HomeMy WebLinkAboutH2019-0424 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
H2O19-0424
MECHANICAL Permit: H2O19-0424
Project No:
Inspection Requests Phone (949)644-3255
Job Address: 4512 WAYNE RD BIdg:1 Floor: Suite:
Description of Work: MECH/CHANGE OUT F.A.0 & INSTALL NEW A/C UNIT 41.5dB W/DUCT WORK (DAY&NIGHT; N8MXL-0902120A)
Inspector Area:5 Code Edit: 2016
Legal Description: N TR 3519 LOT 97
Owner: EPP
Contractor:
BASIC AIR INC
Address: 4512 WAYNE RD
Address:
1157 SALINAS AVENUE
CORONA DEL MAR, CA 92625
COSTA MESA CA92626
Phone:
Phone:
714.469-4542
Ventilation
Con State Lic:
909834
Issued Date:07/16/2019
Lic Expire:
01/31/2020
- t�-+�n,,"/�
Bus Lic:
BT30045172
Processed By: �..../ r Q,
Lic Exp Date:
10/31/2019
i
Worker's Comp Insurance -
Carrier: AOK RIVER INS
Policy No: BAWC917646
Expire :10/2212019
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 10oK BTU/hr:
1
$19.00
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 $35.00
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 :
$30.45
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:
1 $19.00
Model
Issuance:
$35.00
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:
$40.00
TOTAL:
$178.45
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$178.45
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.
0 0 roc
0 0
0 om c0 0
0
0
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0 0 00 000 oo0 00
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OWNER -BUILDER DECLARATION
1 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
the 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 7006) of Division 3 of the Business and
Professions 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
not more than five hundred dollars ($500).
❑ 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,
Business 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
improvements 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 it was not built or
improved for the purpose of sale). -- -
❑ 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
apply 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:
By 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
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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 Professions ode, nd my tic a is in full force
and effect.
License Class License No Date -7 114111 Contractor Signatur
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($100,0001, IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
ormance of the work for which this permit is issued. Policy No.
have and wilrPRpintain works�s..�ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
rance carrier olicy numat acre:
bar Expiration Date
>c
of Agent (� Po y u Phone #
JI certify that, in the performance of the work for which this i5ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
iat, if I should become ts�u/plect to the
/work s' c mpenssaautionn-erovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
A
signature of Applicant 1 / /v.�,� Dat ( -711(o 9
rECLARATION REGAKDfRG CO TRUCTION LE GENCY
hereby affirm under penalty of perjury that there construction lending agency for the performance of the work for which this permit is iss- (Section 3097, Civil Code).
Ender's Name Lender's Address
sy 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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county tq enter the above= ntified property for inspection purposes.
signature of Property Owner or Authorized Agen Print Property_ Owner's or Authorized Agent's Name
ACTION DATE
BY
DECLARATION OF COMPUANCEVVITH CODE OF
FOR OFRCEUSE ONLY
FEDERAL REGULATIONS PART Of OF TITLE40AND
AQMDRULE1403.
PERMITEXPIRED
0 I SUHMLTTEDASBE!iTOSN07TFtCATfON TO:
❑ EPA•
•.• ❑. AQti$D
A0 ESTE DEfAOUTlifoll7 NIS NOT APPLICABLE TO
PERMdT CANCELLED
PERAVTEXTENDED
PERMIT FINAL !
•
CERTIFICAT€OF
OCCUPANCYISSUED
SIGNATURE: �.•
•
2010- 0H2� ,/ x@502 WMne PA
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 1 of 3)
Project Name: .b'Z. !tut. V4a 4512 Wayne Rd., I Date Prepared: 2019-07-11
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
4512 Wayne Rd.,
02
Date Prepared 2019-07-11
03
Project Location
4512 Wayne Rd.,
04
Building Type Single family ---
05
CA City
Corona del Mar
06
Dwelling Unit Name 4512 Wayne Rd.,
07
Zip Code
92625
08
Dwelling Unit Conditioned 2800
Floor Area (ft)
installi "} sa
^• "
., "IJ
Number of Space
09
Climate Zone
6.' - - ..
30
Conditioning (SC) Systems in 1
refrigerant
Installing new SC
Installing
Installing
this Dwelling Unit:
11 0111•_1 IN ifi "'itc' a iq,.:...,E. .Eli'
y„x• ...ii i•, I Et,x,� iif�
B. Space Conditioning (SC) System Information
11k.
r,xx,E,
int ,,. in. Ix i i3 f�i 1• ,ax
O1
02
,4
03 •�
i•. •x,sE1H1N
t.,4. 04
nn11 ,�
OS,.w
ii+.. it.
