HomeMy WebLinkAboutUntitled Permit No. Mech-18-0928
..ora, City of Arcadia, CA
Development Services Department Permit Type:Mechanical
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:HVAC Repair/Replace
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:06/04/2018 Expiration: 12/01/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
-
1121 Altern ST Arcadia,CA 8510002003
Contacts
MARINOV,LEO AND ANNA Owner Cypress Heating&Air Conditioning* HVAC Contractor(C-20)
1121 ALTERN ST 547 Loraine,Glendora,CA 91741
(626)963-9810
Description:REPLACE HVAC IN SAME LOCATION.HERS Valuation: $ 0.00 Tenant
REQUIRED FOR FINAL
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Compressor<3 Ton(up to 3 hp) $18.74 Total Fees $82.83
Furnace or Burner<=100,000 BTU $18.74 Cash/Receipt#REC-001341-2018 $82.83
Mechanical Permit Issuance Fee $44.35
Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
Total: $82.83
'I g
firJeCOMPLETED
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CALLS FOR INSPECTIONS
Hegsfib'( T 15prrs Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
042.Boki morS6'C(oes p recrbfis
1,050 17E-(L(p1EF0 Arr Flat)' 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.
June 04, 2018
Issued By: Date
June 04,2018 Page 1 of 1
• •
A 0.Ø . PERMIT/PLAN REVIEW APPLICATION \'
4+
/fob, Development Services Department,240 West Huntington Drive,Post Office Box 60021
� „- Arcadia,CA 91066-6021, (626)574-5416,Fax (626) 447-9173
City of
Arcadia
4ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force an effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class�, � / Licen No.ilt Exp. Date ��G Jl� compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of ContractorL�'' C7
performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION 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 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued My wor ers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier Ste, ettwl 1.-r-,Jti'.e.r-2.
demolish,or repair any structure,prior to its issuance,also required the applicantIA��Gy L OD�4'j,
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 completed if the permit 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 0 I 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
workers'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 forthwith comply with those provisions.
�/�
compensation,will do the work,and the structure is not intended or offered for Dat`y/„I,/(,� lb Signature
sale(Section 7044,Business and Professions Code:The Contractors License l
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).
0 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.
Nametwill `t i C.€.6,-At .T✓ Title heitir
PRINT NAME
certify that I have read this application and state that the above information is co rect and that I am the owner or duly authorized agent of the owner.
I agree to com ly with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia toe u th above-mentioned property for inspection purposes. ` �]
Signature Date '`� C�
, v i 1 ) r l
547 S.LORAINE AVE
CYPRESS GL 6226 6 9107411. PROPOSAL
(909)592715 ("JOB NAME Marinov - Opt. 4a
HEATING&AIR CONDITIONING www.cypressair.comFAX(626) 023
r. LOCATION SUI/IC
TO: Leo Marinov
1121 Altern Street Email: levamar(anetzero.com
Arcadia, Ca. 91006 `PHONE (323) 528-1537 DATE 05/21/2018 J •
WE PROPOSE TO FURNISH AND INSTALL THE FOLLOWING HEATING AND/OR AIR CONDITIONING EQUIPMENT,OR OTHER EQUIPMENT
AND/OR MATERIALS LISTED BELOW:
QUANTITY
1 Lennox EL16XC1-042 AIR CONDMONING UNIT 16 S.EER./LOCATION Rear
1 Match R-410a+TXV EVAPORATIVE COIL
1 Lennox ML180E AIR COND.RATED FORCE AIR FURNACE 80% A.F.U.EJLOCATION Attic
Connect to existing THERMOSTAT OR ZONE SYSTEM
NEW COPPER,INSULATED,ELECTRIC CIRCUIT(5), ❑ NEW SUPPLY DUCTS R-8 Ducts m CARBON MONOXIDE KIT 0
WITH DISCONNECT SWITCH BOX(ES),BREAKER(S)
AND WEATHERPROOF CONDUIT AND CONNECTORS ALL REQUIRED PERMITS MANDATORY m TITLE 24 DUCT TESTING m .
