HomeMy WebLinkAboutMAIN ST N 183CITY OF
LAKE C LSIIYOIjE
DREAM EXTREME,.
BUILDING & SAFETY
PERMIT
130 South Main Street
PERMIT NO: 12- 00000144 DATE: 2/14/12
JOB ADDRESS . . . . . 183 N MAIN ST
DUE
PERMIT FEES
DESCRIPTION OF WORK MECHANICAL PERMIT
137.50 00 137.50
OWNER
34.25
CONTRACTOR
34.25
OTHER FEES
CITY OF LAKE ELSINORE REDEVELO AMBER AIR CONDITIONING
00
130 S MAIN ST
PLAN RETENTION FEE
29885 2ND ST A
LAKE ELSINORE CA 92530 LAKE ELSINORE CA 92530
951 - 674 6974
LIC EXP 0 /00 /00
A.P.# . . . . . 374 173 -005 2 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . NA
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE'
BASE FEE 30.00
2.00 X 13.2500 FAU /FURNACE /DUCTS VENTS 26.50
2.00 X 16.2500 AIR HANDLER 10000 CFM 32.50
2.00 X 24.2500 COMPRESS /HEATPUMP 3 -15 HP 48.50
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
MECHANICAL PERMIT 137.50 00 137.50
PLUMBING PERMITS 34.25 00 34.25
OTHER FEES
PROF.DEV.FEE 2 TRADES 10.00 00 10.00
PLAN RETENTION FEE 52 00 52
TOTAL 182.27 .00 182.27
SPECIAL NOTES & CONDITIONS
HVAC REPLACEMENT
114/12 14
Total taikred
Total pa cmt
I ipt r o: 3179
El&.c7
1,Z7
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please read and initialLl. I am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my license is in full force. '
2. kas owner of the property,or my employees w /wages as their sole compensation will do the work
and the structure is not intended or offered for sale.
3. l,as owner of the property,am exclusively contracting with licensed contractors to construct the
project. project.
4. 1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
or a certified copy thereof.
5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation
Laws in the performance of the work for which this permit is issued.
Note: If you should become subject to Workers Compensation after making this certification,
you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELOI Temporary Electric Service
PLO Soil Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 IGrout
BP04 Slab Grade
PLOT Underground Water Pipe
SSOI Rough Septic System
SWOT On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 lRoof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T -Bar
MEO1 I Rough Mechanical
NIE02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP1O Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI 1 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityPOOIPoolSteelRein. / Forms
POOI 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
CITY -OF kill-
LADE ,LSINORT
LID FA AA G]/T l7 GAA G_.. 130 South Main Street
APPLICATION FORYJERMJT
ELECrsiate /
PLUMBI / MECHANICAL
I hereby ceve «'ad this application and state that the
above rotor rect. I agree to comply with all city and county
ordinances s relating to building construction, and hereby
au o e re s of this city to enter upon the above- mentioned
r pe fourposes.
v
ANPLICATION d
APPLICATION DATE.
APa By
BUILDING ADDRESS
TRACT BLOCKMAGE LOT /PARCEL
O
W
NAME.
N
E
MAILING
ADDRESS
PHONE
R CITY STAI L01'
Sig! re of Applicant or Agent Date
cle one)
AGENT FOR: CONTRACTOR OWNER
AGENT'S NAME
AGENTSADDRF.SS
street city slate zip
C
O
N
T
I hereby affirm that lam licensed under the provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code and my
license is in full rce and fie
LICENSE 49 '- . CITY BUSIN E'S
AND CLASS Gr TAYd -
R
A
NAMI]
C
T
SMILING
ADDRIS '
O
R
C I -' 71P PIiO E
CONTRACTOR'S SIGNATURE
ELECTRICAL Quan PLUMBING Quan M IiW I A NI CA L Quan
New Res. Multi Family / SQ. FT. Fixture or Trap P.A.U. / Fumace / Ducts / Vents
New Res, Single Family / SQ. F1. Building Sewer F.A.U. / Fumace / Misc. / > 100000
Pool Electric System, Private Rain Water System per Drain Floor Fumace / Vent
Switches / Ist 20 Private Septic System Unit Heater/ Wall Heater
Switches / Over 20 Water Heater / Vent Install / Relocate / Replace Vent
Receptacle Outlet/ Ist 20 Gas Piping System 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 Grease Trap / (Interceptor) Commercial Incinerator
100 - 200 Amp Service < 600V Install, Alter or Repair System Air Handler > 10000 CFM
200 - 1000 Amp Service < 600V lawn Sprinkler System Air Handler < 10000 CPM
Misc. Apparatus, Conduits, Fite. BackOow Device Smaller than 2" Fire Dampers
Signs Backflow Device Larger than 2" Registers
Sign Branch Circuit Floor Drain Compressor/ Heatpump - 3 H.P.
