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Home My WebLink AboutX2022-0253 - PermitsUG",il 1101A -City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 CCombination Type - SFP ELEC MECH PLUM Illlllllllllllllllllllllllllllllllllllllllllu II COMB Permit: X2022-0253 x 2 0 2 2 0 2 5 3Y Project No : 2836-2021 Issued Date : 02/08/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/08/2025 OR PERMIT WILL BE INVALID 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. No work on Sundays or -Holidays Job Address: 254 DRIFTWOOD RD NB Description: DELTA 1 -NEW HEADER & PATIO DOOR, NEW HEADER & GAR DOOR. 2 NEW BEAMS & POST IN KIT. BATH ALTERATION Legal Desc.: N TR 1116 LOT 25 Owner: HAUSER E WILLIAM Contractor: E H MASONRY Architect: WITTEVEEN RONALD GARY Address: 128 KINGS PL Address: 14212 AGAVE ST Address: 20032 SANTIAGO CANYON RD NEWPORT BEACH CA 92663 MORENO VALLEY CA 92553 ORANGE CA 92869 Phone: Phone: 951-534-8184 Phone: 714-642-3248 State Lic:C030197 Applicant: HUERTA-RODRIGUEZ EUFEMIO Con State Lie: 1045754 Engineer: Address: Lie Expire: 10/31/2022 Address: Bus Lie: BT30075571 Phone: Lie Exp Date: 06/30/2022 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: NORGUARD INS CO Address: Occupancy Group: R3/U Policy No: EUWC238886 Added /New sq.ft. Bldg: 0 Expire: 02/25/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Front: I Special Conditions: dfn No of Units: 1 Bldg Height: 0 Left: /�""` Bldg Sprinklers: Right: / Flood Zane: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,700.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $7.70 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $4.40 NMUSD Fee: $0.00 $0.00 Plumbing %: $9.90 $0.00 TOTAL FEE : $133.00 Plan Check Fee : $133.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: r:UBLIC WORKS APPROVAL: PLAN CHECK BY: X JL� APP^OVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a reasons) 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 he 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 iot 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 U 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 it was not built or n roved 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 Ipply 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). 7 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 Iegall� 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. tignature 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 Professions Code, anrj my license is in full force ind effect. License Class License No Dat� t6ontractor Signature I e VORKERS' COMPENSATION DECLARATION rARNING: 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 'GST GF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 Wormance of the work for which this permit is issued. Policy No. 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' -ance carrier and policy number are: Policy Number Expiration Date of Agent 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. re of Date areby 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). ;der'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 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 to enter thegabove-ide tified property for inspection purposes. nature of Property Owner or Authorized ADent Y l'� Print Prooertv Owner's or Authorized Agent's Name F7�� __ _ Date ACTION DATE BY REGULATIONS PART 610 TCOMPLIAIITE40AND AQMD RULECE WITH CODE OF FOR OFFICE USE ONLY PERMITEXPIRED LJ I SUBMITTED A3BE3TIJS NOTIFYAT!Or�TO � PERMIT CANCELLED EIEPA PERMITEXTENDED qMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITIORI. SIGNATURE: n/ STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification to CEC-CF2R-ALT-05-E (Revised 01/19) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 9 of 9) Proji,U N..,, 911ft10000(—tta2eln 1'IgNN Qfl Eef—run itt Ageo": OW of N[yw ort 5eolch-50114in V191(Itl PermB Npmhe[ Zo22- 025i )welliry Add,.: i54 flit ibopt U. city corom 1rl AI Zip Code 12toZ15 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: kluerFa EuFtwlio Documentation Author Signature: Documentation Author Company Naasanr I.LC, Date Signed: u115(EftL Address: MA 2. mue R. CEAMERS Certification Identification (If applicable): City/state/Zip: Phone: Marino all [ 42-553 51)53H -1 8 RESPONSIBLE P RSON'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 Installation is true and correct. 