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MECH-18-1310
' `dale: City of Arcadia, CA PermltNo Mech 18-1310 \ ' I Development Services Department c"` 4-v'-' `' �, 2 ;, i Permit Type Meehafllcai I i 240 West Huntington Drive,Post Office Box 60021 `�I ` „ 7 '` T + ' rf , Z2:3 r3 1 Work classification HVAC Repair/Replace Arcadia,CA 91066-6021 ( ,_ •� ,. 1L/11 . Ie- . k. , y i. { (626)574-5416 = F4T.1 ' 4. .•=r i',..:2-. t ' .ter Pernfitstatus'issued ARCADIA F}t Issue•Date 07/25/2018, Expiration: 01/21/2019 - Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 94 Ontare RD Arcadia,CA 5771013009 Contacts • CHAO,YI CO TR CHAO AND CHEN FAMILY Owner BRYANT HEATING&AIR HVAC Contractor(C-20) ' TRUST CONDITIONING* i 94 ONTARE RD 1350 Las Tunas DR,San Gabriel,CA 917761706 (626)286-1141 i Description:REPLACE HVAC SYSTEM Valuation: S 0.00 Tenant 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-001817-2018 $82,83 Mechanical Permit Issuance Fee $44.35 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $82.83 0 COMPLETED C /y� CALLS FOR INSPECTIONS a'rJ1 dl" 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. R July 25, 2018 Issued By: Date July 25,2018 Page 1 of 1 V'"FU'(y[1 ii PERMIT/PLAN REVIEW APPLICATION , 0 �® c* r4 31'' 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 LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION p 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: 1 Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full rce and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C2-D /].•�)e_nse No. S/51 Exp. Date t.- -2,9 compensation, as provided for by Section 3700 of the Labor Code, for the V cPY/ ..y r/-w Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION a 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 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 /ws��Ykerscompensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 7 C+tit ti1pensaCh/YIZ A- demolish,or repair any structure,prior to its issuance,also required the applicant I CS I-WA /�9 4'L 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 0 certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of 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 ill 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 til l comply with those provisions. compensation,will do the work,and the structure is not intended or offered for p sale(Section 7044,Business and Professions Code:The Contractors License Date ZZ ! ! Signature Cr.Nj 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 andcivil 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 mason: 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. n t Name 7 (C4.-CRSi/WO Title Mora /���Jr PRINT NAME h/ceflhfy.thatl 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 ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of ,Arcadia to enter upon the above- ntioned property for inspection purposes. Signature LL" Date 7-241-67 Google Maps 94 Ontare Rd • At, W i ,' ' - .; y- p - —. ...:7,,,,,,_ ` 4 F : .1 k 'r'' . . 4 1.I, 0:14.4.., ��° r;:>T r r • r ,. ti A �+i�.� 411,a'tl2 lam'00nr re'load n 11\ --Pc.„:, 'it L r, .E ,.'7 i Il r N11y,1'✓/�}M�' ,f.. / fr ' - • , v /.re,.•t r .•; ( fr Fir ° , :La, r ' "ems fa, . N +r T tyre. .S - • sf �a' . .N / r ice. L:: /. ,`` oogle t, R r .� Imagery©2018 Google,Map data©2018 Google Sin' CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: Chen,Yuan Date Prepared: 2018-07-24 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 Chen,Yuan 02 Date Prepared 2018-07-24 03 Project Location 94 Ontare Rd. 04 Building Type Single family 05 CA City Arcadia j`_ ,O6 Dwelling Unit Name Chen,Yuan ':.er if"r..-;� _ l`ti, 'd $ 40 bwelling Unit Conditioned 07 Zip Code 91006 �I ;�r.�/� '"_ f08 i Z 2237 tAy rye. i Floor Area(ft ) )\ i i n` 1114 Number of Space 09 Climate Zone 9 � 0 Conditioning(SC)Systems in 1 ;, ' ,° this Dwelling Unit: B.Space Conditioning(SC)System Information "'till (i t r I f ' I n 01 02 03 04%d 0 8 0:5 I1-n=i I I O6' I I 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 Chen,Yuan Main 2237 Yes Yes 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-A020063300A-000-000-0000000-0000 Registration Date/Time:2018-07-24 16:18:48 HERS Provider:CHEERS CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-07-24 16:18:48 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 All new All new This field or This field or Chen,Yuan Central gas heating AFUE 0.8 Central cooling SEER 14 Setback section is not section is not furnace components packaged AC components applicable applicable J3eauired Documentation: +'' CF2R-MCH-01-E-Space Conditioning Systems re wryii -Duct Insulation requirement for the new portions of supply-air and retum-air ducts or plenums:•R6,(CZ1-10.12and,13)and RB(CZ 11 and 14-16) CF2R and CF3R-MCH-20-H-Duct Leakage Test required when heating or cooling components are installed in dudtedrystems,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. l\%_ U){E=! Pp CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing cdmponehtsire 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. ` 1=°�—t Al 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,o?Refrigerant Charge MCH-25. -Existing duct systems constructed,Insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. 1 ti P. !r s -r 1 Pa`s' I Gni i ° E.EntirelyNew or Complete Replacement Duct System,with or witoull,—Equipment it, Chan ie ut(Sections 150.2 b 1Diia and 150.2(b)1E,F P P Y � g ( ) J 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-A020053300A-000-000-0000000-0000 Registration Date/Time:2018-07-24 16:18:48 HERS Provider:CHEERS CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-07-24 16:18:48 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 Margla. 14ano- Company: Signature Date: Middleridge Concepts Inc.dba Bryant Heating&Air Conditioning 2018-07-24 Address: CEA/HERS Certification Identification(if applicable): 1350 East Las Tunas Drive City/State/Zip: Phone: San Gabriel CA 91776y`r62fi 286-1141 a" Responsible Person's Declaration statement i` � I certify the following under penalty of perjury,under the laws of the State of California: �4� 'P, 1. The information provided on this Certificate of Compliance is true and correct. Y `+ /'`/ p 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). r. >d 3. That the energy features and performance specifications,materials,components,and manuu factured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part land 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 appproval with this building permit application. r• i1 a f b _ q b to fl. 5. I will ensure that a registered mpg of this Certificate of Compliance shall belmade available with[hefiuildingpermit(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 requiredto be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Margie Pisano Ma.rg{v,Ptsano- Company: Date Signed: Middleridge Concepts Inc.dba Bryant Heating&Air Conditioning 2018-07-24 Address: License: 1350 East Las Tunas Drive City/State/Zip: Phone: San Gabriel CA 91776 626-286-1141 Digitally signed by CHEERSTM. 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-A020053300A-000.000-0000000-0000 Registration Date/Time:2018-07-24 16:18:48 HERS Provider:CHEERS CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-07-24 16:18:48 Schema Version:rev 10/16