HomeMy WebLinkAboutH2018-0403 - Permits9City of Newport Beach - Building Division MECHANICAL Permit: H2018-0403
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 4 0 3 Project No:
x Permit Counter Phone (949)644-3288
��i x Inspection Requests Phone (949)644-3255
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Job Address: 218 HELIOTROPE AVE BIdg:1 Floor: Suite:
Description of Work: MECH/CHANGE OUT (E) F.A.U. & AIC 45dB (LENNOX; EL16XC1-042)
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Inspector Area:5 Code Edit: 2016";,".,
Legal Description: RESUB OF CORONA DEL MAR LOT 12 ELK 35 NELY 20 FT(AND SWLY 20:
FT LOT PTA
Owner: UEBERROTH LINDSEY Contractor: TRITON AIR INC Worker's Comp Insurance -
Address: 218 HELIOTROPE AVE Address: 1221 PUERTA DEL SOL #300 Carrier: CA INS COMPANY
CORONA DEL MAR, CA 92625 SAN CLEMENTE CA 92673 Policy No: 3725618901
Phone: Phone: 949-492-0290 Expire :04/10/2019
Con State Lic: 774877
Issued Date:07/10/2018 Lic Expire: 06/30/2020
Bus Lic: BT30042558
Processed By: dmoo� Lic Exp Date: 03/31/2019 HERS VERIFICATION REQ
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
1 $18.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers: 0
$0.00
$0.00
Over 100K BTU/hr:
0 $0.00
> 3 HP to 15 HP:
1
$33.00
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:
$28.70
Investigation:
$0.00
Over 500K BTU/hr:
0 $0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1M BTU/hr:
0 $0.00
up to 1 O CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$33.00
Up to 1.75M BTU/hr:
0 $0.00
Over 1 O CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0 $0.00
VAV Box:
0
$0.00
Zoning PC:
$37.50
TOTAL: $150.20
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$150.20
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE.OR DIST VALID INSPECTION
Construction Hours: Monday - Fw day 7:00 A.ai.to @:30 p.01.and Saturday from 8:00 a.m. to 6:00 p.m.
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)INNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(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, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the. Contractors' State License Law (Chapter 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
got more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that 1t was not built or
nproved for the purpose of sale).
7 I, 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).
1 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 legally
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. of 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 Pro ssions ode, and my license is in full force
nd effect.
icense Class License No Date dZA� Contractor Signatur
UORKERS' 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 ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the followi" 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 IN
erf mance of the work for which this permit is issued. Policy No.
have and will it a�I�tain 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' compensatior
surance carrier anADblicv number ara-C
Tier -RcyYr
Expiration Date
ne of Agent I
Phone #
certify that, in the performance of the 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 agrer
I. if I should gubje to the ors' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro isipns./
pbpecome
nature ofA licant\X/ a
CLARATION REG R G CqNSTRLICTION LENDING AGENCY
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:reby 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county or finances and state laws relating to building construction.
I authorize representatives of this city or county to en r abo e -identified
property for inspection purposes. _
nature of Property Owner or Authorized A ent
Print Property Owner's or Authorized Agent's Name Da
ACTION DATE BY
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CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name:
218 Heliotrope Ave I Date Prepared: 2018-06-25
A. General Information
CFIR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
218 Heliotrope Ave
02
Date Prepared
2018-06-25
03
Project Location
218 Heliotrope Ave
04
Building Type
Single family
05
CA City
Corona Del Mar
06
Dwelling Unit Name
218 Heliotrope Ave
SC System
SC System
CFA served
system a
Dwelling UnitConditioned4570
Installing new SC
07
Zip Code
92625
081
Floor Area (ft )
Location or Area
by this SC
ducted
containing
system
Number of Space
entirely new
09
Climate Zone
6
10
Conditioning (SC) Systems in
1
component?
components?
feet of ducts?
duct system?
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04
05 "
06
07
08
09
10
Is the SC
Installing a
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this 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
system 1
Main
4570
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 418-A020043914A-000.000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Di tQ/T,.r'rre: 2018-06-25 13:20:47
Report /er✓io;i
20 006
o ° Scmma Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-06-25 13:20:48
CERTIFICATE OF COMPLIANCE
CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
All new
Central split
All new
This field or
This field or
system 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
14
Setback
section is not
section Is not
components
components
applicable
applicable
Reaulred Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct Insulation requirement forthe new portions of supply -air and return -air ducts or plenums: R6 (CZ 140, 12 and 33) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are Installed In ducted. systems, or when more than 40 ft of duct length Is replaced
-Leakage rate compliance: <= 15% or <=10%leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are Installed or altered (applicable In CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required
Exceptlons:
- Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
- Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, Insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number:418-A020043914A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Da€E:/Ti�de; 2018-06-25 13:20:47
c<c o
RSp`ort Var Eiorl, �291k.Z.1706
`°Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-06-25 13:20:48
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:
Shannon Phillips
sharwwwPha4k
Company:
Signature Date:
We Green, Inc.
2018-06-25
Address:
CEA/ HERS Certification Identification (If applicable):
3645 Ruffin Road #330
RCN13045
City/State/Zip: :.
Phone:
San Diego CA 92123
888-991.4377
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The Information provided on this Certificate of Compliance Is true and correct.
2. I 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 deslgner).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations, _
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) Issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be Included with the documentation the builder provides to the building owner at occupancy,
Responsible Designer Name:
Responsible Designer Signature:
Deborah Allen
De wahAUe
Company:
Date Signed:
Triton Air
2018-06.25
Address:
License:
1221 Puerta Del Sol #300
774877
Clty/State/Zip:
Phone:
San Clemente CA 92673
949-492-0290
Digitally signed by CHEERST", This dip/tal signature is providpd`in er`ltocsecu/+e-the`cAtent of this registered
document, and in no way Implies Registration ProvidN .%srcnsib/lror the accuracy of the Information.
Registration Number: 418-A020043914A-000.000.0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Da4e/Ti`!fie• 2018-06-25 13:20:47
Report F:erviorL: e291(r.2..`b06
-Schemaersion: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-06-25 13:20:48
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