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HomeMy WebLinkAboutMech-21-0496 .•'`^,. City of Arcadia, CA Permit NO. McCh-21-0496 Development Services Department Permit Type: Mechanical 240 West Huntington Drive,Post Office Box 60021 Work Classification:HVAC Repair/Replace Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date:03/23/2021 Expiration: 03/23/2022 , Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number • 912 ARCADIA AVE 9 Arcadia,CA 91007-1229 5783002077 Contacts EVANS,HUGH E TR HUGH E EVANS Owner SOUTHLAND HEATING&AIR Contractor TRUST CONDITIONING 912 ARCADIA AVE 9 3529 OLD CONEJO RD 107,NEWBURRY PARK,CA 91320 (626)241-4456 (805)498-6700 797064 Description:REPLACE EXISTING 4 TON PACKAGE UNIT LOCATED Valuation: $ 0.00 Tenant ON ROOF,SAME SIZE AND LOCATION,HERS REQUIRED FOR FINAL Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Compressor 3-5 Ton(3 to 15 hp) $36.35 Total Fees $104.22 Furnace or Burner<=100,000 BTU $19.86 Cash/Receipt#REC-07117-21 $104.22 Mechanical Permit Issuance Fee $47.01 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $104.22 CALLS FOR INSPECTIONS ti • j / Request for inspection by telephone at 626-574-5450. Leave a message Crequesting the address,timeframe and what inspection item is needed. -Z( 4' ""--1/ 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 Rbc. /✓EO .Mom DerE4-1D•1-- 1`F'e`2A✓' 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. • March 23, 2021 • Issued By: Henry Kemick Date March 23,2021 Page 1 of 1 Gn'�FUR\i1 4 mop Pi PERMIT/PLAN REVIEW APPLICATION rio • ri 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 ❑ 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: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' rul License Class .ce se No. 41 p 9 Exp. Date1«30/a. compensation, as provided for by Section 3700 of the Labor Code, for the 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 herebyaffirm under 3700 of the Labor Code,for the performance of the work for which this permit penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions Code.Any city or county which requires a permit to construct,alter,improve, Carrier e ch 14 furanee COMpetil../ 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 CaS q 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 3r2 202.( 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. ❑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: I. 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. Name l✓ ()4'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 . • •-mentioned� 2 property for inspection purposes. / Signature /f / �i3(20 Z/ Date %>. oto°F`• AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: OA \ccc x a \\C- 1 Permit Number: lAPCv\- .\^o\Aq ` Brief Job Description: C"�C_�� u'f11 � i\ C -Of \\ CO(, - _3 Number of smoke alarms installed: (2) Number of carbon monoxide alarms installed: '),_ When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinglistings/licenselisting bml searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the f kebOig is true and correct, and that this declaration was executed on (Date) 6 \ D\ ® at Arcadia, California. Owner's Name (printed/typed): Y A J Signature of Owner: L ‘ ? - This affidavit must be returned to the City of Arcadia inspector prior to final inspection SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS Guest Room Si Bathroom Storage Family Room --- Garage • FIRST FLOOR PLAN Eb= SMOKE ALARM I = CARBON MONOXIDE ALARM il Mstr 1 Bath Master Bedroom Dining Room Kitchen -- Bath op Tor. Hall 0 El Closet Closet Closet Family Room Bedroom I3edroom SECOND FLOOR PLAN =SMOKE ALARM I = CARBON MONOXIDE ALARM �� CHEERS REGISTRY o'} iiIj PROJECT STATUS REPORT . ; 0 1_,0. CHEERS CI • A - v Scan to Validate PROJECT SUMMARY Project Name: HUGH EVANS HERS VERIFIABLE COMPLETE MEASURES Address: 912 Arcadia Ave-9 City, State,Zip: Arcadia,CA 91007 Building Department: Arcadia,City of ENERGY CODE COMPLETE Permit Number: MECH-21-0496 COMPLIANCE Building Energy Code: 2019 Standards CERTIFICATE OF COMPLIANCE (CF1R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS 03/23/2021 CF1R-ALT-02-E Residential HVAC Alterations 421-A020040539A-000-000-0000000-0000 D06 changed from".80"to"0.8" CERTIFICATE OF INSTALLATION (CF2R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS 04/19/2021 CF2R-MCH-01b-E HVAC, Ducts and Fans 421-A020040539A-000-001-M01001A-0000 Location 1 04/19/2021 CF2R-MCH-20d-H Duct Leakage 421-A020040539A-000-001-M20002A-0000 04/19/2021 CF2R-MCH-23a-H Airflow Rate 421-A020040539A-000-001-M23003A-0000 System 1 04/19/2021 CF2R-MCH-25f-E Refrigerant Charge 421-A020040539A-000-001-M25004A-0000 CERTIFICATE OF VERIFICATION (CF3R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS Location 1 04/19/2021 CF3R-MCH-20d-H Duct Leakage 421-A020040539A 000 001-M20002A O M20A 04/19/2021 CF3R-MCH-23a-H Airflow Rate 421-A020040539A 000 001 M23003A O M23A INOTICE:% CHEERS This compliance summary report has been generated by a registration platform provided by CHEERS using information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERS.Therefore,CHEERS is not responsible for,and cannot guarantee,the accuracy or completeness of the Page 1 of 1 information contained in this certificate.