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Home My WebLink AboutH2018-0603 - Permitsw>r City of Newport Beach - Building° Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIII FEES 100 Civic Center Drive, Newporte9eaeh, Ctb 916661 FurnacesBoilers & Compressors H 2 0 1 8 0 6 0 3 '.n Permit Counter Phone (949)644,3288 0 emo e e e mem em a g o o moo m a m e m •m • o m o ee e e 0 0 0 • e m e e e • o e Job Address: 444 SERRADR Bldg:,FYoorr° Stile: $0.00 Description of Work: MECH -A/C CON DENSOR *TAMPER-RESISTANT CAP REQUIRED* Inspector Area:5 Code Edit: 2016 $0.00 Legal Description: N TR 1237 LOT 53 0 $0.00 Owner: SAMIS DONALD B Contractor: PRECISION COMFORT SYSTEMS Address: 444 SERRA DR Address: 3121 ROWENA DR CORONA DEL MAR, CA 92625 LOS ALAMITOS, CA 90720 Phone: Phone: 714-421-1815 Con State Lic: 956819 Issued Date:09/25/2018 Lic Expire: 01/31/2019 Bus Lic: BT30063381 Processed By: Lic Exp Date: 06/30/2019 MECHANICAL Permit: H2O18-0603 Project No: Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : EXEMPT Policy No: NO EMPLOYEES Expire : HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $16.53 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AAA54BA003 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $110.53 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. )INNER -BUILDER DECLARATION •• ... . . .. .. ... I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) ir;Jk!ted.hela'w 6y the cheakmarl(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dish, (Ir ripror *y strpctyre, j]rior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License tEw J(9ltapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions.4 Ahe work, antilge structure ie r&ot in1%nded or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througA Employe€s' pFreftnal Effort, bulds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement i5 sold within one year of cdrtTpleyT 1, the Ovynter-;t:ider willl haw*t he burden of proving that it was not built or n roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal[) ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature sof Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions and m license is in full force nd effect. F//p ,!cense Class License No Date ZdG l" Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'; FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the work for which this permit is issued. Policy No. ]I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Isurance carrier and policy number are: Policy Number Expiration Date of rtify that, in the pert ante of th work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre If I should become 'e t sats provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. / nature of Applica Date 12-11 CLARATION REGARDING CONSTRUCTION LENDI AGENCY ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have is correct. I agree to comply with all applicable city and cou ordinances nd state laws relating to building construction. I authorize representatives of this city or count t en r the a - to lei property for inspection purposes. nature of ProDertv Owner or Authorized AGent _ Print Property Owner's or Authorized Agent's Name A6 `��cta(Lk Date z-s?'l ACTION DATE SY r+tc.Lsrrwrrvry Ur uwmruwrruc YWrn wuc ur FEDERAL REGULATIONSPART 61 OFTfRE40AND PERMITEXPIRED AQMDRDLE1493. I SUUWTTEDASBESTOS NO7/FICATON TO: PERM/TCA.NCELLEO ❑ EPA PERMITEXTENDED ❑ AQMD [3 ASBESTOS PERMITFINAL / 1 cl PX— PROPOSED DEMO TION.TIONIS NOT APPLICABLE TO OCCUPANCYISSUED 11 SIGNATURE. CERTIFICATE OF COMPLIANCE �A20tg - OlQ 03 LI L M Svm -Dr CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) Project Name: Don & Grace Samis Date Prepared: 2018-09-251 A. General Information CF1R-ALT-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 Don & Grace Samis 02 Date Prepared 2018-09-25 03 Project Location 444 Serra Drive 04 Building Type Single family 05 CA City Corona del Mar 06 Dwelling Unit Name Don & Grace Samis 07 Zip Code 92625 08 Dwelling Unit Conditioned 2170 > A s- y Floor Area (W) SC System SC System CFA served system a refrigerant Number of Space Installing 09 Climate Zone E�' ' 6- 10 Conditioning (SC) Systems in 1 ducted containing system more than 40 this Dwelling Unit: entirely new a a 7r. t fl fi B. Space Conditioning (SC) System Information a if N r y(p F 01 02 „ 03 .ems 04 NRl fir rsp: 05 fld-'... V `k N d6 2p 8 ' r d8 'V9 10 s o (3 the SCP': CYalling°a > A s- y SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area bythis 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 7Mmystem Home 2170 Yes Yes Yes No