PMT18-03169 City of Menifee Permit No.: PMT18-03169
_ ,tom, 29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 06/25/2018
PERMIT
Site Address: 31479 SHADOW RIDGE DR, MENIFEE, Parcel Number: 372-250-013
CA 92584 Construction Cost: $5,100.00
Existing Use: Proposed Use:
Description of REPLACE CONDENSER AND EVAPORATOR COIL TO EXISTING 5 TON,60,000 BTU'S HVAC
Work: SYSTEM
Owner Contractor
MIKE TERMINE AIR FORCE ONE HEATING AND AIR INC
31479 SHADOW RIDGE DR 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 QQt Amount(S[
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 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.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(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 CZ0 License No. 9 -J 95 2 By my signature below I acknowledge that except for my personal residence
Expires3 31 20kl Signature/.tl 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
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 lndusfrial Relations as provided for this application is submitted or at the following websde:
by Section 3700 of the Labor Code,for the performance of work for which tv.m.le-info.ca.gov/calaw.html.
this permit is Issued.
Policy# Date
ssl 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 O By my signature below l 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 l have readthis
num her are: application and the information I have provided is correct.I agree to comply
Carrier f)+I(A.5 r^ with all applicable city and county ordinances and state laws relating to
C� rL '/.1/1 —�—T building construction.I authorize representatives of this city or county to
Polity#1LJ-JI��yZ9 OL Expires building
I Ja _ _ 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
o l 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 (RO
BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should becomeZARDOUS MATERIAL DECLARATION
subject to the workers compensation proviiions of Section 3700 of the Labor
Code,I shall forthwith/comp) base prowsiins. pll the applicant or future building occupant handle hazardous material or
AppllmntV �✓( Y� Date)( l_7z_ /pture containing a hazardous material equal to or greater that the
ounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE ISes A'No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESWill the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),INupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FORst Air quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEESguidelines
CONSTRUCTION LENDING AGENCY es XNo
I hereby affirm that under the penalty of perjury there is a construction l the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issueder boundary of a school?
(Section 3097 Chad Code) es NA.
OWNER BUILDER DECLARATIONS ve read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the mitting checklist 1 understand my requirements under the State of
Contractors License Law for the reasons)indicted below by the ifornia Health&Safety Code,Section 25505 and 25534 concerning
ardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 70315 ❑No //JJ
Business and Professions Code).Any city or county that requires a permit to ��(Th Date
construct,alter,improve,demolish or repair any structure,prior to its P OWNERORAUTHORIZEDAGENT
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 IRRP)
License Law(Chapter 9(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 ficensure receiving compensation for most work that disturbs paint in a pre-1970
and the basis for the alleged exemption.Any violation of Section 70315 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
Ol,as owner of the property,or my employee with wages as their sole ern ployees.For more information about EPA's Renovation Program visit:
compensation,will do( Iall of or( )portion of the work,and the structure is www.eoa.eov/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 taw does not apply to an owner of a D An EPA Lead-Safe Certified Renovator will he 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-Budder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project bemuse:
❑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
.Ucense Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill outthe RRP
G`_ _ _ n_ _ t )w Acknowledgement.
BUILDING . SAFETY PERMIT/PLAN CHECK APPLICATION `,.; .
enifee
it�94'C
DATE PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: [-]ADDITION [—]ALTERATION ❑DEMOUTION I—]ELECTRICAL 19MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMIBBEROF SQUARES
DESCRIPTION OF WORK r l wAA
sZQw r r
PROJECT ADDRESS
ASSESSOR'SPARCELNUMBER ?j7� ./'LSD v�� LOT 1-6 _ TRACT blgY'3
PROPERTY OWNER'S NAME
I mfm ADDRESS ' U I sk
PHONE � //b �D-J EMAIL
APPLICANT NAME
ADDRESS 31566 Railroad Canyon Rd#682 Canyon Lake,CA 92587
PHONE (951)244-0916 EMAIL service@airPoroelair.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$ 10� SOFT 2,� 3N LSQFT
APPLICANT'S SIGNATURE DATE
"'q lY= onq:2
DEPARTMENT DISTRIBUTION _ CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE l PAID AMOUNT O
AMOUNT I o OCASH OCHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0 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
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEG-CF1R-ALT-04E RevisvM 01116 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE City of Menl ee CFIR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 Building Dept. (Pagel of 1)
Site Ad Enforc4WOI:Z;,Z018 Date Prepare P it✓i:� A
Equipment Type Equipment Efficiency R ucting or Un ditione
FloorAread Thermostat 7
❑Packaged Evaporator Coil AFUE COP ❑ -6 ( 2-10,12&13)Ducts Serve b stem Setback
System Condensing Unit ❑R-8' (CZ 11,14-16)Ducts ftx (If not already
❑Split System ❑Compressor ER HSPF present,must
❑Mini Split ❑Uneset be installed)
❑Furnace ❑TXV � ER
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:
II Equipment, CF1R-ALT-02-E
Condenser Unit,Evaporator Coil, CF7R-MCH-01-E,MCH-20-H,MCH-(23 or 24)'-H,MCH-25-1-1'
Compressor,TXV,Uneset, CF3R-MCH-20-H,MCH-(23 or 24)-H',MCH-25-H'
Air Handler/Fumace(Can include new ducting)
Installer Requirement:Duct leakage Ls 15%,or s0%to outside,or seal all accessible leaks),Air Flow>_300 CFM/tan,Refrigerant Charge
Exempted from duct leakage testing iF.
❑1.Duct system registered with HERS provider as previously sealed,or❑1 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 or24)-H2,MCH-2S-14'
CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-1'
Mini Splits require CF1R-ALT-02-E,CF2R-MCH-07-E,and(CF2R-CF3R)MCH-25-H
Installer Requirement:Duct leakage 5 5%Fan Efficacy(D.58W/CFM),Air Flow 2350 CFM/ton for alternative),Refrigerant Charge
❑3.All New Ducts with Replacement I Required Compliance Documentsto be left on site for Final:
All New Ducts'and one or more of the following CFSR-ALT-02 E
replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-07-E,MCH-20-1-1,MCH-(23 or 24)-H,MCH-25-H
Compressor,TXV,Uneset Furnace CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Installer Requirement:Duct leakage<5%,Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:❑1. Existing duct systems are constructed,insulated or sealed with asbestos
❑4.New Ducting over 40 feet 1 Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' CF1R-ALT-02-E,CF2R-MCH-20-H;CF3R-MCH-20.H
Installer Required to:Duct leakage(515%or,gl0%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¢s 1-10,12 813,and R-6 insulation when less
than 40 ft installed.This includes in walls,between floors etc
'Heating only systems and Air Handler/Fumace 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 unit's
existing duct system(e-g.,registers,grilles,boots,air handler,coil,plenums,duct material)
a R-2-8(V thick insulation)for linesets V and less.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
I 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 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 ofTWe 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 on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval vrith this building permit application.
nsWleD ignvN �Y( Responri6le tact rer" Dte License
ri�r44 S SZ
mpany: Aadres: *1llaYZ CM1y/Sbtellp: Pam
p } , g art cum at C 5 SY-244- 41
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-BOD-772-3300