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Home My WebLink AboutULLA LANE 3820_12-00001276 I TY OF LAKE LSIAOR.E BUILDING & TY DREAM EXTREME,. 130 South Main Street PERMIT PERMIT NO: 12-00001276 DATE: 9/27/12 JOB ADDRESS . . . . . 3820 ULLA LN DESCRIPTION OF WORK MECHANICAL PERMIT OWNER CONTRACTOR POERTNER DENNIS A PLUS HEATING & A/C POERTNER SANDRA 11330 KNOTT STREET 3820 ULLA LN GARDEN GROVE CA 92841 LAKE ELSINORE CA 92530 714-901-0500 LIC EXP 0/00/00 A. P. # . . . . . 379-020-021 8 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . ZONE . . . . . . NA ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 4 . 2500 RES . FIXED APPL.OR OUTLET 4 . 25 MECHANICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 13 . 2500 FAU/FURNACE/DUCTS/VENTS 13 . 25 1 . 00 X 24 . 2500 COMPRESS/HEATPUMP 3-15 HP 24 . 25 PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 4 . 2500 INSTALL/ALTER OR REPAIR 4 . 25 FEE SUMMARY CHARGES PAID DUE PERMIT FEES ELECTRICAL PERMIT 34 . 25 . 00 34 . 25 MECHANICAL PERMIT 67 . 50 . 00 67 . 50 PLUMBING PERMITS 34 . 25 . 00 34 . 25 OTHER FEES PROF.DEV. FEE 3 TRADES 15 . 00 . 00 15 . 00 PLAN RETENTION FEE . 52 . 00 . 52 SEISMIC GROUP R . 50 . 00 . 50 TOTAL 152 . 02 . 00 152 . 02 OPE-. _OaNT52 Type: 1r : 1 SPECIAL NOTES & CONDITIONS ' SPE91I2 27 fbmipt no* 1. I3!B FAU CHANGE OUT C-01? I f amm i $1cpA02 m afm 125q# $1 .02 T Total poftimt C Tr&z date: W-7112 Time.- 1q< 5q City of Lake Elsinore U Please read and initial Building Safety Division ! t•1 1.I am Licensed under the provisions of Business and professional Code Section 7000 ct s:: id li my license is in full force. Post in conspicuous place � 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work vaa o-11c J;ob and the Jt1UlLUle Is not 11teiUGU or V11GtGU tVa sale. v_3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the project. 30B ADDRESS for each respective inspection: i _V"]l i '-4.i have a certificate of consent to selfinsure or a certificate of Workers Compensation insurance i Approved plans must be on job or a certified copy thereof. i at all times: 5.1 shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the perforn➢anee of the work for which this permit is issued. i Note:If you should become subject to Workers Compensation after malting this certification, I Code Approvals Da$e Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked. ELOI [Temporary Electric Service PLO 1 Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 ISlab Grade PLO1 Underground Water Pipe SS01_ Rough Septic System SWO1 On Site Sewer BP05 Floor Joists BP06 I Floor Sheathing BP07 lRoof Framing BPO8 Roof Sheathing BP09 Shear Wall&Pre-Lath iCal PL03 Rough Plumbing 1 EL03 Rough Electric Conduit LEL LU4 Rough Electric Wiring 05 IRough Electric/ T-Bar ME-,0 11 Rough Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 10 Framing&Flashing BP 12 Insulation BP13 Drywall Nailing BPI 1 Lathing&Siding PL99 Final Plumbing EL99 Final Electrical NM99 Final Mechanical BP99 Final Building Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the P001 Pool Steel Rein./Forms building being released by the City P001 Pool Plumbing/Pressure Test P003 Pre-Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing/Gates/Alarms Finance P005 Pre-Plaster Approval Engineering P009 Final Pool/Spa C_ fY OF ice, LA KE � LS 11-10RX ` ► DREAM EXTREME 7M 130 South Main Street APPLICATION 11 APPLICATION FOR PERMIT APPLICATION DATE: APN BY: LLLCTRICAL/PLUMBING/MECHANICAL BUILDING ADDRESS I hereby certify that 1 have read this application and state that the above information is coned.I agree to comply with all city and county TRACT BLOCK/PAGE LOT/PARCEL ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above-meI ioned O NAME ,y pro for'inspection purposes. W is '�SGt C)C Y�l N Al,1N PH NL I E ADDRESS ��S�� U Vte Cam" �S d \� R 1T STATIILIP Siguat of Applicant r Agent DateS r'1 o1Z C I hereby affirm that lam licensed under the provisions or Chapter 9(commencing C will)Scction 7000)of Division 3 of the Business and Professions Code,and my (Circle one) O license is in full force and effect. AGENT FOR: rt OWNER N LICENSE It CITY BUSINESS K AND CLASS ['AXS AGEN 'S NAME �t V 1 1 __ — I m AGENTS ADDRESS �_. KJ� C MAKIN street city slate zip T ADDRESS / R C S AP PHONE t CONTRACTOR'S SIGNATURE l/+� ELECTRICAL Quan PLUMBING Quan MG HANICAI, Quan New Res.Multi Family/SQ.FT. Fixture or Trap F.A.U./Furnace/Ducts/Vents New Res.Single Family/SQ.FI'. Building Sewer F,A.U./Furnace/Mise./> 100000 Pool