Busways / EA 100 I'l Flour Sink Compressor / Heatpump 3 - 15 I1. 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 Repair / Alter Misc, I IVAC
Motors up to I H.P. Swimming Pool Compressor / Heatpump Over 50 H.N.
Motors / Transfomters I - 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 N.P. Replace Piping
Replace Filter
Misc. Replace
Gas Piping
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-ALT-HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency: Date: Permit #:
183 N. Main St. Lake Elsinore, CA 92530 City of Lake Elsinore Feb 14, 2012
Duct insulation Conditioned Floor
Equipment Typel List Minimum Efficiency2 requirement Area Thermostat
D Package Unit
a Furnace D AFUE D COP
D R 6 (CZ 10 -13) Served by system R Setback
D Indoor Coil D SEER _ D HSPF
D R 8 (CZ 14 -15) 300 sf If not already present, must be
D Condensing Unit D EER D Resistance installed)
D 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 -1111
and CF -611 shall also be on site for final inspection.
8 1. HVAC Changeout Required Forms:
All HVAC EquipmentAl
CF -6R forms: MECH -04, ,,4_.-., + .,_P9 EXEMPTED and (for split systems) M=gal I& li°°°
replaced
EXEMPTED
CF -4R forms: P499H 21 EXEMPTED I11NOand (for split systems) p4rgw ;IF EXEMPTED
Condenser Coil and /or CF -611 forms: MECH -04, ;4LC:r; -14=q° EXEMPTED and (for split systems) p4rig_., ;_ .,_ =_r,__=
Indoor Coil and /or EXEMPTED
Furnace CF -4R forms: P4F(=H -;Ij EXEMPTED and (for split systems) ^42= EXEMPTED
For Split Systems: Duct leakage < 15 percent; RC, CCA < 300 CFM /ton (Minimum Air Flow Requirement), TMAH
e_. n - , - 19 .. elvited
Exempted from duct leakage testing if:
D 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
D 2. Duct systems with less than 40 linear feet in unconditioned space, or
113. Existing duct systems are.construct6d( insulated `ocseale9 with asbestos ,
4. Tlie'system ;will not be Ducted,(le /buctless mini-split System) (Also)Exempt from Refrigerant Charge)
D 2. New HVAC Systemr' Required Forms: ! .-` y
Cut in or Changeout,with, CF- 6Riforms. MECH -04 M = ==`EXEMPTED, andl(for split systems) ^^_G14",.,' ,2 WW„R= "N `, Y
new ducts: (all new ! .fall 'new
EXEMPTED and RS EXEMPTED / ,. li.,? /,
equtpment) equipment)"
CF -4R forms. MECH 20, and (for split systems).,p EXEMPTED, and ° EXEMPTED%
For Split Systems: Duct leakage < 6 percent; RC, CCA 2 350 CFM /ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
D 3. New Ducts Required Forms:
with /or without
Replacement
Includes replacing or
installing all new
ducting and /or outdoor CF -6R forms: MECH -04, ti,E,A,a EXEMPTED, and (for split systems) p4EG11 2g W gRg EXEMPTED
condensing unit and /or CF -4R forms: r,29 EXEMPTED and fors lit systems) M=gH 2_ P Y ) r.R. - EXEMPTED
indoor coil and /or
furnace. No or some
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA ? 300 CFM /ton, TMAH
For Packaged Units: Duct leakage < 6 percent
D 4. New Ducting over Required Forms:
40 feet
Includes adding or
replacing more than 40 CF -6R forms: MECH- 04,p4F!GH 21:r EXEMPTED
linear feet of duct in CF -4R forms: n€ 1 EXEMPTED
unconditioned space.
