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PMT18-04013 City of Menifee Permit No.: PMT18-04013 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE MENIFEE Date Issued: 08/14/2018 PERMIT Site Address: 25575 PELION RD, MENIFEE, CA 92584 Parcel Number: 339-281-001 Construction Cost: $8,595.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, GOODMAN FURNACE&A/C GSX14-042 ADP UPFLOW COIL,3.5 TON, 14 Work: SEER Owner Contractor ROBERT GARCIA AIR FORCE ONE HEATING AND AIR INC 25575 PELION ROAD 31566 RAILROAD CANYON ROAD MENIFEE, CA 92584 #682 Applicant Phone: 9512440916 CHARLIE DIERINGER License Number:955952 AIR FORCE ONE HEATING AND AIR INC 31566 RAILROAD CANYON ROAD CANYON LAKE, CA 92587 Fee Description Qtv Amount I$) 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_Bidg_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects I hereby affirm under penalty of perjury that l am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 70001 of Division 3 of the Business and O l 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 pass C ZO License No.=I 55 9 S Z i' �r�A By mysignature below lacknowledge that,except for my personal residence Expfres3 3L 20 SignatureA roc'/ � in which i 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 have built as an owner-builder if it has not been constructed In its entirety by o l hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applimble 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 Cade,forthe performance of work for which this permit is issued. w:v:v.leeinFo.ca.eovhalay.html. Policy# Date T.l have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,forthe 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 I have read this numberare: application and the information I have provided is correct I agree to comply CarrierI(^S with all applicable city and county ordinances and state laws relating to r -- —y building construction.I authorize representatives of this city or county to Policy." El ADD1 qZ- . wv Expires�� j 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# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 ofthe Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant( �l.�r,-`� ��\�rZ 4e� Date — (�. mixture containing a hazardous material equal to or greater that the i amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes D No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use ofthe 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 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY DYes DNo i hereby affirm that under the penalty of pedurythere 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 lam exempt from the permitting checklist l understand my requirements under the State of Contractors License Law for the reason(s)Indicated below by the hazardous mate alSafetyinode,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable ftem(s)(Section 70315 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to oYas allo - construct,alter,improve,demolish or repair any structure,priorto its PROPERTYOWNER OR AUTHORIZED AGENT Date Issuance,.also requires the applicant forthe 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 IRRPi License Law(Chapter9(commencing with Section 7000)of Division 3 ofthe 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 palOtlna pre-1978 and the basisfortheallegedects th applicn.Any violation ofpenalty of not more residence or childcare facility to be RRP-certified firms and comply with than Applicant fora permit subjects the applicant taa civilpenaltyofnotmore required practices.This includes rental property owners and property than($500J. 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 )portion ofthe work,and the structure is www.epa.eov/lead or contactthe National Lead Information Center at not intended or offered farsale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner ofa OAn EPA Lead-Safe Certified Renovator will be responsible forthis 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. D 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 constmct 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 fill out the RRP Acknowledgement BUILDING SAFETY PERMIT/.PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER QLA bl-b TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN SUBTYPE: [- ]ADDITION PALTERATION ❑DEMOLITION ❑ELECTRICAL ❑ MECHANICAL ❑NEW [-]PLUMBING ORE-ROOF-NUMBEROFSQUARTfi DESCRIPTION OF WORK --� L 6 W r- PROJECTADDRESS 5 1'"J r—) ASSESSOR'S PARCEL NUMBER , 07 LOT TRACT PROPERTY OWNER'S NAME vAn ADDRESS _ e d PHONE — L p D :1 to EMAIL APPLICANT NAME r j-� r� Ry CIE S ii ADDRESS 31566 Railroad Canyon Rd#682 Canyon Lake,CA 92587 PHONE (951)244-0916 EMAIL service@airfarcelair.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$ SQ FT L SO FT �3 APPLICANT'S SIGNATURE DATE � /4f- Ig CITYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CTIY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE PAIDAMOUNT O AMOUNT CASH vCHECKp OCREDR CARD VBA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDrr CARD W&VMC OWNER BUILDER VERIFIED OYES C NO DLNUMBER NOTARIZED LEITER O YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 925869S1-672-6777 www.cityofmenifee.us inspection Request Line 951-246-6213 STATE OF CAUFORNIA ALTERATIONS - HVAC CEC-CF1R-ALT-04E Revised 01116 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1) Site Address: Enforcement ency: D tePrepared: PermIW. s 5 (e-1; e m Equipment Type Equipment Efficiency New Ducting or Uneset: Conditioned EfficiencyRequired R-value Floor Area(ft) Thermostat ❑Packaged ❑Evaporator Coil (90 AFUE COP R-6 (CZ110,12&13)Ducts Served by system XSetback System ❑Condensing Unit ❑R-W (CZ1j14-16)Ducts =L 0, itz (lfnot already X Split System ❑Compressor SEER HSPF 112 R-2.8 Unesee present must ❑Mini Split ❑Uneset Pd EER be Installed) ❑Furnace ElTXV 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. Forfinal inspection all forms are to be registered(no hand filled forms allowed)and a Wyo€Meti fee 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: duilcling Dept All Equipment, CF1R-ALT-02-E Condenser Unit,Evaporator Coil, CFZR-MCH-01--E,MCH-20-H,MCH-(23 or24)2-H,MCH-25-Hz AUG 14 2018 Compressor,TXV,Uneset, CF3R-MCH-20-H,MCH423 or 24)-H2,MCH-25-1-11 Air Handler/Fumace'(Can include new ducting Installer Requirement:Duct leakage jg 15%or<SO%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,R gtQ I`v,^ Exempted from duct leakage testing if: G Lo u G ❑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_ 112.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New DuctO CF1R-ALT-02-E including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-H' CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H�MCH 25-H2 Mini Splits require CFiR-ALT-02 E,CF211-MCH-01-E,and(CF2R-MR)MCH 25-H Installer Requirement:Duct leakage<5%Fan Efficacy(058W/CFM),Air Flow 2350 CFM/ton(or alternative),Refrigerant Charge ❑3.All New Ducts with Replacement IRequired Compliance Documents to be left on site for Final: All New Ductsa and one or more of the following CF1R-ALT-02-E replaced:Condenser Unit Evaporator Coil, CF2R-MCH-01-E,MCH-20-1-1,MCH-(23 or 24)-H,MCH-25-H Compressor,TXV,Uneset Fumace' I CF3R-MCH-20-H,MCF1423 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 Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts] I CF111-ALT-02-E,CF2R-MCH-20-H;CF3R-MCH-20-H Installer Required to:Duct leakage L35%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 it installed in CZs it&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 a 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 units existing duct system(eg.,registers,grilles,boots,air handler,mil,plenums,duct material) 4 R-2.8(r thick insulation)for Imesets r and less. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) I 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 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 forthe building design or system design identified on this Certificate of Compliance conform to the requirements of Tale 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. a$gprsiblepgslgner aespmntble Des erS tur Date Seemed: Dtrnse: mpany: Address: lP 2. I Cmylstate/tip: I Phone: 5 inn .n gw LaV4,CA Cr2-tS'K-151-2'14-01ILP For assisl6ance or questions regarding the Energy Standards,contadt the Energy Hotline at:1-800-772-3390