O6
ii -
071 x�
,�� 08
' .11111. 09
10
M
�
the S
installi "} sa
^• "
., "IJ
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
FSystem 1
Whole House
2800
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: 219-A020155683A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
+
Registration Date/Time: 201911-11 14:18:34
Jfeport �ersior: 2,`48.0.001. ,
cher fa Ve s:'omev 20480425
cc oc c
HERS Provider: CalCERTS
Report Generated: 2019-07-11 14:18:03
CERTIFICATE OF COMPLIANCE
CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
(Page 2 of 3)
D. Altered Space Conditioning System (Sections 15O.2(b)lE and F)
O1
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
All new
All new
This field or
This field or
System 1
Central gas
heating
AFUE
80
Central split
cooling
SEER
14
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air 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 when heating or cooling components are installed In ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: c=15 percent or a=10 percent 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.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from ,MWH 20 Duct Leakage Tess pg rapwremei,<ts. ixs f,NGlp
-Heating-only systems and Air Handier Furnace changes do not require venbcatdi Xir Flow MCRR'23;k�V'WRef� e7 nt Cha eM H25�
-Existing duct systems constructed, insulated or sealed with asbestos are exem from MCN` `kDut4 Ld'�I�cage Testing f "quillm ' ; lillNl#
r ll! � H 94,
!!'1;.r i it "A' l#k;..
H�3 � rzk
E. Entirely New or Complete Replacement Duch" item, with }or uyithout,Equipment Chlpngle iut)(Section i'5,O.2 )ID!ip and 5O.2(b)1E, F)
1-4i
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: 219-A020155683A-000-000-0000000-0000
CA Building Energy Efficiency Standards- 2016 Residential Compliance
Registration Date/Time: 2019-G7-11 14:18:34
VGrsik�nt 201ir0.001c
Rtpor
�ScheRt$ Vev 1018042E
HERS Provider: CaICERTS
Report Generated: 2019-07-11 14:18:03
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: //�
Samaniego, Jason
Company:
Signature Date:
Plus Air Dud Testing
2019-07-11 14:18:34
Address:
CEA/ HERS Certification Identification (if applicable):
6843 Regal Park Dr.
CC2005629
City/State/Zip:
Phone:
Fontana CA 92336
909-273-7272
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 Certificateof Compliance is true 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, corn onents, and anufact ed devices for the b'pildin design par system deli n identified on this Certificate of Compliance conform to the
,vas fYefua >hlulu� :n�EM- nutal�anrlu Ali.40
requirements of Title 24, Part 1 and Part 6•of the CaliforniaLode oft a(ions Ihr
1� p
I
'm
,4.
i ��Om
The buildin desi n features or s stem desi n features i nnfied o his Cernfi�a f lance are tory. the i ormaF' rovided o' t ca
liance documents worksheets8 g Y g A,43!§ ,. fR 'gpIP P ,
calculations, plans and specifications submitted to theorcgwithis bml mg pera�picati't�
it,
AI5. 1 will ensure that a registered copy of this Certrf¢ C pliance s �ll74ai {1 all le;yk itl7p tltlipg pit(Lsll: issu`etl forCtllg}; it """�t(,g, an 1 a ova ab tfuti d nforcement agency for all applicable
inspections. I understand that a registered copy of thi Cate of Compliancep,5,requlflld to be„induded)yf h thee„Q,ocumg,{Llption, helbiYil ler p�pyides tpIbe b�ll,Qing owner at occupancy.
Responsible Designer Name:
Samaniego, Jason
Respon able Designer Signature: Vr ill//�
Company:
Date Signed:
Plus Air Duct Testing
2019-07-11 14:18:34
Address:
License:
6843 Regal Park Dr.
909834
City/State/Zip:
Phone:
Fontana CA 92336
909-273-7272
0 0
Easy to Verify �
at CaICERTS.com t
c
Digitally signed by CaICERTS. This digital signature isprovided in order to secure the content of this registe(ed tr'acument anil in nv wsyimpl&s'
Registration Provtderresponsihility for the accuracyafthe informatort�
Registration Number: 219-A020155683A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2019-07-11 14:18:34
Report Vefsi(.081
6ch,.:m`d�Version: rear 2010426(
HERS Provider: CalCERTS
Report Generated: 2019-07-11 14:18:03
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