Attachment B - Kitchen HVAC Plans

Description

ATTACHMENT B - KITCHEN HVAC PLANS Bid No. 2023-24(B9) SEMHS Kitchen HVAC El Monte Union High School District Attachment B – Kitchen HVAC Plans Page 1 140 APPLICATION FOR SUBMITTAL OF POST-APPROVAL DOCUMENT This application is for submittal of documents, after the initial approval of the project (post-approval documents), that require Division of the State Architect (DSA) review and approval.This form shall be completed by the Design Professional in General Responsible Charge of the project, in accordance with California Code of Regulations, Title 24, Part 1, Sections 4-317, 4-323 and 4-338 and in compliance with DSA IR A-6: Construction Change Document Submittal and Approval Process. DSA documents referenced within this form are available on the DSA Forms or DSA Publications webpages. ✔ No ☐) 1. SUBMITTAL TYPE: (Is this a resubmittal? Yes☐ Addendum Number: Deferred Submittal ☐ Revision Number: CCD Number: 021 ✔ or B ☐ Category A ☐ 2. PROJECT INFORMATION: School District/Owner: El Monte Union High School District DSA File Number: Project Name/School: South El Monte High School Modernization DSA Application Number: 03 3. APPLICANT INFORMATION: ✔ Number of pages? Attached Pages? No ☐ Yes ☐ Date Submitted: 11/28/23 Firm Name: DLR Group Contact Name: Hernan Chavez Work Email: hchavez@dlrgroup.com Work Phone: (951) 300-0253 Firm Address: 1650 Spruce Street, Suite 300 City: Riverside 19 H10 122081 16 State: CA Zip Code: 92507 4. REASON FOR SUBMITTAL: (Check applicable boxes) ☐ For revision or addendum prior to construction. ✔ For a project currently under construction. ☐ ☐ For a project that has a form DSA 301-N: Notification of Requirement for Certification, DSA 301-P: Posted Notification of Requirement for Certification or a 90-Day Letter issued. ☐ To obtain DSA approval of an existing uncertified building or buildings. ☐ For Category B CCD this is: ☐ a voluntary submittal, ☐ a DSA required submittal (attach DSA notice requiring submission). 5. DESIGN PROFESSIONAL IN GENERAL RESPONSIBLE CHARGE: Name of the Design Professional In General Responsible Charge: Jesse Miller Professional License Number: C-32306 Discipline: Architect Design Professional in General Responsible Charge Statement: The attached post-approval documents have been examined by me for design intent and appear to meet the appropriate requirements of Title 24, California Code of Regulations and the project specifications.