HomeMy WebLinkAboutB ST S 525 12/10/20150• •
Property Owner Name. Gary Fortner Phone Number: 714-501-2153
Job Address: 525 S. B Street Unit 1
Scope of Work: Replace existing AC in same exact original location
A P P R t7l V ' -:
COMMUNITY DEVE OPMENT DEPT
DEC 10 2015
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CITY OF T _ISTIN
BUILDING D VISION
APPROJED
This .et of plans &,
pe(;ific,ations must be
Dept on the job at aI tires and it is I
i. r,lUful to cr-ake ny changes or !
i
altc., ations on san i ,vithout written
perp ission from the Bu dincf Division, City I
of - istin. The star~ nor of this plan
sae ..-ifications SHALL NOT be held to
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7
---------------
Driveway
CITY OF TUSTIN
Community Development Department — Building Division
300 Centennial Way, Tustin CA 92780
Building Counter (714) 573-3131 — Inspection Recorder (714) 573-3141
BUILDING PERMIT NUMBER: M2015-0168 ADDRESS: 525 S B ST TUST SUITE
ASSESSOR'S PARCEL NUMBER: 401-622-29
LOT NUMBER ................................:
DEVELOPMENT AREA ................: TUSTIN
PROPERTY OWNER ......................: FORTNER GARY J
13542 FALMOUTH DR
TUSTIN CA 92780-5216
CONTRACTOR
WHITE MECHANICAL
23601 RIDGE ROUTE DRIVESUITE B
LAGUNA HILLS, CA 92653
949) 716-8379
SUITE NUMBER...:
TRACT NUMBER.:
ISSUED BY .............:
DATE ISSUED.......: 12/14/2015
ARCHITECT
JOB DESCRIPTION: REPL EXISTING AC CONDENSER AND FAU SAME LOCATIONS
PAID
DEC 14 20151
CITY OF TUSTIN
CASHIER
LICENSED CONTRACTOR DECLARATION:
I hereby affirm that I am a licensed Contractor under the provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code, and my license
LICENSE NUMBER: 822474 LICENSE CLASS: C20
Expires DATE:08/31/2017
OWNER BUILDER DECLARATION:
I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business Professions Code: Any City or county which requires a perm
structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License G
3 of the Business & Professions code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit sr
hundred dollars ($500.00).
1 as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Busi
not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvement
building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purposes of sale).
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Lice:
or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law).
I am exempt under Section Business & Professions Code for the following reason(s):
Owner Signature: Date:
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the we
I have and will maintai orker's Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Number are:
POLICY NUMBER: 5024604 COMPANY: INSURANCE CO OF THE WEST
(This section need not eco pie permit if permit is oro hundred dollars ($100) or less).
I certify th the p ormance of the ork or hich this permit is issued, I shall not employ any perfith
n ife/provisions. manner so as to become subject to the Worker's Compensal
subject to the or 's Comp o provision n 3700 of the Labor Code, I shall forthwith comply
SignatureDate:
WARNING:lure ure Worker's Compensation '
coverage is unlawful, and shall subject an employer to c rninal penalties and civil fines up to one hundred thousand dollars (:
as provided for i cc 'on (3700) of the Labor Code, interest and attorney fees.
IMPORTANT:
Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. Each person upon whose behalf this applicati(
benefit work is performed under or pursuant to any permit issues as a result of this application agrees to, and shall, indemnity and hold harmless the City of Tustin, its officers, agen
Chapter 2 of the Uniform Administrative Code. I agree not upy oraw occ ancy of any building authorized by this permit until final inspection has been received. I certify
information is correct. I agree to comply with all City Sta a laws rel ting to the uil g construction, and hereby authorize representative of the City to enter upon the above in
(2 �
Sip -nature of Owner Contractor, or Authorized A en Date (�
***BUILDING PERMITS ARE SUBJECT TO N IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS***
O.C.F.A. Number.........:??
FEE SUMMARY
OCCUPANT LOAD:
0
OCCUPANCY GROUP:
??