Electric System,Private Rain Water System per Drain Floor Furnace/Vent Switches/ I st 20 Private Septic System Unit Heater/Wall Healer Switches/Over 20 lWater Heater/Vent Install/Relocate/Replace Vent Receptacle Outlet/ 1st 20 lGas Piping Sys(ern I -4 Outlets Ventilating Fan Receptacle Outlet/Over 20 Gas Piping 5 or More Outlets Evaporative Cooler Lighting Fixtures/Ist 20 Dishwasher Ventilating System Lighting Fixtures/Over 20 Solar Tank Exaust Hood Residential Fixed Appliance/Outlet Solar Collector per Panel Fireplace Non-Residential Appliance/Outlet Greasc Trap/(Interceptor) Commercial Incinerator 100-200 Amp Service<600V 11ristall,Alter or Repair System Air l•landler> IU000 CFM 200- 1000 Amp Service<600V Lawn Sprinkler System Air Handler< 10000 CFM Misc.Apparatus,Conduits,Etc. Back(low Device Smaller than 2" Fire Dampers Signs Backtlow Device Larger than 2" Registers Sign Branch Circuit Floor Drain Compressor/I-leatpump-3 H.P. Busways/EA 100 FT Floor Sink Compressor/licatpump 3 15 H.P. Temporary Power Service Water Service Compressor/Heatpump 15-30 H.P. Temporary Power Distribution System Alter or Repair Drain or Vent Compressor/Heatpump 30-50 H.P. Motors/Transformers Fire Sprinklers per Building lRepair/Alter Misc. HVAC Motors up 10 1 H.P. SwinuW11g Pool Compressor/I-Icatpump Over 50 I-I.P. Motors/Transformers 1 - 10 H.P. Swimming Pool/Public Motors/Transformers 10-50 H.P. Swimming Pool/Private Motors/Transformers 50- 100 H.P. Water Heater/Vent Motors/Transformers> 100 H.P. Replace Piping Replace Filter Misc.Replace Gas Piping Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10- 15 Site Address, Enforcement Agency: Date: Permit#: 3820 ULLA LANE Lake Elsinore, CA 92530 City of Lake Elsinore Sep 27, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑Package Unit ®Furnace ®AFUE 78% ❑COP ❑R 6 (CZ 10-13) Served by system ®Setback ®Indoor Coil ®SEER 13.0 ❑HSPF ❑R g CZ 14-15 280 If not already present, must be ®Condensing Unit ❑EER ❑Resistance ( ) sf installed) ❑Other 1. Equipment Type;Choose the equipment being installed;if more than one system,use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer.The inspector also verifies that each appropriate CF-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010,a registered copy of the CF-111 and CF-611 shall also be on site for final inspection. ®1. HVAC Changeout Required Forms: .All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and/or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Indoor Coil and/or CF-4R forms: MECH-21 and (for split systems) MECH-25 . Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement),TMAH Fey Paekaqedloffit&�-� !s PeFGeRt Exempted frorn duct leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑2, Duct systems with less than 40 linear feet in unconditioned space, or [13. Existing duct systems are constructed, insulated or sealed with asbestos ❑4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: . Cut in or Ghangeout with CF-6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and new ducts: (all new MECH-25-HERS ducting and all new, CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 equipment) For Split Systems: Duct leakage < 6 percent; RC,CCA Z: 350 CFM/ton, FWD,TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton,TMAH For Packaged Units: Duct leakage < 6 percent 114. New Ducting over 40 feet Required Forms: .Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-21-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) .I certify that this Certificate of Compliance documentation is accurate and complete. . I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance, .I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. .The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms,worksheets,calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Angel Gandara Signature: Angel Gandara Company: A PLUS GENERAL CONTRACTORS INC Date: Sep 27, 2012 Address: 11330 KNOTT STREET License: 763154 City/State/Zip: GARDEN GROVE/ CA/ 92841 Phone: (714) 901-0500 Reg: 212-A0053972A-00000000-0000 Registration Date/Time: 2012/09/27 15:13:27 HERS Provider: CalCERTS, Inc. 200E Residential Compliance Forms July 2010 6C.Medical details Primary Applicants Name 0:.i.t;;t)i3.i/Y. C�tltl tr�l{.s Pi.:i Ia1111,o ih f�l 11'o 7i:rf ii.