AT OUTSIDE UNIT
NEW RETURN DUCTS m CONDENSATE LINE m
HEAVY-DUTY COPPER 410A REFRIGERANT LINES Ale
INSULATE DUCTWORK ❑ CONDENSATE PUMP 0
HEAVY-DUTY CONDENSER PAD 0 NEW REGISTERS&RETURN GRILL(S) 0 MODIFICATIONS TO SUPPLY&RETURN PLENUM 0
ELECTRICAL PANEL UPGRADE 0 SEAL&PATCH ALL OPENINGS 0 BALANCE AIRFLOW FOR PROPER DISTRIBUTION ZI , •
REMOVE OLD EQUIPMENT AND HAUL AWAY 0 BALANCING DAMPERS m ENERGY SAVINGS AGREEMENT- m •
ONE PRECISION TUNE-UP INCL
KEEP WORK AREA CLEAN AND REMOVE TRASH m FLUE PIPING&GAS LINE 0 SAFETY SWITCH/SECONDARY DRAIN PAN m
* Install New Lennox System in Attic. •
*INCLUDE for SAFETY-Horizontal Secondary Drain Pan and Safety Shut-Off Switch.
*Mylar(R-8 Rated)Ducts "Manual-Dampers"throughout existing locations.
*Properly Size Return Ducts and add Bar-Type 1"Filter Grilles.
*Add Attic Insulation (Blown-In up to R-30)existing R-19, clean big debris and disinfect.
*Install QuietCool TridentPRO 3.3/Energy Efficiency:Hi: 318 Watts/Low:258 Watts
*Install New Whole House Fan in most efficient location (Consult prior to the Installation).
I clud61 it prltt i Ano -6-tot Uigec
*Note:Additional Field Verification will be performed prior to the Installation.
I
*Note:Abatement of Asbestos Transite Pipe-Included in Price-New Flue Pipping Included-
*After:So Cal Gas Co Rebate.15 cents per sq ft(244.20) "we assist in processing rebate"
JOB TYPE: ❑Cut-In ❑Add-On ❑� Change-Out
WARRANTY
m 1 year(s)labor warranty o 2-10 yearlsl parts warranty
m Manufacturer warranty on compressor 10 years 0 Manufacturer warranty on outdoor coil 10 years
O Manufacturer warranty on Indoor coil 10 years 0 Manufacturer warranty on heat exchanger 20 years
THIS GUARANTEE IS BASED UPON NORMAL USE OF THE ABOVE SYSTEM AND DOES NOT APPLY TO DAMAGE CAUSED BY FIRE,EARTHQUAKE,ABUSE OR LACK OF MAINTENANCE.
WE PROPOSE hereby to furnish material,equipment and labor,Indicated above,for the sum of:
Up to 100%Financing o.a.c./please contact Gary(626) 757-1084= dollars(515,100.00(Bal Due
payable as follows:
*All promotional discounts included in pricing. (deposits are non-refundable)
Work will begin approximately 20 days from the date shown herein and will be substantially completed within 90 days thereafter unless a different estimated •
completion date is shown herein.Approximate starting date .Approximate completion date
I understand that this is only an estimated date and I will be contacted prior to this date to schedule the actual installation date.
ACCEPTANCE of the above prices,specifications and conditions are CYPRESS
satisfactory and hereby accepted.You are authorized to do the work. By Gary Alderete 79922 SP a urBttunedad11111Iw
1.3.63.3,u.e
No.300865 a 593068
NOTICE TO OWNER 630,36,38
TITLE "Under the California Mechanics'Lien law,any contractor,subcontractor,laborer,supplier,or other person or
entity who helps to improve your property,but is not paid for his or her work or supplies,has a right to place a
Date lien on your home,land,or property where the work was performed and to sue you in court to obtain payment.
