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PMT17-03225 City of Menifee Permit No.: PMT17-03225 29714 HAUN RD. T Residential Mechanical 4/%CCELA- MENIFEE, CA 92586 Type: MENIFEE Date Issued: 09/13/2017 PERMIT Site Address: 29055 PARKHILL CT, MENIFEE, CA Parcel Number: 340-260-032 92584 Construction Cost: $6,400.00 Existing Use: Proposed Use: Description of 5 TON 16 SEER AIR CONDITONER, 5 TON COIL. CHANGEOUT ONLY. SAME LOCATION Work: Owner Contractor CHRISTINE JOHN AIR FORCE ONE HEATING AND AIR INC 29055 PARKHILL COURT 31566 RAILROAD CANYON ROAD MENIFEE,CA 92584 #682 Applicant Phone:9512440916 CHARLES DIERINGER License Number: 955952 AIR FORCE ONE HEATING AND AIR INC 31566 RAILROAD CANYON ROAD #682 CANYON LAKE, CA 92587 Fee Description g,yl Amount 1$) 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 6.65 $167.65 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 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_Pernit_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 perjurythat I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and O 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:yl License Class G 2 License N -t S 2- By my signature below I acknowledge that,except for my personal residence O Expires 3 20 W Signature in which 1 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.m,gov/caIaw.html. this permit is issued. Polity q Date / �1 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 owners behalf.I have read this number am: (� application and the information I have provided is correct.I agree to comply Carrier VL'(.V Y\-�c� (F`'\OV\Oa \n�UYa.Y1CP C,L?Yt� NLA with all applicable city and county ordinances and state laws relating to F� building construction.I authorize representatives of this city or county to PolicyttSVC`\U5-1 I Expires \Q\I3Ul2u{'1 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, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forth Ith comp) those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant4 7 ' l— Datev q i amount captaining a hazardous material equal to or Information that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No 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 UPTO 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 forguidelines CONSTRUCTION LENDING AGENCY ❑Yes ❑No 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 boundary of a school? (Section 3097 Civil Code) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.I understand my requirements under the State of California Health al Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reasons)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable Rem(s)(Section 70315 oyes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED 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(Chapter9(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 ❑1,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 I )portion of the work,and the structure is www.eua.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: CITY o 1,as owner of the property am exclusively contracting with licensed fv)9DI UI contractors to construct the project(Section 7044,Business and Professions D9 zk 8 ty Dept, Code:The Contractors State License Law does not apply to an owner of a If your project does not comply witl�PIDRRP lie Mse fRl out the RRP Acknowledgement. LuU RAP'oillonav BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE 1 I"`J �� PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ®RESIDENTIAL ❑MULTI-FAMILY []MOBILE HOME ❑POOL/SPA []SIGN SUBTYPE: []ADDITION ALTERATION ❑DEMOLITION []ELECTRICAL []MECHANICAL ❑NEW []PLUMBING [:IRE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 5 ,.VAN ` e S (Z YAj1r O _1ZI"D o" . S 1 o cam, o",,.� PROJECT ADDRESS 29D 55 �oLi 11 �Au 1�k V�c Fec 91Sp�Ci l^ ASSESSOR'S PARCEL NUMBER aq_0' a LV Q TRACT PROPERTY OWNER'S NAME C hyjS}\ 7S ADDRESS 2AD55 ?p,V.1jk �� CA 9.1581e PHONE q 51 -2` 0-LkL4G ? EMAIL APPLICANT NAME C Anna I I.cri ADDRESS 31566 Railroad Canyon Rd#682 Canyon Lake, CA 92587 PHONE (951)244-0916 EMAIL service@airforcelair.com CONTRACTOR'S NAME Charles Dieringer OWNER BUILDER? ❑YES✓❑NO BUSINESS NAME Air Force One Heating&Air ADDRESS 31566 Railroad Canyon Rd#682 PHONE (951)244-0916 EMAIL service@airforcelair.com CONTRACTOR'S STATE LIC NUMBER 955952 LICENSE CLASSIFICATION C20 VALUATION$ UI LL{UD • SO.FT L SQ FT APPLICANT'S SIGNATURE DATE C11131 CITY STAFF USE ONLY I DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE J Y!1 � PAID AMOUNT AMOUNT �� O CASH 0 CHECK# �CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# `%CREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER O YES , NO o c r 111 Ilent. -aildiHg+•---r— City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-67 7 ' 1320V www.cityofinenifee.us Inspection Request Line 951-246-6213 Received STATE OF CAUFORNIA ALTERATIONS - HVAC CEC-CMWALT-dFE evimd 0111e CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1) Site Address: 2 1D5 L - mit# Enforcement Agency: Date Pr aced: Per : 1 U�Y�h �l 4`� Equipment Type New Ducting or Uneset Conditioned z Thermostat YPe Equipment Efficiency Required R-value Floor Area(ft) ❑Packaged ❑Evaporator Coil AFUE COP 0 R-6 (CZ1-10 12&13)Ducts Served bysystem WSetback System ❑Condensing Unit ❑R-8' (CZ11,14-16)Ducts ���Zftz (if not already "Split System ❑Compressor SEER _HSPF 0�!R-Zg Wesee present,must ❑Mini Split ❑Uneset 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. .HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF111-ALT-02-E Condenser Unit,Evaporator Coil, CF2R-MCH-0I-E,MCH-20-H,MCH-(23 or 24)3-H,MCH-25-H' Compressor,TXV,Uneset, CF3R-MCH-2D-H,MCH-(23 or 24)-H' MCH-25-Hz Air Handler/Furnaces Can include new ducting Installer Requirement:Duct leakage(<_15%,or s10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: 6 ❑1.Duct system registered with HERS provider as previously sealed,or 0 2.There is less than 40 linear 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° CF1R-ALT-02-E including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H',MCH-25-1­1' CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H' MCH-25-H3 Mini Splits require CFSR-ALT-02-E,CF2R-MCH-01-E,and(CF2RCF3R)MCH-25-H Installer Requirement:Duct leakage<5%,Fan Efficacy(0.58W/CFM),Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge ❑3.All New Ducts with Replacement I 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, CFZR-MCH-OS-E,MCH-20-H,MCH-(23 or 24)-H,MCH-25-H Compressor,TXV,Uneset,Fumacer CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H Installer Requirement:Duct leakage<5%Air flow t 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:O 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' CFI11-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H Installer Required to:Duct leakage(515%or,s10%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 ft 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. r Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH-(23 or 24),or Refrigerant Charge verification MCH-25 3 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 unies existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) °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. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility forthe 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 application. ma D N,�me: Responsible igner awr license: ( SZ mpany: Address: 2- Cty/sme/Zlp: I RWie: 1 - O<7 'GJ^ ➢rl S SI —2 Forassisfance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772433111171ing & Safety Dept. SEP 13 201