2. 1 am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4. 1 will ensure that a registered copy of this Certificate of Installation shall be posted or 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 Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/installer Name: Eur�j'eymo HverK Responsible Builder/installer Signature: Company Name: (installing Subcontgror GenqctorC[9,pilder/Owner) Position With Company)Title): OW of ill Address: 14112 491ae St. CSLBHcense: 1o45'154 City/State/Zip: Marmo Valleyrk 4LCJ53 Phone 1q5 491- 011v Date Signed: b l5 I Zoo z For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification to CEC-CF2R-ALT-05-E (Revised 01119) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-ALT-05-E Prescriptive Residential AlterationsThat Do Not Require HERS Field Verification (Page 6 off 9) Project Na.,: Uf if tocod -tt0.2M NA�oltielf Q ce Enforment Agenry{e tll. lVew Uri 6eiich - 13vil4irl lliyillurl Perml[Number: 2Q2Z� OZSJ Owelline Address: ts4 1141wood ea. uty cotom Lir I tr1 Zip Code �2,tol-6 I Fenestration L. Fenestration/Glazing 01 02 03 04 05 06 07 08 09 10 11 12 Tag/ID Manufacturer/ Brand Fenestratio n Area (W) Crientatio n Chromogenic U-factor U-factor Source SHGC SHGC Source Fenestration Type Exterior Shading Devices (Describe) Comments/Special Features Window Ply Gem 12 East o 0.30 NFCR 0.22 NFCR vinno coating None no grid design Window - A Ply Gem 12 East No 0.30 NFCR 0.22 NFCR vinyl coerable, None no grid design Door-5 Masonite 53.333 South No 0.29 NFCR 0.12 NFCR '"good, operable low-e coatis None duel pane, french patio door Door-5 Masonite 33.333 South Na 0.29 NFCR 0.12 NFCR wood, operable low-e coatings None dual pane, french patio door M. Fenestration/Glazing—Additional Requirements 01 For existing buildings the U-factor and SHGC values should be the same or better than the required Energy Commission prescriptive requirements. 02 Temporary labels should not be removed until verified by the building inspector. 03 The fenestration product manufacturer's installation specifications shall be followed when installing these products. The space between the fenestration product and rough opening shall be completely filled with insulation. If batt insulation is used, it is cut to size and placed properly around the fenestration product. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019 61OZ AJenuef aauelldwo0 le!luappay 6TOZ - spJepuelS ADua101113 A8Dau3 Swplmg VJ 'law uaaq aneq algel slgl ul sluawallnbai algeolldde lie leg; swJllle luawn0op aouelldwoo slgl uo DinleuBls s,uosJad alglsuodsaJ aql ,sluawaJlnbaJ aauewJopad wnwlulw saq!0ads auoz alew110 aql l! uana low 1003 a aneq of pannbaJ lou ale slow ssevy :aalealE in zjJ/qj SZ Joni ssevy £0 'b(!)g'011 uogaas wal eualuo uo!lellelsw ql!m Aldwoo lsnw sou!leoD pa!ldde plag p!nb!l Zo •sluawaJlnbaJ lo0y l000 anoge aq woJl ldwaxa ale slaued lewjagl Jelos pue slaued 31ell0^ologd palei0alu! Su!ppnq Aq paJanoD 2@,e low AuV 10 sluawaJlnbay leuolllppV (joog look) slnnpold Sulloog •N -law uaaq aneq algel slgl ul sluawaJlnbaJ alge0gdde lie leg; swJlye 4uawn0op a3uepdwo3 slyl uo amleuPls s,uosJad alglsuodsaJ aql '0ST:1 ueyl ssal sl eale aql JI law aq lsnw 1eg1 sluawaJ!nbaJ leuo!llppe Smelu0 Z Vied '%OS ue1410Jow ou pue %Ob;seal le aq lsnw uollelllu@A Jaddn aq1 uagl'OST:T uegl ssal sl eaJe EullepluaA aaJl lau ayl l!'S'Z IOA'Z1Jed 'bZ aIl!1 J0J ag11O Z'908y of uo!lda2x3 Jad :@ION s1uaA Jaddn to @BueJ VJN paJlnbaJ u!gl!m aq lsnw sluaA Jaddn la VJN aql LO eaJV lua/l aPpp ayllo laal aaJgl u!gllm ale sluaAJaddn 90 sluaA Jaddin anea aql to log; auo u!q!M @Je sluaA Jamo1 s0 sli aamo1 -paloauuoo ade saaeds Dille a41 uaym papnloui sl adeJed aql se vans saDeds pauoµlpuoaun Jana Bale agl'eaJV 0111V lelol 0412u!u!waalap uagM b0 leualeW Bullelnsul Jol spJepuelS'ET-ZT Jaldey0'ZT 1Jed'gZ al1!1'gJJ Aq pall!Dads se'uo!lelnsul lewagl pue sgulysluln j awOH to