No No Altered space 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: 218-A020266131A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2018-09-25 06:27:11 Report Version: 2018.0.001 Schema Version: rev 20180426 HERS Provider: CaICERTS Report Generated: 2018-09-25 06:26:58 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -3R -ALT -HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E 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 No Heating This field or This field or Central split All new This field or This field or Main System furnace Component section is not section is not AC cooling SEER 14.5 Setback section is not section is not Altered applicable applicable components applicable applicable Reoulne Documentation: CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supplj; * and return -air ducts or plenums: R6 (CZ 1-10,12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H - Duct Leakage Test required witeil Treating or cooling components are installed in ducted systems, or when more than 40 ft of duct length Is replaced -Leakage rate compliance: <=15 percent or <=10 percent leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification requ{red when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate > aP0 GFMpertori required-,WhggWCH25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempf'from MCH 20 Duct Leakage �Tega g�gyggmlg�$ss.. - f -Heating-only systems and Air Handler Furnace changesdo not reyuirevenficat of Alr Floyv MC 23 i�r'Re OYo'6t Chd eivt �.125� NI,,. '�°u"r -Existing duct systems constructed, insulated orsealedwithasliasto areexem from Md1- u L age Test[ r uiwm -'{;.---------------- ' ::. ::Aw, ,Tm. •• E�:. ;•�M :Eit[ la,,:. , a i f t � . .: vF`i$F1'a,: „r m-^ r •,ms'flflR,..:a:+�x s� :, ,, Ipq u '� E. Entirely New or Complete Repla4efrtent Du Stem, with or yftthoVt gtl'Ipment han eoutSections 150.2 b)1Dna and 150.2(b)lE, F) •• ar•s: This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C) This section does not apply to this project. Registration Number: 218-A020266131A-000-000-0000000-0000 Registration DateMme: 2018-09-25 06:27:11 HERS Provider: CaICERTS CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-09-25 06:26:58 Schema Version: rev 20180426 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 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Yosanovich, Dennis O('� Company: Signature Date: PRECISION COMFORT SYSTEMS 2018-09-25 06:27:11 Address: CEA/ HERS Certification Identification (if applicable): 3121 Rowena Drive Gty/State/Zip: Phone: Los Alamitos CA 90720 714-421-1815 Responsible Person's Declaration staterne, , I certify the following under penalty of perjury, under thea aws of the State of California: 1. The information provided on thisCertificate of Compliarice is trila and correct. 2. 1 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 co, Vents, and f!��anufac red d�ey1 es for the bmldjng,design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part I and Part,6 the Califotgla Cade la Ad f� : t 9 tk, 5 5 ';a of of ns s a �' m its 11 oinpllance 4. The building design features or system design features idsentlfied ort- his CertlReat tf rr( lance are; 1j,5tel ,t�mthe iRformatib,�t_provided or". threre A ble documents, worksheets, calculations, plans and specifications submittedto the atif rcemen ency fotJ v wit this bur ng peril t app lca[i 5"" R5. "..a. �� a ;. v �, S. I will ensure that a registered copy ofthis Cartlficiifjm ti{npliance lUk n'mad zit ler t�i`{(te ." owig pe'imit(kf lssu for'i,1191pi}il�,,ff rrg, an �i oda avaljabl€:tg$lie: nforcement agency for all applicable "3 inspections. I understand that a registered copy of this #icate of Compf�ance#s required to It included yjth theiJgcumentatlon$hepdilder p ,q des Ffvie buijy�ing owner at occupancy. .. Responsible Designer Name: �1 E;te. Respon(i�e Devgljer Signature: �' tr�+yj' f 7r/B!lllL?�7. SOR✓LB!//G�Y Yosanovich, Dennis Company: Date Signed: PRECISION COMFORT SYSTEMS 2018-09-25 06:27:11 Address: License: 3121 Rowena Drive 956819 City/State/Zip: Phone: Los Alamitos CA 90720 714-421-1815 Easy to Verify at CaICERTS com W60M. DigitallysignedbyCeICERTS. ThisdiyItaI signature isprovidedin orderto secure the content of this registered document and in noway impliesRegistration Provider responsibility for the accuracy of the information. Registration Number: 218-A020266131A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2018-09-2506:27:11 Report Version: 2018.0.001 Schema Version: rev 20180426 HERS Provider: CaICERTS Report Generated: 2018-09-25 06:26:58