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Home My WebLink AboutDEL BRIENZA 28_12-00001043 CITY OF LAKE VLSlA0P-,,E BUILDING & �'�=-�' DREAM E�CTtaEMETM 130 South Main Street PERMIT PERMIT NO: 12-00001043 DATE: 8/15/12 JOB ADDRESS . . . . . 28 DEL BRIENZA DESCRIPTION OF WORK MECHANICAL PERMIT OWNER CONTRACTOR SHEPARDSON BENJAMIN A PLUS HEATING & A/C SHEPARDSON GLORIA 11330 KNOTT STREET 28 DEL BRIENZA GARDEN GROVE CA 92841 LAKE ELSINORE CA 92530 714-901-0500 LIC EXP 0/00/00 A. P. # . . . . . 363-411-008 0 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 e CS Et Tom: IF DrdEr.. 1 SPECIAL NOTES & CONDITIONS E/15/12 15 iaeipt no: 691 REPLACE HVAC 2012 l0q3 i Tr s nr : 153186 Tras date: 8/15/2 Tim: 14:f:13 City of Lake Elsinore Please read and initial Building Safety Division 1.1 am Licensed under the provisions of Business and professional Code Section 7000�t seq.an:' my license is in full force. Post in conspicuous place _2.1,as owner of the property,or my employees w/wages as their sole compensation will do the work on the job and the structure iS iivi intended or Offered for sale. 4 Teas owner of the property am exclusively vel y contr„cting`:ith 1; eased contractors to construct the You must furnish PERMIT NUMBER and the VL project. T(l A Ll71Di7C4 F—r Ga5.11 M �3�I' te 1.S�i InJg'Gdt1Vi I \�l I a have a certificate of consent to self nsure or a Certificate of LITOiKerS i:Unlpen$aii0il iilStira➢iCC i re G j v Apprvved plaits must ue On job 0 or a certified copy thereof. at all times: 5.I 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, Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked. ELO1 T eiiiporaiy Electric Service ------ ------ PLO1. Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 ISlab Grade PLO Underground Water Pipe SSO1 Rough Septic System SWO1 On Site Sewer BP05 Floor Joists _BP05 Floor Sheathing BP07 JRoof Framing BPO8 Roof Sheathing BP09 Shear Wall&Pre-Lath V, PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 lRough Electric/ T-Bar ME01 jRough Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP10 Framing&Flashing BP12 linsulation BP13 Drywall Nailing BP11 Lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 IFinal Mechanical BP99 Final Building Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Ynspector Department Approval required prior to the P001 Pool Steel Rein./Forms building being released by the City POO1 Pool Plumbing/Pressure Test P003 Pre-Gunite Approval Date Inspector EL06 lRough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing/Gates/Alarms Finance P005 Pre-Plaster Approval Engineering P009 Final Pool/Spa ...... .__.. .... - CIT`r OF LADE LS11-10PE DREAM EXTREME TM 130 South Main Street APPLICATION It APPLICATION FOR PERMIT APPLIC TION AP# BY: ELECTRICAL I PLUMBING/MECHANICAL BUILDING ADDRESS I hereby certify that i have read this application and state that the above information is correct.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-mentioned 0 NAMF pr el y for inspection purpose W 1(Or1� t` `�{� N AILING j�H (�1= l E ADDRESS 2e DC- gr e vi-2--1 (J t^ F R Cl. Y g STATE/ZIPSi nature of Applicant or Agent Date Q dam! 6'4 1 hereby affirm that lam licensed under the provisions of Chapter 9(commencing C with Section 7000)of Division 3 of the Business and Professions Code,and illy -Cle()Ile)) O license is in full force and effect. AGENT FOR: CON"1'RACTQ( it OWNER N LiCENSE It 'lk 31<`� CITY BUSINESS T AND CLASS L— Zo TAX# AGENT'S NAME R NAME I /) to A i _`P( 1S �Uf17/'7dJ,1�7%4 /_'' AGENT'S ADDRISS._L� -_v _l!!7i! �GI t �'" C MAILING street city slime _ rip T ADDRESS O Cp-y STATE/ZiP PHONE 21y.q,11 (/' ( R Gt v f I'1 6 vo vf- Gj 2 liw/ CONTRACTOR'S SIGNATURE - C n ELECTRICAL Quail PLUMBING Quail MECHANICAL Quan New Res. Multi Family/SQ.FT. Fixture or Trap F.A.U./Furnace/Ducts/Vents New Res.Single Family/SQ. F-l'. Building Sewer F.A.U./Furnace/Misc./> 100000 Pool Electric System, Private Rain Water System per Drain Floor Furnace/Vent Switches/ 1st 20 Private Septic System Unit Heater/Wall Heater Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent Receptacle Outlet 11st 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 Ilood Residential Fixed Appliance/Outlet Solar Collector per Panel Fireplace Non-Residential Appliance/Outlet Grease'Prap/(Interceptor) Commercial Incinerator 100-200 Amp Service<600V Install,Alter or Repair System Air Handier> 10000 CFM 200- 1000 Amp Service<600V Lawn Sprinkler System Air Handler< 10000 CFM Misc.Apparatus,Conduits,Etc. Backtlow Device Smaller than 2" Fire Dampers Signs Backflow Device Larger than 2" Registers Sign Branch Circuit Floor Drain Compressor/I-Ieatpurnp-3 H.P. Busways/EA 100 F1' Floor Sink Compressor/Heatpump 3- 15 I-I.P. P Temporary Power Service Water Service Compressor/Heatpump 15-30 H.P. Temporary Power Distribution System Alter or Repair Drain or Vent 1compressor/Heatpump 30-50 H.P. Motors/Transformers Fire Sprinklers per Building Repair/Alter Misc.IIVAC Motors up to 1 ELP. Swimming Pool Compressor J Heatpump Over 50 1-I.P. Motors/Transformers 1 - 10 H.P. Swimming Pool/Public Motors/Transformers 10-50 H.I'. 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#: 28 DEL BRIENZA Lake Elsinore, CA 92532 City of Lake Elsinore Aug 14, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑Package Unit [0 Furnace E3 AFUE 7 % ❑COP [a Setback p Indoor Coil p SEER 13.0 ❑ sf HSPF ❑R 6(CZ 10-13) Served system If not already present, must be 2 Condensing Unit [IEER ❑Resistance ❑R 8 (CZ 14-15) 3100 installed) ❑Other 1.Equipment Type:Choose the equipment being installed;if more than one system, use another CF-1 R-ALT-HVAC for each system. 2.Minimum Equipment Efficiencies: 13 SEER, 78010 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 Exempted from 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 1713. Existing duct systems are constructed, insulated or sealed with asbestos ❑4. The system grill not be Ducted (ie. Ductless Mini-Split System);(Also Exempt from Refrigerant Charge) ❑2. New HVAC System Required Forms: .Cut in"or Changeout with, CF-6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and new ducts; (all new MECH-257H,ERS ducting all new equipment) CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 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 113. 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 ❑4. New Ducting over 40 feet Required Forms: .Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-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: Aug 14, 2012 Address: 11330 KNOTT STREET License: 763154 City/State/Zip: GARDEN GROVE/CA/ 92841 Phone: (714) 901-0500 Reg: 212-A0044197A-00000000-0000 Registration Date/Time: 2012/08/14 13:27:39 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010