HomeMy WebLinkAboutUntitled 46,
City of Arcadia, CA Permit NO. Mech-18-0657
Development Services Department Permit Type:Mechanical
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Mechanical, Residential
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:04/24/2018 I Expiration: 10/21/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
852 Hungate LN Arcadia,CA 5783013019
Contacts
JIMJAN DEVELOPMENT LLC C/O JANET C Owner BRYANT HEATING&AIR HVAC Contractor(C-20)
BROWN CONDITIONING'
852 HUNGATE LN 1350 Las Tunas DR,San Gabriel,CA 917761706
(626)286-1141
Description:REPLACE FURNACE IN CLOSET Valuation: S 0.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount/r Payments Amount Paid
Furnace or Burner<=100,000 BTU $18.74 Total Fees $64.09
Mechanical Permit Issuance Fee $44.35 Cash/Receipt#REC-000985-2018 $64.09
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $64.09 -
gfr ral COMP&ETEO
zAts> L (11,
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
This permit/plan review expires by time limitation and becomes null and
void if the work authorized by the permit is not commenced within 180 days
from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
April 24, 2018
Issu:. :y: Date
April 24,2018 Page 1 of 1
o,uro'Wti%• a
4 0 k, PERMIT/PLAN REVIEW APPLICATION '
0.N......_
\ o Development Services Department,240 West Huntington Drive,Post Office Box 60021
meshy efIt. Arcadia,CA 91066-6021,(626) 574-5416,Fax(626)447-9173
City of
Arcadia
L....icICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
hapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. Date 1=1I have and will maintain a certificate of consent to self-insure for workers'
License Class (2o License Exp. -� compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor c�c..s-
OWNER-BUILDER DECLARATION ;.' I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors t't ' the Labor Code,for the performance of the work for which this permit
is issued.My workers'compensation insurance carrierd
License Law for the following reason(Section 7031.5,Business and Professions policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be co pieced ifELt is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑II certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
.rkers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole orthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for Z cf'.( fb
sale(Section 7044,Business and Professions Code:The Contractors License Signature ( " _i
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further information.
ame S /S/}u-0 Title /,'erwT-
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City o dinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upo the abov : tioned property for inspection purposes.
z 4('-leg
Signature -a..44,,,-a..44,,, Date
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: Brown,Jon Date Prepared: 2018-04-23
A.General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented,use one
CF1R-ALT-02 document for each dwelling unit.
01 Project Name Brown,Jon 02 Date Prepared 2018-04-23
03 Project Location 852 Hungate Lane#B 04 Building Type Single family
05 CA City Arcadia 06 Dwelling Unit Name Brown,Jon
Dwelling Unit Conditioned
07 Zip Code 91007 081057
Floor Area (ft2)
Number of Space
09 Climate Zone 9 10 Conditioning(SC)Systems in 1
this Dwelling Unit:
r
B. Space Conditioning(SC) System Information
01 02 03 04 05 06 07 08 09 10
Is the SC Installing a
SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing
Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new
Name Served System(ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type
Brown,Jon Main 1057 Yes No Yes No No No Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet(Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number:418-A020025595A-000-000-0000000-0000 Registration Date/Time:2018-04-23 14:02:31 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-04-23 14:02:32
Schema Version:rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 2 of 3)
D.Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
Central gas All new No cooling This field or This field or This field or This field or
Brown,Jon heating AFUE 0.8 No cooling component section is not section is not Setback section is not section is not
furnace components altered applicable applicable applicable applicable
Required Documentation:
CF2R-MCH-01-E-Space Conditioning Systems
-Duct insulation requirement for the new portions of supply-air and return-air ducts or plenums:R6(CZ 1-10,12 and 13)and R8(CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H-Duct Leakage Test required when heating or cooling components are installed in ducted systems,or when more than 40 ft of duct length is replaced
-Leakage rate compliance:<=15%or<=10%leakage to outside,or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered(applicable in CZ 2,8-15).
CF2R and CF3R-MCH-23 Airflow Rate>=300 CFM per ton required when MCH-25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23,or Refrigerant Charge MCH-25.
-Existing duct systems constructed,insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System,with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number:418-A020025595A-000-000-0000000-0000 Registration Date/Time:2018-04-23 14:02:31 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-04-23 14:02:32
Schema Version:rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Margie Pisano Marg+.e,Ptsaaw
Company: Signature Date:
Middleridge Concepts Inc.dba Bryant Heating&Air Conditioning 2018-04-23
Address: CEA/HERS Certification Identification(if applicable):
1350 East Las Tunas Drive
City/State/Zip: Phone:
San Gabriel CA 91776 626-286-1141
Responsible Person'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. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer).
3. 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 California Code of Regulations.
4. 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.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s)Issued for the building,and made available to the enforcement agency for all applicable
inspections.I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Margie Pisano I''f"rg'.e.P14ano-
Company: Date Signed:
Middleridge Concepts Inc.dba Bryant Heating&Air Conditioning 2018-04-23
Address: License:
1350 East Las Tunas Drive 948151
City/State/Zip: Phone:
San Gabriel CA 91776 626-286-1141
Digitally signed by CHEERS'". This digital signature is provided in order to secure the content of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:418-A020025595A-000-000-0000000-0000 Registration Date/Time:2018-04-23 14:02:31 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-04-23 14:02:32
Schema Version:rev 10/16