PMT18-01011 City of Menifee Permit No.: PMT18-01011
29714 HAUN RD.
Type: Residential Mechanical
4:;K /�. MENIFEE, CA 92586
Fw.n.xce R+rl.,.e MENIFEE Date Issued: 0 310 712 01 8
PERMIT
Site Address: 26409 BRADSHAW DR, MENIFEE, CA Parcel Number: 331-472-015
92584 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of CHANGEOUT A/C CONDENSER AND EVAPORATOR COIL ONLY
Work:
Owner Contractor
LISA DURANT AIR FORCE ONE HEATING AND AIR INC
26409 BRADSHAW DR 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 ON Amount($1
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
GREEN FEE 1 0.00
General Plan Maintenance Fee-Mechanical 1 6.65
$166.65
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_Bldg_Permit Template.rpl Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
I herebyaffirm under penalty ofperjurythat I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commenting with section 7000)of Division 3 of the Business and ❑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:
License Class C20 License No. p 15J 9 S 2 By my signature below I acknowledge that,except for my personal residence
Explres3 3i uog Signature).t1 in which l 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
❑1 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 yr „leeinfo.ca.eav/calaw.html.
this permit is issued.
Policy# Date
VI'liave 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 o By my signature below I certify to each of the following:[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
num her are: application and the information 1 have provided is correct I agree to comply
Carrier L)+IC45 with all applicable city and county ordinances and state laws relating to
r.1�� building construction.I authorize representatives of this city or county to
Policy#�,ADDI 42A—00 Expires_�I � � �� 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
D I certify that in the performance of the work for which this permit is issued.
Ishallnotemolov any persons in any manner so as to became subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should became
HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply ththoseprovisiuns. Will the applicant or future building occupant handle hazardous material or
. /� Date �"�g mixture containing a hazardous material equal to or greater that the
Applimn" amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes D No
UNLAWFUL,AND SHALL SUBIECr 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($300,000),IN occupant requires 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) o Yes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health al Safety Cade,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
oyes 0 Na
Business and Professions Code).Any city or county that requires a permit to -
construct,alter,improve,demolish or repair any structure,prior to Its Date
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 Contractors 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[!censure
78
and the basis for the alleged exemption.Anyviolation of Section 7931.5 by receiving compensaUOnfoiy to be Rrkthatified itms paint in comply
with
an Applicant for a permit subjects the applicant to a civil penalty of not more required pra or ctices.
This includes
be RRP-certified owners and property
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
D1,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( )part-ion of the work,and the structure is www.epa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale(Section 7044,Business and Professions 1-860-424-LEAD(5323).
Cadei The Contmotors State License Law does not apply to an owner of a aAn 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 Fum Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. 0 No EPA Lead-Safe Certified Firm is required for this project because:
D 1,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.
11-131- ■ERM IT/PLAN CHECK APPLICATION
s
�ef11i22
DATE 31 LP I S PERMIT/PLAN CHECK NUMBERIOInve-oltoil
TYPE: ❑COMMERCIAL QRESIDENTIAL MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: []ADDITION []ALTERATION ❑DEMOLITION [—]ELECTRICAL ErMECHANICAL
[—]NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
n G..0 �- o f r
r I ,
PROJECTADDRESS ,(, qD-I 15rAdS DV
, -
ASSESSOR'S PARCEL NUMBER ';3 1- Lr2-OS LOT TRACT
PROPERTY OWNER'S NAME Y
ADDRESS Q\W /L.
PHONE jog — &Hr -- - ✓?
EMAIL y�
APPLICANT NAME rU�G�i �G��. Ck ILA
ADDRESS 31566 Railroad Canyon Rd#682 Canyon Lake,CA 92587
PHONE (951)244-0916 EMAIL service@airforcelair.com
CONTRACTOR'S NAME Charles Dieringer OWNERBUILDER? ❑YESONO
BUSINESS NAME Air Force One Heating&Air
ADDRESS 31566 Railroad Canyon Rd#682
PHONE (951)244-0916 EMAIL seNlce@airForcelair.com
CONTRACTOR'S STATE UC NUMBER 955952 LICENSE CLASSIFICATION C20
VALUATION $ �I DD SQFT IL# X LSQFT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT 0 CASH 0CHECK# OCREDITCARD VISVMC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0 CREDIT CARD VISAIMC
OWNER BUILDER VERIFIED O YES O NO OIL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE OF CAUFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 01116 CAUFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Add Si EnforcementAgency: Date Prepared: Permitti:
Equipment Type 1 Vo Equipment Efficiency New Ducting or Uneset Condftioned Thermostat
Required R-value Floor Area(ft3)
❑Packaged vaporator Coil AFUE COP l7 R-6 (CZ 110,12&13)Ducts Served by system Setback
System J Condensing Unit ❑R-8' (CZ11,14-16)Ducts �(�Q�ftx ( not already
❑Split System ❑Compressor SEER HSPF ❑>R2.8 Linesee �-�I� Present must
12 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.
L HVAC Changeout/Repair Required Compliance Documents to be left an site for Final:
All Equipment, CFIR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH 20-H,MCH-(23 or24)'-H,MCH-25-H2
Compressor,TXV,Uneset CF3R-MCH-20-H,MCH-(23 or 24)-H?MCH-25-1-12
Air Handler/Fumace'(Can indude new ducting
Installer Requirement:Duct leakage L15%or 510%to outside,or seal all accessible leaks),Air Flow 2300 CFM/ton,Refrigerant Charge.
Exempted from 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
113.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 an site for Final:
All new equipment and All New Ducts" CFSR-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or24)-H2,MCH-25-H2
CF3R-MCH2O-H,MCH 22 H,MCH-(23 or 24R- MCH-25-Hz
Mini Splits require CF1R-ALT-02-E,CF2R-MCH-01-E,and(CF2R-MR)MCH-25-H
Installer Requirement:Duct leakage<5%Fan Efficacy(O.SSW/CFM),Air Flow 2350 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 CFiR-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-123 or24)-H,MCH-25-H
Compressor,TXV,Uneset Fumace' CF3R-MCH-20-H,MCH-(23 or24)-H,MCH-25-H
Installer Requirement:Duct leakage<5%Air Flow-350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:❑L 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 CFilt-ALT 02-E,cm-MCH-2D-H,CF3R-MCH-20-H
Installer Required to:Duct leakage(515%or,110%to outside or,orseal 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 1-10,12 813,and R-6 insulation when less %1%.
than 40 ft installed-This includes in walls,between floors etc. O
2 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 units
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 JResponsible Designer's Declaration Statement)
1 certify the fallowing under penalty of perjury,under the laws of the State of California:
1. The information provided an this Certificate of Compliance is true and correct
2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibil'nyforthe 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 cons'stentwhh the information
provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement
ry
agency for approval with this building permit application.
DateFg
MAP me. Ylh •P r Responri es r atu - - np rl 52
mPany: nddrea: •%U`s? Aemp: Phone
1 5 Wt r.i Cl I q5t-244-
For assistance or questions regardingthe Energy 5tandards,contact the Energy Hotline at:1-800-7723300