PMT18-00040 City of Menifee Permit No.: PMT18-00040
29714 HAUN RD.
�I-►CCEL/? MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE Date Issued:
01/0412018
PERMIT
Site Address: 32350 MADDY CIR,MENIFEE, CA 92584 Parcel Number: 362-450-002
Construction Cost: $5.400.00
Existing Use: Proposed Use:
Description of REPLACE CONDENSER AND EVAPORATOR COIL
Work:
Owner Contractor
DAN TREMBLY AIR FORCE ONE HEATING AND AIR INC
32350 MADDY CT 31566 RAILROAD CANYON ROAD
#682
Applicant Phone:9512440916
CHARLES DERINGER License Number: 955952
AIR FORCE ONE HEATING AND AIR INC
31566 RAILROAD CANYON ROAD
#682
CANYON LAKE, CA 92587
Fee Description gtv Amount($)
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee-Mechanical 1 6.65
$168.65
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 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_61dg_Permit_Template.rpt Page 1 of 1
LICENSED DECLARATION CITY OF MENIFEEproperty who builds or improves thereon,and who contracts for the projects
1 hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors5tate License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and 01 am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class C. License No.01559 5 Z
,, /� By my signature below I acknowledge that,except for my personal residence
Expires 3 31 ']jD(� Signature Z"o in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION
improvements covered by this permit.I cannot legally sell a structure that I
Olhereby affirm under penaityofperjury one of the following declarations:I have built as an owner-builder if it has not been constructed in its entirety by
for licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure llowin
f the
compensation,issued by the Director of Industrlal Relations as provided for 7044 plfca Business and Professions Code,is available upon request when
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted car at the following website:
this permit is issued. %v v.v.leeinfo.ca.eov/calaev html.
Policy#
Date
TLI have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Cade,for the performance of the work for which Py 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 owner's behalf I have read this
number�-{r.�..��y _ application and the information I have provided is correct I agree to comply
CarrierJ__JL_ICIG n with all applicable city and county ordinances and state laws relating to
FI .A 0n-1 help �t� building construction.)authorize representatives ofthis rity,or county to
Policy i LY1 W o be L completed
Eis trer permit
/ L ' S enter the above identified r inspection purposes.
(This section need not to be completed is the permit is—for one-hundred �r�f/// ,J
dollars($lOD)or less Date
O I certify that in the performance of the work for which thispermit is issued, PROPERTY OWNER OR AUTHORIZED AGENT
I shall not emolav 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
subject to the workers corn sation provisions of5ection 3700 of the Labor iHAZARDOUS MATERIAL DECLARATION
Code,Ishall hwithco plywith ovisions. j Will the applicant or future building occupant handle hazardous material or
Appl nt 1e� ( mixture containing a hazardous material equal to or greaterthat the
amountssp tiled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS O Yes No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FIN ES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant requires permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
CONSTRUCTION LENDING AGENCY forguidellnes
,O 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 permits issued outer boundary of a school?
(Section 3097 Civil Code) O Yes r,pM
� 7
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
Contractors License Law for the reason(s)indicated below by the California Health alSafety Code,Section 25505 and 25534 mnceming
hazardous
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 r �material reporting.
Business and Professions Code).Any city or county that requires a permit to Oyes
construct, -
construct,alter,improve,demolish or repair any structure,priarto its ,,C CCC...6��� Date
issuance,.also requires the applicant for the permit to file a signed statement PROPERLY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP)
License Law(Chapter9(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 703LS by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($SOD). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves orthrough their
a1,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.eav/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
Property who,through employees'or personal effort,builds or improves the O An EPA Lead-Safe Certified Renovator will be responsible for this project
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
completion,the Owner-Builder will have the burden of proving that it was - Firm Certification No.:
not built or improved for the purpose of sale. O No EPA Lead-Safe Certified Firm is required for this project because:
O I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fit out the RRP
Acknowledgement
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Wenifee
DATE Ga� (� PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL 11GMECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES T
DESCRIPTION OF WORK
PROJECTADDRESS
ASSESSOR'S PARCEL NUMBER_3�,'Z.. Y50 G02, LOT TRACT
PROPERTY OWNER'S NAME
ADDRESSMcclid
PHONE �I �'� 1�— L�� EMAIL
APPLICANT NAME-
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
00
VALUATION$ @, PIP) L SQ1FT
APPLICANT'SSIGNATU PP\ I DATE `eA
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT I I OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safely Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE Or CALIFORNIA • •'• ••V• _
ALTERATIONS - HVAC
CEC-CMR-ALT-124E Revised OVt6 CAUFORNIA ENERGY COMMISSION 40
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site �dress: Enforcement Agency: Date Prepared: Permiti:
9 �
EquipmentTypel r.nYAC Equip ent Efficienry New Ducting or Lineset Conditioned Z Thermostat
Required R-value Floor Area(ft)
❑Packaged Evaporator Coil AFUE COP R-6 (CZ210,12&13)Ducts Served b system etback
System ondensing Unit ❑R-81 (CZ21,14-16)Ducts fta (If not already
❑Split System ❑Compressor EER HSPF ❑2:R-2.8 UneseV ('q pw present,must
❑Mini Split ❑Uneset &EER be installed)
❑Furnace ❑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.HVACChangeout/Repair Required Compliance Documents to be left onsite for Final:
All Equipment, CF111-ALT-02-E
Condenser Unit,Evaporator Coil, CF211-MCH-07-E,MCH-20-H,MCH-(23 or 24)'-H,MCH-75-1-12
Compressor,TXV,Uneset, CF3R-MCH2O-H,MCH-(23 or 24)-H',MCH-25-1-1'
Air Handler/Fumace(Can include new ducting
Installer Requirement:Duct leakage L35%,or!clo%to outside,or seal all accessible leaks),Air Flow_300 CFM/tan,Refrigerant Charge-
Exemptedfrom duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or❑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 HVACSystem Required Compliance Documents to he left on site for Final:
All new equipment and All New Ductsa CFIR-ALT-02-E
including Mini Split CF211-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-12
CF3R-MCH-2D-H,MCH-22-H,MCH-(23 or 24)-Hz,MCH-25-Hz
Mini Splits require CFiR-ALT-02-E,CF2R-MCH-01-E,and(CF211-CF311)MCH-25-H
Installer Requirement:Duct leakage c 5%,Fan Efficacy(O.SSW/CFM),Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement I Required Compliance Documents to he left on site for Final:
All New Ducts'and one or more of the following CF111-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Compressor,TXV,Uneset,Fumace'` CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Installer Requirement:Duct leakage 55%,Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:111_ 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 CF1R-ALT-02-E,CF2R-MCH 20-H,CF3R-MCH-20-H
Installer Required to:Duct leakage(515%or,g101Y.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&14-15 and R-6 in CZs 1-10,12&13,and R-6 insulation when less
than 40 it 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
a 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(V thick insulation)for linesets V and less.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
1 certify the following under penalty of perjury,underthe 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 forthe 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 an other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit applica ion.
Rezpoptl eD P\r Na - \ ` Respondble mn ign e: Dateli d: Gcerts= S SZ
C� 1 CI i� J-
mpany: Address. *LP -, CM1y/state%ap: Phone:
n t 1 5 1n Lglv, 1n (
For assisfance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-7723300