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HomeMy WebLinkAboutMech-21-0781 14' City of Arcadia, CA „n � ti a� PermrtNO Mech421�d781, -:-• : '\'''')1\t,:ii-le,.. Development Services Department �, � � �' �� ����PelmrtTyp2,ME'Chanical 240 West He Drive,Post Office Box 60021 � ;ec F 7' ' Arcadia,CA 91066 6021 t i� f-- _ ork classi icohon HVAC Repair/Replace Fa )" (626)574-5416 5° Permit Status rlssue'd ARCADIA Issu Gate o4/29J2021 Expiration: 04�29�2022 Addr NO. Dir Prefix Street Name Street Suffix unit City,State,Zip Parcel Number 13 W WINNIE WAY Arcadia,CA 91007-8048 5782017043 Contacts PATRICIA BONG Owner BRYANT HEATING&AIR Contractor III 13 WINNIE WAY CONDITIONING* (626)466-1828 1350 Las Tunas DR,San Gabriel,CA 917761706 (626)286-1141 948151 Description:RELACE HVAC SYSTEM IN SAME LOCATION .4TON. Valuation: $ 0.00 HERS REQUIRED FOR FINAL Tenant ‘ it Total Sq Feet: 0.00 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 07471 21 $104.22 Mechanical Permit Issuance Fee $47.01 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $104.22 CALLS FOR INSPECTIONS Request for inspection by telephone at 626 574-5450. Leave a message CUMP[ETE ue» requesting the address,timeframe and what inspection item is needed. 6— /7-2(COMPAiLliEli � 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 fora period of 180 consecutive days. April 29, 2021 Date Issued By: Henry Kemick April 29,2021 Page 1 of.1 OF ARQ �,,,POI�,, 'A1. , o i 119 PERMIT/PLAN REVIEW APPLICATION -!,51 v. "E Development Services Department,240 West Huntington Drive,Post Office Box 60021 °' Y% Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia . LICENSED CONTRACTOR'S DECLARATION I WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of r 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 ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date 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 ❑ I have and will maintain workers'compensation insurance,as required by Section 0 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 - 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 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 ElI 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 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 attomey'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. Name 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. Signature Date • • . O®�l� fps 13 W Winnie Way • . • 11 � _ f _ f . ' A .. 4wP iad034$. .t 1 rti p . �, •�%." :-:( .1. . �a. 4;.- a-� 4 ' . or 4 .s.C. • d I(.y - - . ;11 l � ,'1:' ,•d11- • • • •• • • • • FT• ., �Jlv r.nr Way . — . " .� } Vi� Jac. • w ,i ' ._4 • f tii r rr j — _.— "' ' .�►,r ��'„ [ 'Y 4• , `s•)^ 7 T 71�' Y 1. 1 .._ r- i) R UUU� �. ti r4 a. „_ : GOOgl a' j yky" .� Map data.©2021,Map-data©2021 20 ft t:,_ •-----_.J : . AC.located side of house, rear of garage 5' from,side property:line. - . • • CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-1R-ALTHVAC) • (Page 1 of 3) Project Name: : Bono Date Prepared: 2021-04-26 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 Bono 02 Date Prepared 2021-04-26 03 Project Location 13 W Winnie Way 04 Building Type- Single family 05 CA City • Arcadia :. 06 : Dwelling Unit Name Bono 07 Zip Code 91007 08 Dw 2128 elling Unit Conditioned ' Area(ft') Number of Space Conditioning 09 Climate Zone 9 10 (SC)Systems in this Dwelling. 1 nt U1 B.Space Conditioning(SC)System Information d I. R 1 P 1 � . 01 02 • '03-* ' -.. \ 04 , 05 ( , 06 ` t if 07''i i {{f08f, t 09 10 SC System ID or SC System CFA served by this lithe SC system a frofrige2nt ` Installing new SC ,Installing Tore, Ins Ming entirely Installing entirely Location or Area •; �: system• : than 40 feet o —� + Alteration Type Name SC S em(ft2) ducted system? containing new duct system? new SC system?. Served components?. . ducts? component? Altered space System 1 Location 1 2128 Yes Yes Yes No No No 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 221-A020078739A-000-000-0000000.0000 Registration Date/Time: 2021-04-26 15:39:50 HERS Provider