HomeMy WebLinkAboutMECH-19-2462 . :., dui '` 4„
.g City of Arcadia, CA r, 4 a' -4,..,''°f:-'46;" ;-; PermitNo Mech 19 2462'
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Development Services Department i' ' ) � ' -^q', 1;�` 6 PermltType Mechanical
°, 240 West Huntington Drive,Post Office Box 60021
.° Arcadia,CA 91066-6021 1::,;,4,1:722.4 I i Work Classfcatton•HVAC Repair/Replace
t (626)574-5416
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mls ISSUed
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ARCADIA IssueDat12/10/2019
Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1771 OAKWOOD AVE Arcadia, CA 91006-1722 5765022024
Contacts ..
Yl SHEN Contractor CHOICE AIR* Contractor
1771 OAKWOOD DR 3633 Woodpecker ST,Brea,CA 92823
(626)719-6186 (714)388-7986 855665is
Description:REPLACE HVAC IN SAME LOCATION PER APPROVED I Valuation: $ 0.00 Tenant
PLANS.FURNACE IN ATTIC AND DUCT WORK. HERS REQUIRED
FOR FINAL. 1Total Sq Feet: 0.00 I Plan Check# Plan#
=._,: .�*4..,k% << � .
Fees Amount Payments Amount Paid
Add/Alter Ducts $9.94 Total Fees $114.16
Compressor 3-5 Ton(3 to 15 hp) $36.35 Cash/Receipt#REC-03300-19 $114.16
Furnace or Burner<=100,000 BTU $19.86
Mechanical Permit Issuance Fee $47.01 Amount Due: $0.00
Solid Waste Management Fee 2 $1.00 '
Total: $114.16
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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.
December 10, 2019
Issued B Date
December 10,2019 Page 1 of 1
PERMIT/PLAN REVIEW APPLICATION
-, Development Services Department,240 West Huntington Drive,Post Office Box 60021
e0\Y o / Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
13-1 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� TJ
and elle D I have and will maintain a certificate of consent to self insure for workers'
\\
License Class C0 License No. 0p. Date3� Ia 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
NEI
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 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 workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, `Carrier 55C.1.)12_tt ' �' T df L--
demolish,
_demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number S PQq
for such permit to file a signed statement that he or she is licensed pursuant to the
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 ❑ 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
sale(Section 7044,Business and Professions Code:The Contractors License Date 0-4b l 1,'=1 Signature
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.
0 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.
. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
3 g
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. ` A
4me , 1J1 '��'l Title -(��
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 ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes. f q
Signature Date i 10 1 f 1
o
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•
ROUTING ACTION *See
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Date and /` ��° °�P / , Notes
FInitials of PeQ° Go'� Qe C�°PQ on Sheet#
1__ _ Che ker r
Plannine_
— r I Z1v i, I .- -
Ens. _
Buildin' _—_
Fire --— -_
PWS-Water a + 1111WELD ' rt----- —
Trees _ — -
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: shen yi Date Prepared: 2019-12-09
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 shen yi 02 Date Prepared 2019-12-09
03 Project Location 1771 oakwood ave 04 Building Type Single family
05 CA City Arcadia 06 Dwelling Unit Name shen yi
'ig Dwelling Unit Conditioned
07 Zip Code 91006 3. 082 2436
Floor Area(ft2)
Number of Space
09 Climate Zone 5'=',.•1A1' 9 10 Conditioning(SC)Systems in 1
-4 F` this Dwelling Unit:
4
,. . ....,4
B.Space Conditioning(SC)System Information a �A • �' i; , sl,,, ; 1 ,
Fi *p :",, .. ,c. _.. j A .., s . Mcg
01 02030 04 05 06 07 08 09 10
,; & . • rA, ., s, ems.
1
IstheS Installinga ; .._'+
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 Location 1 2436 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:219-A020256674A-000-000-0000000-0000 Registration Date/Time: 2019-12-09 20:22:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2018.0.001 Report Generated:2019-12-09 20:22:24
Schema Version:rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 2 of 3)
i
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
Outdoor
Central gas Gas furnace Central split Greater than
System 1 furnace AHU AFUE 80 AC condensing SEER 17 Setback 40 feet R-6
unit
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 whets ting or cooling components are installed in ducted systems,or when more than 40 ft of duct length is replaced
-Leakage rate compliance:<=15 percent or<=10 percent leabeating
to outside,or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification requirecce
d when refrigerant containing components are installed or altered(applicable in CZ 2,8-15).
CEM o
CF2R and CF3R-MCH-23 Airflow Rate> 300 per trequiw
red hen MCH-25 is required
Exceptions: ''
-Duct systems registered with HERS provider as previously sealed are exempt fror C 20 Duct Leakage T- t g ir,-ments a
-Heating-only systems and Air Handler Furnace changes do not require verificat on of Air Flow-MC -23 Re ig n Cfi a MCJ-I 25 �i
-Existing duct systems constructed,insulated or sealed with asbesto are exempt from MC f 220 u L cage Testi egwfe i17r
`'� r�' IQs a� « .114 , `a.i
E. Entirely New or Complete Replacement Duce ,tem,with rwithout Equipment ang ut iSecti n 15 2(1 Diia.andt150.2(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:219-A020256674A-000-000-0000000-0000 Registration Date/Time: 2019-12-09 20:22:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2018.0.001 Report Generated:2019-12-09 20:22:24
Schema Version:rev 20180426
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: 7'rB�f/ �G�lr/
Kim,Howard
Company: Signature Date:
CHOICE AIR 2019-12-09 20:22:30
Address: CEA/HERS Certification Identification(if applicable):
3633 WOODPECKER ST
City/State/Zip: Phone:
BREA CA 92823 714-388-7986
Responsible Person's Declaration statement;,
I certify the following under penalty of perjury,under the laws of the State of California:
h b
1. The information provided on this Certificate of Compliance is true and correct
2. I am eligible under Division 34the 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,materiaklscoiri onents and manufactured devices,fo t e building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24,Part 1 and Part,fi,ofthe California�Code of a'tions. ` , gg� er^;
Com$? 'e! ii N..�,f
4. The building design features or system,design features identified o% is Certificate=of Co <lance are. sista i> he inform .. >•rovided o th { icablecompliance documents,worksheets,
calculations,plans and specifications submitted tot eenforcementagency foci;app'ov ,this butt' per ap Iicatiori '
5. I will ensure that a registered copy of this'Certific to f�Co pliance shall be;ode ail `le i kW duilding^ypermit( issued for ftt, ld g an.„a e avaIlble a E nforcement agency for all applicable
inspections.I understand that a registered'copy of thisCe icate of Compliances eq d to beeincluded with the docum ation the,it li der provides to the building owner at occupancy.
Responsible Designer Name: ? g„*, Responsie De i gner Signature. „ ”.
Kim, Howard Gliv
Company: Date Signed:
CHOICE AIR 2019-12-09 20:22:30
Address: License:
3633 WOODPECKER ST 855665
City/State/Zip: Phone:
BREA CA 92823 714-388-7986
Easy to Verify P:•'y�','L�i!r`-1�F
at CaICERTS.com
Jai 9r.s { '.
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document,and in no way implies ■ 'I-,1
Registration Provider responsibility for the accuracy of the information. 0'- • y- .
Registration Number:219-A020256674A-000-000-0000000-0000 Registration Date/Time: 2019-12-09 20:22:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2018.0.001 Report Generated:2019-12-09 20:22:24
Schema Version:rev 20180426