PMT18-05423 City of Menifee Permit No.: PMT18-05423
JVVAn Alk 29714 HAUN RD. Type: Residential Mechanical
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 11/14/2018
PERMIT
Site Address: 27951 RADFORD DR, MENIFEE, CA Parcel Number: 335-091-024
92586 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REPLACING EXISTING HEAT PUMP WITH PACKAGE UNIT HEAT PUMP 14 SEER
Work:
Owner Contractor
LORI COATES AIR FORCE ONE HEATING AND AIR INC
27951 RADFORD DR 31566 RAILROAD CANYON ROAD
MENIFEE, CA 92586 #682
Applicant Phone: 9512440916
AIR FORCE ONE HEATING AND AIR INC License Number: 955952
31566 RAILROAD CANYON ROAD
CANYON LAKE, CA 92587
Fee Description QQt r� Amount($)
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Mechanical 1 7.45
$184.45
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_Tem plate.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 1 am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing 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:C
License Class ZCI License No. 9 J S 1 5J 2 By my signature below I acknowledge that,except for my personal residence
Expires 3 3 i Q Signature]vv 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
❑I hereby affirm under penalty of perjury one ofthe following declarations:I licensed contractors.1 understand that a copy of the applicable law,Section
have and will maintain a certificate of consent ofself-insure for worker's 7044 ofthe 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 ofthe Labor Code,for the performance ofwork for which
this permit is issued. leeinfo.ca.gov/calaw.html.
Policy 9 Date
'/1 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 ofthe Labor Code,forthe performance ofthe work for which ❑By my signature below I certify to each ofthe following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to ad on the property owner's behalf.I have read this
number are: application and the information 1 have provided is correct.I agree to comply
Carrier 11 U S with all applicable city and county ordinances and state laws relating to
JOS 0 O building construction.I authorize representatives ofthis city or county to
Policy R�n DDI H 2-9—00 Expires_ enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance ofthe 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##
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of5ection 3700 ofthe Labor
Code,I shall forthwith com i those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Datex 6 11`I log- mixture containing a hazardous material equal to or greater that the
r` amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No
UNLAWFUL,AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use building the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a perrmitmit 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
for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes o 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 ofthe
lending agency for the performance ofthe work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑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
Contractors License Law for the reasons)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 70315 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to °Yes ❑No
construct,alter,improve,demolish or repair any structure,priorto its Date
issuance,.also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(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 paint in apre-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 radices.This includes rental property than($500). q P p p rty owners and property
managers who do the paint-disturbing work themselves or through their
❑1,as owner ofthe 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.epa.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:
❑1,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 fill out the RRP
Acknowledgement.
k i
�1
BUILDING • SAFETY PERMIT/PLAN APPLICATION
en nee
DATE P / 18 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL RESIDENTIAL MULTI-FAMILY ❑MOBILE HOME POOL/SPA ]SIGN
SUBTYPE: ADDITION OALTERATION DEMOLITION ELECTRICAL MECHANICAL
NEW PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECT ADDRESS 1
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME wr I G
ADDRESS SM C`,
PHONE 4v II(Lq _I- g0_ 11 EMAIL Co CARS . Ur I
APPLICANT NAME ��L�j r Y A
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 $ �1, y0 SQ FT (goo L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT '0 CASH CHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT +v CASH v CHECK# v CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED :YES C NO DL NUMBER NOTARIZED LETTER YES NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-5777
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT44E Revised 01/16 CALIFORNIA ENERGY COMMISSION�-
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Add ess: Enforcement Agency: Date Prepared: Permit##:
u&o A fir.
Equipment T e New Ducting or Lineset Conditioned
Type Equipment Efficiency Required R-value Floor Area(ft2) Thermostat
Packaged EvaporatorCoil ❑R-6 (CZ1-10,12&13)Ducts Served b system Setback
System ❑Condensing Unit AFUE COP 0 R-8' (CZ 11,14-16)Ducts �ftZ (If not already
❑Split System 11 Compressor SEER 9.c�HSPF ❑>R-2.8 Lineset` /� I�x present must
❑Mini Split ❑Lineset f Y 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.
1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CFZR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)2-H,MCH-25-H2
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-HI
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage L15%,or:�10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if.
❑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--------I
112.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CFZR-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or24)-H',MCH-25-H2
CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H',MCH-25-H2
Mini Splits require CFiR-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H
Installer Requirement:Duct leakage<5%,Fan Efficacy(0.58W/CFM),Air Flow>350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement Required Compliance Documents to be 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,Lineset Fumace2 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:01- Existing duct systems are constructed,insulated or sealed with asbestos
0 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 CFiR-ALT-02-E,CF2R-MCH-20-H;CF3R-MCH-20-H
Installer Required to:Duct leakage(<15%or,<10%to outside or,or seal all accessible leaks)
0 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.
'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 unit's
existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material)
4 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 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 Tide 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 with this building permit application.
R onsible D 'gger Nam - Responsible i n ign re• - _ D�e$i a/d• p' License:
ompany: Address: tk#IaSSZ. city/sote/Zp: hone:
1 �,i' �Q t )i S ( C d 1 Cc r an t c�' •C S9 St -?'-l'-F-o I
For assisfance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300