CaICERTS ' CA Building Energy Efficiency Standards-2019 Residential Compliance ' Report Version:2019.1.004 Report Generated;2021-04-26 15:39:24 Schema Version:rev 20200901 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 tooling. Minimum Required New or System ID/. -of Area Heating Heating 'Efficiency Efficiency Cooling ° . Cooling Efficiency Efficiency. Thermostat Replaced New Duct Name Served System Type Components Type Value System Type Components Type Value Type Duct Length R-Value All new All new. Central gas Central split System 1 Location 1 heating : AFUE 80 cooling SEER 14 Setback n/a n/a furnace components AC components Required Documentation; CF2R-MCH-01-E-Space Conditioning Systems • =Duct insulation requirement for the new portions ofsupply-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 percent or<=10 percent 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. E$ceotions -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 i d E.Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections150.2(b)1Diia-and 1502(b)1E,F)r. ...1:. l I }." -3A t • .51, : '1. 3 it.. t .d 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 221-A020078739A-000-000-0000000.0000 Registration Date/Time: 2021-04-26 15:39:50 HERS Provider CaICERTS CA Building.Energy Efficiency Standards-2019 Residential Compliance Report Version:2019.1:004 Report Generated:2021-04-26 15:39:24 Schema Version:rev 20200901 • • • • • • • • CERTIFICATE OF COMPLIANCE • ' CF1R-ALT-02-E. ' • • Alterations to Space Conditioning Systems.(formerly CF-1R-ALT-HVAC) • (Page a ol3) Documentation.Author's Declaration Statement 1:I certify that this Certificate of Compliance'documentation is accurate and.complete. . ' ' , , : . Documentation Author Name: . . . . • Documentation Author Signature: ' ' • ' ,. - - Pisano,Margie �fl�ywfP.°�° • . Company:. - - I - • . • . -. - Signature Date: ' - - ' • MIDDLERIDGE CONCEPTS INC . • 2021-04-26 15:39:50 Address: - - CEA_/HERS CertificationIdentification(Bapplicable): -- 1 - ' - ; 2075.E Villa St Pasadena CA 91107 _ :. 620864141- . - . •• . Responsible Person's Declaration statement; . ':. :- • • . • ' I certify the following under penalty of perq'ury,'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 accent 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 d_esign identified on this Certificate of Compliance conform to the 'requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. n `-. 3 ` • r_=;-—r -I - - ' '4: •The building design features or system design features identified on this Certificate of Compliance are1consistent with the information provided on other applicable'complience documents,worksheets, ' - •calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application '• 1 .• - g. 1v r, t. 1 ). . 5. 'twill ensure that a regtstered'copy of this Certificate pf Compliance shall be made available with the building permft(s)Issued forthe 6ullding,and.made available theenforcement agency for all applicable . inspections.I understand that a registered copy of this.Certificateof Compliance is required to bet-Included with the documentation the builder provides to the building owner at occupancy: . . - (7 t-t '�' Res nsibre Deiignner Si natures',I ° s a L-S Responsible Designer Name: � � � � � � • - �':,: �(`�� i._ c Po B. B � � 1 • . :• _ ' Pisano;Margie L i1f . Company:- _ • _ • - D, t. . n_ - ae Siged: .. .. _ MIDDLERIDGECONCEPTS INC • • . . 2021-04-26 15:39:50 . - . . . • ' '. • . .' . . Address: License: - . 2075E Villa St 948151 Pasadena.CA 91107 .. . • . . - - . . . . . . .. . . . 626-286-1141 •;. • • - Digitally signed by CaICERTS.