HomeMy WebLinkAboutMECH-20-0390 •
City of Arcadia, CA . Permit No McCh 20 0390
tt ,
AA, Development Services Department Permit Type Mechanical-
240 West Huntington Drive,Post Office Box 60021 ;= P " } 'SI • ) •
r~, ( ,• I i ,,,I , Wo kjClassification HVAC Repair/Replace
Arcadia,CA 91066-6021 , r
(626)574-5416
Permit Status:Issued
A.RCADIA :, Issue°Date .03/05/2020'I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
2509 S FOURTH AVE Arcadia, CA 91006-5331 5790028008
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Contacts-•• -- -
CHU,CHICHUN CO TR CHU AND TSUNG Owner Rightime Home* Contractor
FAMILY TRUST 965 Ridge Lake DR @201,Memphis,TN 38120
2509 S FOURTH AVE (951)267-9744 765074
(626)607-8655
lattEMZEMEIENZIE
•
Description:REPLACE EXISTING HVAC SYSTEM,SAME SIZE AND Valuation: $ 0.00 Tenant
LOCATION
Total Sq Feet: 0.00 I Plan Check# Plan#
.nom a^a-:• xmr a.sa:=n
. ,: w,Aro,-04.A.VeAtft - ::
Fees Amount Payments Amount Paid
Compressor<3 Ton(up to 3 hp) $19.86 Total Fees $87.73
Furnace or Burner<=100,000 BTU $19.86 Cash/Receipt#REC-04051-20 $87.73
Mechanical Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00 Amount Due: $0.00
Total: $87.73
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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.
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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.
#4141,)))
March 05, 2020
Issued By: Date
March 05,2020 Page 1 of 1
G~4 OFF y9dr
�,lig ; V PERNIIT/PLAN REVIEW APPLICATION
o j°, Development Services Department,240 West Huntington Drive,Post Office Box 60021
.,„„ie„of Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
yy,,, 'ENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
e(. hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
f hapter 9(commencing with Section 7000,of Division 3 of the Business and
I' ofessions Code,and my license is in full force and effect. It have and will maintain a certificate of consent to self-insure for workers'
-icense Class C2-D License No. 'Snq-y Ex.. Date 613afvzi ompensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor _
d'erformance of the work for which this permit is issued.
a+r .47
Q have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECy�'�'� ON 00 of the Labor Code,for the performance of the work for which this permit
❑ I hereby affirm under penal ,•°perju tha am exempt from the Contractors 's issued.My w kers'compensation insurance carrier and policy numbers are:
License Law for the following reason( ection 7031.5,Business and Professions
Code.Any city or county which requires a permit to construct,alter,improve, 'arrier L,...—
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number A- -i 3 so `c3 672,/ 01
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less)
provisions of the Contractors License Law(Chapter 9(commencing with Section
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 1 of employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): (ompensation Laws of California,and agree that if I should:eco - subject to the
orkers'compensation provisions of Section 3700 0 ',E. .r e:114.ode,I shall
fi
❑I, as owner of the property, or my employees with wages as their sole ' thfcomply with those provisions.
compensation,will do the work,and the structure is not intended or offered for i•to e3/51 Z.,0 7`' Signature ��— -
sale(Section 7044,Business and Professions Code:The Contractors License
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.
e /6 2Title
PRINT NAME
I%tiry that I have read this application and to that the above information is ci rect and that I am the owner or duly authorized agent of the owner.
L
I ee to comply with all City ordinances and State s relating to build'•g construction. I hereby authorize representatives of the City of
Ar dia to enter upon the above-mention property fo nspection purposes.
iSig e Date /5/7—. ) `�
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: ROBERT CHU Date Prepared: 2020-03-05
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. sty,
01 Project Name ROBERT CHU € 02 Date Pepared 2020-03-05
03 Project Location 2509 S 4th Ave �� �' I ti
i` i
1 .A jj a�0a A i'`,/g Type Single family
05 CA City Arcadia 0 , Dwelliri Unit Name ROBERT CHU
b L iN c, ;1' .,'rig
07 ZipCode 91006 [ { E x I #Dwelling Unit Conditioned Floor
t38 i i`l2 1899
�� �° �,� � Area(ft )
•
,
,, ' 3 'Nu h ber of Space Conditioning
09 Climate Zone 9 ' 19,01(SC) ystems in this Dwelling 1
Unit:
B.Space Conditioning(SC)System Information ,f 1 F ,c„�t r ! Ji }'�+ !„,,,,v.
01 02 03 04T` 7 0 OS` � ”'o6:1 j \Q7 08 09 10
`� �'�, 0 ,°' �" �Installl►i a e -:.y ""7 ._^;,�, r� i.q 5 t:';' , ' 7�7
SC
tem
liqg
SC System ID or Location sor Area CFA served by'h Isithe SG systema _refrigerant w stat l emng w' C tFian140 feet f Installing entirely Installing newducted SCy Alteration Type
Name SC System(ft ) ducted system? containing new duct system?
Served components? ducts? system?
component?