For split system or packaged units: Duct leakage < 15 percent
D 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: Phil Minnis Signature: Phil Minnis
Reg: 212- A0008050A- 00000000 -0000 Registration Date /Time: 2012/02/14 12:45:41 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR- ALT -HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency: Date: Permit #:
183 N. Main St. Lake Elsinore, CA 92530 City of Lake Elsinore Feb 14, 2012
Duct insulation Conditioned Floor
Equipment Typel List Minimum Eficiency2 requirement Area Thermostat
Package Unit
Furnace AFUE COP _
0 R 6 (CZ 10 -13) Served by system 0 SetbackIndoorCoilSEER _ HSPF _
R 8 (CZ 14 -15) 2000 sf If not already present, must be
Condensing Unit EER Resistance 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 -1R
and CF -6R shall also be on site for final inspection.
1. HVAC Changeout lRequired Forms:
All HVAC Equipment CF -6R forms: MECH -04, ,r EXEMPTED and (far split systems) MECH -25 -HERS
replaced CF -4R forms: M,.,; Q 1 21 EXEMPTED 111NOand (for split systems) MECH -25
Condenser Coil and /or CF -6R forms: MECH -04, ^i_cm 21 HERS EXEMPTED and (for split systems) MECH -25 -HERS
Indoor Coil and /or CF -4R forms: MEN; 21 EXEMPTED and (for split systems) MECH -25
Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM /ton (Minimum Air Flow Requirement), TMAH
leakageExemptedfromduct testing if:
1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
lZ 2. Duct systems with less than 40 linear feet in unconditioned space, or
3. Existing duct systems are constructed, insulated or sealed with asbestos
4. The.system'will not be Ducted (ie..DudtlessrMini= SpliGSystem) -(Also Exempt: from:RefrigerantrCharge)
V"
1-12. New HVAC System Required Forms: v f - j t,
Cut infor Chan eout with9
r -;,? '
CF- 6R forms MECH 04 P* 20 and (for split systems) MECH -22 HERS, and
new ducts: (all new r
MECH_r'25' -HERS
ducting and all new I fj CF74R. forms: MECH ±20 and (for split systems) MECH -22, and MECH_ -25 7 f / equipment)._f F,, IW
For Split Systems: Duct leakage < 6 percent; RC, CCA ? 350 CFM /ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
0 3. New Ducts with /or without Required Forms:
Replacement
Includes replacing or installing all
new ducting and /or outdoor CF -6R forms: MECH -04, ^i. 29 HERS EXEMPTED, and (for split systems) MECH -25 -HERS
condensing unit and /or indoor coil CF -4R forms: RR„ 29 EXEMPTED and (for split systems) MECH -25
and /or furnace. No or some
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA ? 300 CFM /ton, TMAH
For Packaged Units: Duct leakage < 6 percent
4. New Ducting over 40 feet lRequired Forms:
Includes adding or replacing more CF -6R forms: MECH -04, P4VCH ;24 WERR EXEMPTED
than 40 linear feet of duct in CF -4R forms: :4`m. 21 EXEMPTED
unconditioned space.
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: Phil Minnis Signature: Phil Minnis
Company: AMBER AIR CONDITIONING INC Date: Feb 14, 2012
Aess: 29685 2ND STREET UNIT A & Bddr License: 621742
City /State /Zip: LAKE ELSINORE / CA / 92532 Phone: (951) 674 -6974
Reg: 212- A0008072A- 00000000 -0000 Registration Date /Time: 2012/02/14 12:51:02 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010