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:221-A020078739A-000-000-0000000-0000 Registration Oate/Time: 2021-04-2615:39:50 • HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2019Residential Compliance • Report Version:2019.1.004 • - Report Generated:2021-04-26 15 39:24 . . . Schema Version:rev 20200901 •• . . •J. . • IT . • . . • . • 1- ' PERMIT/PLANAPPLICATION i A REVIEW APPLICA . . Development Services Department, 240 West Huntington Drive,Post Office Box 60021 i Arcadia,CA 91066-6021, (626) 574-5416, Fax(626) 447..9173 1111Liiill -ONLINE PERMIT/PLAN REVIEW APPLICATION • ci.crtn, . . ARCADIA . Job Site Address: a ay '., tio,n kvi Te„ (A)cL1/4i . . LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ElLhereby affirm under penalty of perjury that I am licensed under provisions of 1 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. El I have and will-Maintain a certificate of consent to self-insure for Workers' License Class cFP 1 • . icense riy,7151 . Exp. Date 6/2022 Compeniation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor 1C.---- 0T=f l' ...4••"1"r•-0-4-P-'"'" -. - - .-. ' " ' ' ' . ,...J7. . performance of the work for which this permit is issued . . . , - " OWNER-BUILDER DECLARATION El I have and will maintain workers compensation iniurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit ID I hereby affirm under penalty of perjury that I am exempt from the Contractors. - - is tssued.My Workers7 compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5;Business and Professions Code.Any city or tounty which requiret a permit to construct,alter,iMprove, Carrier Benchmark demolish,or repair any structure,prior to its issuance.also required the applicant cst5021605 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 nee,,„ • . . !,not be completed if the permit is for one handred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is 1. 1 • L j!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 not:employ any person in any manner so as to become subject to the workers penalty of not More than five hundred dollars($540)): - compensation Laws of California,and agree that if!should become subject to the - workers'compensation provisions of Section 3700 of the Labor Code.I shall as owner of the property or my employees with wages as their sole forthwith comply with thine provisions. compensation,will do the work,and the structure is not intended or offered for '( Signature -c-C,i.,/;/ -7 .• 4 . ", Z 15.---il ' .- -- - sale(Section 7044, Business and Professions Code:The ContractorsDate -c.-4. 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 . . ernployees,provided that such improvements are not intended or offered for WARNING: Failure to sthire Workers'Compensation coverage ii'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 fur the purpose of Sale). damages as provided for in Section 3706 of the Labor Code, interest; and attorney's fees. . DI,as owner of the'property, am exclusively Contracting with licensed . . . . . contractors.to construct the project (Section 7044,Business and Professions Code:the COntraeteirs License Law does not.apply to an owner of pi0;4y. 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 Cbde). , Lj 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 NIADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SF F Form I ON THIS APPLICATION AND'Fa FOLLOWING: • 1. The City's approved plans and permit inspection card must remain on the job site for use by;City inspection pereonnel. 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 Title . • /4601-rr . • - : 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. 1 hereby authorize representatives of the City of Arcadia to enter upon the above mentioned property for inspection purposes. . . ,," - . . . c.- Signature U("6:til ....;-(, c4.41...6 - " - Date • .4- a z( . . .. . .. ..._ � • • y.TMw/VJ J l4'4mo1f9 of/1" AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: V 3 lAi• le/i,•nrie Permit Number: 2(-- 678/ Brief Job Description: fiEPcacs Number of smoke alarms installed: 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/licenselistinq 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 foregoing is true and correct, and that this declaration was executed on (Date) TU.ne_ 20 2 I at Arcadia, California. Owner's Name (printed/typed): f6.-\V'.‘ c_x&. n Signature of Owner: -RtR C-16e This affidavit must be returned to the City of Arcadia inspector prior to final inspection