In the event CYPRESS,has to Initiate legal proceedings to recover any sums due under this This means that after a court headng,your home,land,and property could be sold by a court officer and the
agreement,CYPRESS as the prevailing party in any such court action shall be entitled to recover proceeds of the sale used to satisfy what you owe.This can happen even if you have paid your contractor in full
actual attorney's fees and court costs which shall be determined by the court as part of the If the contractor's subcontractors,laborers,or suppliers remain unpaid.
judgement. To preserve their rights to file a claim or lien against your property,certain claimants such as subcontractors or
'Contractors are required by law to be licensed and regulated by the Contractors State License material suppliers are each required to provide you with a document called a"Preliminary Notice'Contractors
Board,which has jurisdiction to investigate complaints against contractors if a complaint and laborers who contract with owners directly do not have to provide such notice since you are aware of their
regarding a patent act or omission is filed within four years of the date of the alleged violation. existence as an owner.A preliminary notice is not a lien against your property.Its purpose is to notify you of
A complaint regarding a latent act or omission pertaining to structural defects must be filed persons or entities that may have a right to file a lien against your property if they are not paid.In order to perfect
within 10 years of the date of the alleged violation.Any questions concerning thecontractor tbeirllen dghrs,a contractor,subcontractor,suppliec orr laborer must Neamechanidlienwith the county recorder
may be referred to the Registrar,Contractors State License Board,Post Office Box 26000, which then becomes a recorded lien against your property.Generally,the maximum time allowed for Sling a
Sacramento,ybrerred t a Reg." mechanhslien against your propertyis90daysafter a substantialcompietionofyourpmject.
Cypress is not responsible for disturbance or damage to any type of telephone,alarm,electrical or cable lines According to me California 854000 code,no building o,structure men be erected.,ombucted.enlarged.direct,
in the attic or under the home. repeved.moved.improved.removed convened or demolished unless a,operate perms ro,each o^ldmg
re hes first been obtained form the build.,orficu,of cow city or county.If you authorize u t of obtain
ESTIMATE IS GOOD FOR 7 DAYS me permit,you toe responsible for fines,penalties or any Odle,liability assOcmed.
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: Leo Marinov Date Prepared: 2018-06-01
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 Leo Marinov 02 Date Prepared 2018-06-01
03 Project Location 1121 Altern St. 04 Building Type Single family
05 CA City Arcadia 06 Dwelling Unit Name House
Dwelling Unit Conditioned
07 Zip Code 91006 081628
Floor Area(ft2)
Number of Space
09 Climate Zone 9 10 Conditioning(SC)Systems in 1
this Dwelling Unit:
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
System 1 Whole House 1628 Yes Yes Yes Yes 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-A020036936A-000-000-0000000-0000 Registration Date/Time:2018-06-01 16:41:34 HERS Provider:CHEERS
CMOuilding Energy Efficiency Standards-2016. Residential Compliance Report Version:2016.1.006 .o6: Report Generated:2018-06-01 16:41:34
Schema Version:rev 10116
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
All new All new
Central gas Central split Greater than
System 1 furnace heating AFUE 0.78 AC cooling SEER 13 Setback 40 feet R-6
components components
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-A020036936A-000-000-0000000-0000 Registration Date/Time:2018-06-01 16:41:34 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006er Report Generated:2018-06-01 16:41:34
S 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:
America Lopez America Lapel(
Company: Signature Date:
Cypress Heating&Air Conditioning 2018-06-01
Address: CEA/HERS Certification Identification(if applicable):
547 S. Loraine Avenue
City/State/Zip: Phone:
Glendora CA 91741 626-963-9810
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:
America Lopez America'Lopee'
Company: Date Signed:
Cypress Heating&Air Conditioning 2018-06-01
Address: License:
547 S.Loraine Avenue 302865
City/State/Zip: Phone:
Glendora CA 91741 626-963-9810
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-A020036936A-000-000-0000000-0000 Registration Date/Time:2018-06-01 16:41:34 HERS Provider:CHEERS
.',11P.Building Energy Efficiency Standards-2018,Residential Compliance Report Version:2016.1.006 , Report Generated:2018-06-QX;16:41:34
Schema Version:rev 10/16
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