FOR tEY Altered space
System 1 Location 1 1899 Yes Yes iies Yes No No conditioning
11.4 . system
Vii ,1L;
C.Extension of Existing Duct System,Greater Than 40 Feet(Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number:420-A020026819A-000-000-0000000-0000 Registration Date/Time:2020-03-05 11:30:08 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2019 Residential Compliance Report Version:2019.1.002 Report Generated:2020-03-05 11:30:37
Schema Version:rev 20191201
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 13
SC System Heating Cooling
Description Altered Heating Minimum Altered Cooling Minimum Required New or
System ID/ of Area Heating Heating Efficiency Efficiency 2Cooling 1\ Cooling Efficiency Efficiency Thermostat Replaced New Duct
Name Served System Type Components Type Value- System Type •,'',-'-` ,
mponents Type Value Type Duct Length R-Value
All new ti 'Allnew
Central gas 1:i %.,?,, Gen rat sp1 t : r Greater than
System 1 Location 1 furnace heating AFUE 0,8?, ,,, `���A r piP cooling SEER 14 Setback 40 feet R-6
components `..1 r scomponents
Requ
red
11
CF2RI MCH-01-E Documentation:
Space Conditioning Systems :.>,,. 1, i s #';',..,,:f4t.'',--,
-Duct insulation requirement for the new portions of supply-air and return-air duc 1 o(ple urns:''R6(CZ 1 10,12,and 13)and R8(CZ 11 and 14-16)
4 F 'v fid, i-x ��F.>, 4 S k
CF2R and CF3R-MCH-20-H-Duct Leakage Test required when heating or cooling componets�are'installed in ducted systems,or when more than 40 ft of duct length is replaced
-Leakage rate compliance:<=15 percent or<=10 percent leakage to outside,or seal . ess blesleaks V
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing ccirtrpo,r1efl1 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 require 4,'
Exceptions:
-Duct systems registered with HERS provider as previous, sled#Rexerrpt from MCH`20 Duct LeAak ge Testrn requiremer1t5
-Heating-only systems and Air Handler Furnace charges do not r#4411.veri, cationAi
o r F p94 IV,GH 23 eran
Ref gtiC4rgeMOM-25 A rg
-Existing duct systems constructed,insulated or sealed vith,as bpstcis'are exempt fro p IVI�cH"2O Bier„Leakage Testing regwmts
reenl y,�, „�
g4 r h f t }. r-8 a ,5%,,,,,,7 z,, K 1 -,p , ,x (w
E.Entirely New or Complete Replacement Duct System,with or without Equipment Cngeout(Sections 150 2(b)1Diia and 150.2(b)1E,F)f
a;,,: i. �t .. L '''.C2.,'.0 ', i t. zr._ .1 ,'µms — sl .. .
This section does not apply to this project.
F.Entirely New or Complete Replacement Space Conditioning System(Section 150.2(b)1C) )ER
This's'�ctican., oesvlsotya Bt,=y vim,es' pro ect.
,; - . ems : °
i i c w
Registration Number:420-A020026819A-000-000-0000000-0000 Registration Date/Time:2020-03-05 11:30:08 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2019 Residential Compliance Report Version:2019.1.002 Report Generated:2020-03-05 11:30:37
Schema Version:rev 20191201
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 andreomplete.
Documentation Author Name: Documentation Author Signature:
Jo Anne Orono 15
Company: Signature Dae?
I Permit E Raters 2020 03=O5�'
Address: . i iCertification Identification(if applicable):
31225 La Baya Drive t$ ' „" I
City/State/Zip: `s fr ,Phoie
Westlake Village CA 91362 :,:T ,818-735,7876
Responsible Person's Declaration statement rA.:'
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 t the building design or system design identified on this Certificate of Compliance(responsible designer).
3. That the energy features and performance specifications,materials,comjionents and manufactured devices for the budding design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24,Part 1 and Part 6 of the„Clif r is Code cif Regulations. ° H . rj
�a;�r.3n� °� ��`* �fib, �.. F F
4. The building design features or system design features identified o this"Certificate bf Compliance;are consistent wit the lrtform�ationnprovided on'other applicable compliance documents,worksheets,
calculations,plans and specifications submitted`to the..enforcemenagency for„lapp ovalawith this,buildmg permlf application c t”
5. I will ensure that a registered copy of this Certificate`of Compliance shall be madei°a actable with the building permits)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 Compl ance is required to be included with the;documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: NE;-,5 \'" Responsible DesignerSig
naure.U3
Diana McGinnis cair rim
1,4444:4,
Company: Date Signed:
ARS American Residential Services of CA dba Rightime Home Services tole ;20203-05
Address: License
965 Ridge lake Blvd,Suite 201 7746^
City/State/Zip: Phone:
Memphis TN 38120 951-276-9744
NOTICE: This certificate has been generated by California Energy Registry,Inc. ("Cal Energy")using information uploaded by third parties not affiliated or related to Cal Energy.
Therefore, Cal Energy is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate.
Registration Number:420-A020026819A-000-000-0000000-0000 Registration Date/Time:2020-03-05 11:30:08 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2019 Residential Compliance Report Version:2019.1.002 Report Generated:2020-03-05 11:30:37
Schema Version:rev 20191201