CONSTRUCTION TYPE.:
$4.52
RESIDENTIAL SQ.FT:
0
COMMERCIAL SQ FT:
0
INDUSTRIAL SQ FT:
0
GARAGE SQ FT:
0
OFFICE SQ FT:
0
WAREHOUSE SQ FT:
0
ROOF SQ FT:
0
TENANT IMPR. SQ FT:
0
OTHER SQ. FT:
0
NUMBER OF UNITS:
1
NUMBER OF STORIES:
0
CBC EDITION: 2013
$0.00
NUMBER OF SEATS:
??
VALUATION...:
$0.00
BUILDER VALUATION:
$0.00
LICENSED CONTRACTOR DECLARATION:
I hereby affirm that I am a licensed Contractor under the provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code, and my license
LICENSE NUMBER: 822474 LICENSE CLASS: C20
Expires DATE:08/31/2017
OWNER BUILDER DECLARATION:
I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business Professions Code: Any City or county which requires a perm
structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License G
3 of the Business & Professions code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit sr
hundred dollars ($500.00).
1 as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Busi
not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvement
building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purposes of sale).
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Lice:
or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law).
I am exempt under Section Business & Professions Code for the following reason(s):
Owner Signature: Date:
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the we
I have and will maintai orker's Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Number are:
POLICY NUMBER: 5024604 COMPANY: INSURANCE CO OF THE WEST
(This section need not eco pie permit if permit is oro hundred dollars ($100) or less).
I certify th the p ormance of the ork or hich this permit is issued, I shall not employ any perfith
n ife/provisions. manner so as to become subject to the Worker's Compensal
subject to the or 's Comp o provision n 3700 of the Labor Code, I shall forthwith comply
SignatureDate:
WARNING:lure ure Worker's Compensation '
coverage is unlawful, and shall subject an employer to c rninal penalties and civil fines up to one hundred thousand dollars (:
as provided for i cc 'on (3700) of the Labor Code, interest and attorney fees.
IMPORTANT:
Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. Each person upon whose behalf this applicati(
benefit work is performed under or pursuant to any permit issues as a result of this application agrees to, and shall, indemnity and hold harmless the City of Tustin, its officers, agen
Chapter 2 of the Uniform Administrative Code. I agree not upy oraw occ ancy of any building authorized by this permit until final inspection has been received. I certify
information is correct. I agree to comply with all City Sta a laws rel ting to the uil g construction, and hereby authorize representative of the City to enter upon the above in
(2 �
Sip -nature of Owner Contractor, or Authorized A en Date (�
***BUILDING PERMITS ARE SUBJECT TO N IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS***
FEE SUMMARY
PLAN CHECK
$0.00
BUILDING PERMIT:
??
PLN INSP.:
$4.52
MECH PERMIT:
$57.58
PLUMBING PERMIT:
$0.00
ELEC PERMIT:
$0.00
SIGN PERMIT:
$0.00
GRADING PERMIT:
$0.00
PRIVATE IMPR:
$0.00
NEW DEV. TAX:
$0.00
TSIP ZONE A FEE:
$0.00
TSIP ZONE B FEE:
$0.00
SMIP FEE:
$0.00
MICROFILM FEE:
$4.00
OCFA FEE:
$0.00
PENALTY FEE.:
$0.00
REFUNDABLE BOND:
$0.00
MISCELLANEOUS:
$4.00
PLN REVIEW:
$2.26
TOTAL FEES: $68.36
LICENSED CONTRACTOR DECLARATION:
I hereby affirm that I am a licensed Contractor under the provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code, and my license
LICENSE NUMBER: 822474 LICENSE CLASS: C20
Expires DATE:08/31/2017
OWNER BUILDER DECLARATION:
I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business Professions Code: Any City or county which requires a perm
structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License G
3 of the Business & Professions code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit sr
hundred dollars ($500.00).
1 as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Busi
not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvement
building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purposes of sale).
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Lice:
or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law).
I am exempt under Section Business & Professions Code for the following reason(s):
Owner Signature: Date:
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the we
I have and will maintai orker's Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Number are:
POLICY NUMBER: 5024604 COMPANY: INSURANCE CO OF THE WEST
(This section need not eco pie permit if permit is oro hundred dollars ($100) or less).