`p1FlP4 a Give COMPLETE details in all sections below of any"Yes"or"Not Sure"answers to the questions in Section 6A and6B. Question#and Letter Name of Family Member(As identified on Physician's Reccvd) Name of Hospital,Clinic and/or Person Providing Care Date of Onset/Treatt-nent(MantIVYead Oate Ended Cl Still under Physician Specialty: ❑Pediatric ❑Family ❑Other 0 Internal Medicine ❑Cardiac � Name of Condition/illness Address Suite No. Treatment Rendered(,.c.,X-ray lab,surgical procadure,etc.)/and Results C;y State ZIP Cucle (attach additional pages as needod to provide complete information) Phone Number FAX Number(Optional) If you answered"Not Sure"please chock the box(es)that apply, � ❑Do not understand the medical termi(s)used in the question ❑Do not understand the question ❑Do not know if you have the listed condition or symptom ❑Had the listed condition or symptom but cannot remember when ❑Do not recall exact time when you consulted a health care provider or were hospitalized ❑Do not recall or remember the information Pfcase provide"ally additional info.ination to provide a complete explanation of wily you aansweieu"Not Sure"(Ottaach audtiiu"na"f paay"csas nec"uc"d io provide complete inluni7atioill. Ouestion I and Leifer Name of Family Member(As identified on Physician's Record) Name of Hospital;Clinic and/or Person Providing Care Date of Onset/Treatment(Montlt/Yaar) Date Ended ❑Still under Physician Specialty: 0 Pediatric ❑Family ❑Other treatment ❑internal Medicine ❑Cardiac Name of Condition/Illness Address Suite No. Treatment Rendered(i.e.,X ray lab,surgical procayine etc.)/and Results City State ZIP Code (attach additional pages as needed to provide complete information) a Phone Number I FAX Number tOptiopaP If you answered"Net Sure"please check the box(es)that apply. •Do not understand the medical term(s)used in the question 0 Do not understand the question ❑Do not know if you have the listed condition or symptom 0 Had the listed condition or symptom but cannot remember when •Do not recall exact time when you consulted a health care provider or were hospitalized ❑Do not recall or remember the information Please provide any additional information to provide a complete explanation of why you answered"Not Sure"(attach additional pages as needed to provide complete informationj. Question#and Letter Name of Family Member(As identified on Physician's Record) Name of Hospital,Clinic and/or Person Providing Care ;i Date of Onset/Treatment(MoatWear) Date Ended ❑Still under Physician Specialty: ❑Pediatric ❑Family ❑Other treatment U internal Medicine 11 Cardiac Name of Condition/illness Address Suite No. Treatment Rendered(i.e.,X-ray,lab,surgical procedure,etc.)/and Results City State ZIP Cude (attach additional pages as needed to provide complete information) Phone Number FAX Number(Optional) If you answered"Not Sure"please check the hox(es)that apply. ❑Do not understand the medical term(s)used in the question ❑Do not understand the question ❑Do not know if you have the listed condition or symptom ❑Had the listed condition or symptom but cannot remember when ❑Do not recall exact time when you consulted a health care provider or were hospitalized ❑Do not recall or remember the information Please provide any additional information to provide a complete explanation of why you answered"Not Sure"(attach additional pages as needed to provide complete information). (Primary Applicant) Illllllllllllllllllllllilllllllllllllllllllllllilillll'1IIllllll CAINDAPP 4/11 Page 9a 1U2138 6 6/12 AIR CONDITIONING & HEATING JOB ORDER FORM FOR BUILDING PERMITS Job Nuniaer: �% A+ HD W C DATE: Job Name: �2 % �2 , �� 1 G�(S ��i( Contractor: A Plus Heating &A/C Address: Phone: (714) 901-0500 City: �'� �IS/lU\� ZIP CODE: 6A )6'�V' Fax: (714) 901-1958 Phone: CITY OF ❑ COUNTY OF ❑STATE OF CALIFORNIA RESIDENTIAL HVAC INSTALLATION CONDENSOR INFORMATION— FURNACE INFORMATION Installation: (Circle One) NEW (REPLAC�) Installation: (Circle One) NEW REPLAC 1 Size (tons) Tons Gas Pack Type: XL8 XR95 XV95 Other Type: XL14c R1 XL15i Other Coil: Tons c� Make: TRANE Model #: BTU: _( 2n) �C AFUE: Sound Rating: Location: 1 S �G-�E Location: 7 Type of Installation: �lM�► New Ducts: (Circle One) YES NO How Many: Over 40': YES OR NO PERMITS TO PULL: [MECHANICAL ❑ELECTRICAL ❑ELECTRICAL PGRADE ElPLUMBING AMPS Type of Home: (1 story 2 stor , mobile, condo, etc.) Place "O "where A/C unit is located. 220 Sq Ft: Place "0 "where fence or gate is located, if any. DISTANCE FROM A/C TO SIDE PROPERTY LINEN HOA: YES NO DISTANCE ERQM-A/-C TO BACK PROPERTY LINE: Mobile Home: HOMEOWNER'S APPROVAL FOR LOCATION OF A/C (MAKE NOTE OF A/C UNITS DIMENSIONS): Decal/Plate# _ Serial# Make/Model : DATE: C `z_-