III I Illll! �_ furnace with coil.Certain matched systems qualify for r ENERGY STAR ratings. Ililllllil I I i l`IIllAl •Quiet operation:Engineered air discharge and high-efficiency fan �Ill�IIIII)Iilllllllllllllllll I II![! ! motor for lower sound level system performance.For long lasting lllllllliljllljlilj11111111I!!f tl durability,the heavy duty ian motor is completely protected from rain and snow and requires no maintenance. I}!lI1lpHllllllll!!1lN1!!&!!� and y' Innovative:All-aluminum coil for increased durabilitygreater �Illllllilllli!'!!I corrosion resistance. Compact,low profile:Blends unobtrusively with all surroundings. Built strong:Galvanized steel for added strength and durability, featuring silicone-protected polyester urethane finish that provides superior corrosion resistance,50%better protection than standard outdoor finishes. •Solid protection:Complete metal wrapper protects the internal components from yard hazards and extreme weather.Attractive,classic Quality, Reliability and Value dark gray styling with contrasting wire discharge grille for premium product appearance. 10-Year All Parts Limited Warranty •Composite base:Is stronger than steel,absorbs sound and is Rock-solid warranty coverage to protect your investment.When you corrosion resistant. choose Airtemp®for your home comfort,your system comes with one of the best warranties in the business-10 years on all parts. •Environmentally friendly refrigerant 1-Year Replacement Pledge •Built to the highest standards for the American market Outstanding Airtemp®products are worthy of outstanding protection. All Airtemp®products are designed,assembled and repeatedly lk Should major component failure ever occur within the first year of and thoroughly tested in North America. operation,we will replace the product. Cooling capacities from 1.5-5 Tons See warranty details for more information. www.airtemphvac.net �-' Alrkft COOLING&HEATING SYSTEMS VS4BE Series FEATURES and BENEFITS • R-410A Refrigerant: Earth friendly non-ozone depleting refrigerant. High Efficiency • Composite Base Pan:Absorbs sound and is corrosion Air Conditioner resistant. Composite is also stronger and lighter than steel. 14 SEER System • Micro-Channel Coils: All aluminum coils in 1.5 thru 4 1.5 — 5 Ton Capacity ton models which provides high corrosion resistance. • Permanently Lubricated Motor:Aheavyduty PSC motor The VS4BE Series of air conditioners offers for long lasting reliability and quiet operation. Requires exceptional performance.The unit,when no maintenance and is completely protected from rain combined with our engineered coils or air and snow. handlers, offers a full line of quality, split system cooling equipment. Durable,Attractive Cabinet:Designed using galvanized steel with a polyester urethane finish.The 950 hour salt spray finish is 1.5 mil thick and resists corrosion 50% better than comparable units. y , „ • RemovableTop Grille Assembly:Allows ease of service Afrom the top without disconnecting fan motor leads. .r • High Pressure Switch:Protects against abnormally high system pressures.Auto-reset feature prevents nuisance service visits. ;tan=•- .. • Liquid Line Filter Drier: Included with unit, field installed. • Top assembly with wire discharge grille: Designed for maximum airflow and quiet operation. • Easy Compressor and Control Access: Designed to make servicing easier for the contractor, access panels are provided to all controls and the compressor from the side of the unit. WARRANTY • Complete Metal Wrapper: Protects the unit's coil from being damaged. —This product offers a 10-year all-parts limited warranty. —This productoffers a 1 Year Replacement Pledgeto replace the unit if the compressor fails in the first year of operation, to the original owner.All split system products must be installed with a matched indoor air handler or indoor coil. —Consumer product registration required for 10 year All Parts Warranty and Replacement Pledge within a limited period of time after the installation.See current warranty document or visit our consumer web site www.airlemphvac.net for warranty details. Copyright©2012-2014 Michel-Airtemp,LLC.All rights reserved. REV 7/28/2016