I certify th the p ormance of the ork or hich this permit is issued, I shall not employ any perfith
n ife/provisions. manner so as to become subject to the Worker's Compensal
subject to the or 's Comp o provision n 3700 of the Labor Code, I shall forthwith comply
SignatureDate:
WARNING:lure ure Worker's Compensation '
coverage is unlawful, and shall subject an employer to c rninal penalties and civil fines up to one hundred thousand dollars (:
as provided for i cc 'on (3700) of the Labor Code, interest and attorney fees.
IMPORTANT:
Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. Each person upon whose behalf this applicati(
benefit work is performed under or pursuant to any permit issues as a result of this application agrees to, and shall, indemnity and hold harmless the City of Tustin, its officers, agen
Chapter 2 of the Uniform Administrative Code. I agree not upy oraw occ ancy of any building authorized by this permit until final inspection has been received. I certify
information is correct. I agree to comply with all City Sta a laws rel ting to the uil g construction, and hereby authorize representative of the City to enter upon the above in
(2 �
Sip -nature of Owner Contractor, or Authorized A en Date (�
***BUILDING PERMITS ARE SUBJECT TO N IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS***
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE 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
Central gas Gas furnace Central split Outdoor
This field or This field or
System 1 furnace AHU AFUE 80 AC condensing SEER
14
Setback section is not section is not
unit
applicable applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CFM -MCH -20-H – Duct Leakage testing 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?/, or <_ 10% leakage to outside, or sea[ all accessible leaks.
MR -MCH -25-H & CF3R-FvICH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable
in C2 2, 8-15).
CF2RCF3R-&ICH-23 & CF3R-MCH-23 Air Flow? 300 CFPA/ton required when MCH -25 is required.
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, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(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: 215-A.6463338A-000000000-0000 Registration Date/Time: 2015-12-10 10:22:14 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-10 10:22:13
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•
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CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
IAlterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name:
FORTNER, GARY I Date Prepared:
2015-12-10 1
A. General information
CF1R-A' F-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CFIR-ALT-02 document for each dwelling unit.
01
Project Name
FORTNER, GARY
02
Date Prepared
2015-12-10
03
Project Location
525 S. B STREET UNIT #1
04
Building Type
Multi -family
05
CA City
Tustin
06
Dwelling Unit Name
FORTNER, GARY
SC System
SC System
CFA served
system a
Dwelling Unit Conditioned
Installing new SC
07
Zip Code
92782
08
Floor Area (ft2)
1000
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
8
10
(SC) systems in this dwelling
I
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
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
Altered space
em 1
Esy$n
Locaiien 1
1000
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: 215-A6463338.41-000000000-0000 Registration Date/Time: 2015-12-1010:22-14 HERS Provider: CaICERTS
CA Bw0rg Ene;gv-.fficiency Standards - 2013 Residential Compliance Report Version: 2013-1.005 Report Generated: 2015-12-10 10:22:13
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•
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
I. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author signature:
aanell, Steve
Company:
Signature Date:
WHITE MECHANICAL INC
2015-12-10 10:22:14
Address:
CEA/ HERS Certification Identification (if applicable):
23601 RIDGE ROUTE DRIVE
Ciiy JState JZi p:
Phone:
LAGUNA HILLS CA 92653
949-716-8379
Responsible Person's Declaration statement
l 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 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 design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and 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 approval with this building permit application.
5. 1 will ensure that a registered copy ofthis Certificate of Compliance shall be made available with the building permit(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 required to be included with the documentation the builder to the building owner at occupancy.
Responsible Designer Name:
Panell., Steve
provides
Responsible Designer Signature:
Company :
Date Signed:
WHITE MECHANICAL INC
2015-12-10 10:22:14
Address:
License:
23601 RIDGE ROUTE DRIVE
822474
City/State,/Zip:
Phone:
LAGUNA HILLS CA 92653
949-716-8379
Cigita;ly signed by CaiCJ?TS. This digital signature is provided in order to secure the content of this registered document, and in no Nay;mplies Registration Provider responsibility for the accuracy of the information.
Re„ ishat`on Number: 215-A6463338A-000000000-0000 Registration Date/Time: 2015-12-1010:22:14 HERS Provider: CaICERTS
CA RmIdi; g Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-10 10:22:13
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