newng'sJ!ejjV Jawnsuo:) to luawlJedao aql to [sJauJeq luelpeJ] sle!Jalew uo!lelnsui pagpJaO e!wol!le3 Jol sluawaJ!nbaJ Ile laaw Ileys lanpwd aql Ea '8063 JO'TLETJ W15V q1!m pals@; se so of lenba Jo uegl ssal aq peys JauJeq luelpeJ ag110 aouell!wa aql Zo spua alge88ulpnpu! Dille agl m saOelJns leollJaA Ile uo pallelsu! aq lsnw JalJJeq luelpeu TO Japieg luelpeg sluawaalnbay leuolllppV — uollellluaA 3I11V pue JaIJJeg luelpell 'f yLm2 poD az A 7 U All, YA MU9i hSZ ::: aav sa;limn 4�aZ0 �% OZ agwnNalwaad Uo(1(Al� ]q)]aQ4* A9%AU 19 N.);luUOIVWaw831NLQ u }1 l+t%219}A— p00114l,}(1 weN»afoid (6;o S abed) uolleul;laaA Plaid SUH aambay loN oa ley; suolledallV lelluaplsaa aAlldlaasaad 3-S0-11V_8ZjD N011V11tl1SN1 j0 31VJ1311H3J NOISSINN00 A98FIN3 VINHOJ17VO (61110 PaslAeg) 3-S0-11V-HZd0-030 uo);eo);UaA p(a!d SM3H a.1)nbeM ION od jeyl suopwa;)ly )eguepiseN aA);d)losald VINaO.jnVO AO 31ViS STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification 10 CEC-CF2R-ALT-05-E (Revised 01/19) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 4 of 9) Project Name: orifiwood-ttatem i#ad�aif Enforcement Agency: [N OF lVi Ort Bcuch - 8vildin livilivy] Pernit N..n , 2o22— 0255 owemng Address: 154 1101Wo0A U city Carom 1e1 µair zip cnae 111015 Roofing and Radiant Barrier G. Radiant Barrier /u 01 Brand Name and Product Number 02 Installation Type 03 Total Attic Area (ft') H..Required Vent Area yl,/U 01 Combined NFA of installed upper and lower vents (in') 02 Minimum required combined NFA of upper and lower vents (ins) 03 NFA of installed uppervents (in') 04 Minimum required NFA of upper vents [W) I. Roofing Products (Cool Roof) Installation Information 01 02 03 04 05 06 07 08 Roof Pitch CRRC Product to Number Product Type CRRC Listed Aged Solar Reflectance Initial Solar Reflectance Aged Solar Reflectance Thermal Emittance SRI CA Building Energy Efficiency Standards- 2019 Residential Compliance January 2019 61OZ Ajenuel aoueildwo0 lel;uaplsag 61OZ - spJepuelS Aauap143 Mau] 8ulplmg VD Q VU (;aaj) yl2ual uopelnsul l e7uozlJoH (sayoul) y;8ual uol;elnsul 1901UaA anleq-H uopelnsul (sayoul) 44da0 u01;elnsul adA uope nsu 1 I I adA goo 1 Id ue� dadn;ae nue P 8'8 1 W '0'I 80 LO 90 s0 b0 EO ZO TO uol;elnsul ia;awlJad/Joold ge15'i Q 1A anlen-g uol;elnsul d0013 dolia;uI anlen-y uol;elnsul d00IJ i0pa;x3 (sayoul) y;da0 uol;elnsul amen-g uopelnsul A;lneO JagwnN H53 adAl uol;elnsul 8uloed5 �azlS Pulwe�j l UIWElry 8ulwe�j puejg >8 yam lnl ;ae;nue '0'I OT 60 80 LO 90 SO b0 £0 ZO TO uol;elnsul joold paSIEH -3 amen-y uol;elnsul��a;ul m am uopu elnsul �0a;x3 adhl uopelnsul (sayoul)en-8 y;da0 /adAl dlj;S Suljmj (sayoul) ssauHolyl sseyN uol;eool pue�gjain;oe;nuelnl '8 80 LO 90 SO b0 EO ZO TO sseW •d yV..II n.I zFo]di1 A 1�� jo All] y� Yu1w 1uol;einsul Ie �MOA�}(II ll S7.,,,pv A-,sp-O �01116 4raZ0 ZVO� aq..11lwlad UGIJIAIA 1 �D Ip1lil9 ^ 4:04 10 .�lua8tlluawvolu3 YApVti}1 walimp^ pOOMWA weNlaafwd (610 E a8ed) uolTeal}laaA PIO!3 S113H aalnbad ION op;eyl suol;elalIV lelluaplsaa anladuasaid 3-SO-1lV-HZ3J N011tlllViSNI3O 31VJI311H3J NOISSIWWDD A0213N3 VIN2109I1VO (6MO PaSIAQH) 3-90-11V-TJZ93-D3D u0l;e3lW0A PIGU Sa3H a.IlnbaM 4ON 0Q 3e41 suol;eJO11V lel;uaplsajl anl;dpasa.Id VINb0AlV0 d0 31VIS STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF2R-ALT-05-E (Revised 01/19) COMMISSION CALIFORNIA ENERGY CERTIFICATE OF INSTALLATION CF2R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 2 of 9) PmjeC`Name: ptifill —1td lm HadAad rnmreememrAgemvt OF IV art i' '01 - OvilillihO VIV114911 vermttNumuer:2QZ2 02-55 Dwelling nddre5s Z54 fllf-ti IIA• cv COT01A W IADY Z., Cade yblo 25 Insulation The altered components shall comply with all applicable requirements in The Energy Efficiency Standards Sections 110.7, 110.8, 150.0; All Joints, penetrations and other openings in the building envelope that are potential sources of air leakage shall be caulked, oasketed, weather stripped, or otherwise sealed to limit infiltration and exhilaration. B. Roof/Ceiling Insulation O1 02 03 04 05 06 07 08 09 I.D. Manufacturer & Brand Framing Material Framing Size & Spacing Insulation Type ESR Number Cavity Insulation R-value Insulation Depth (inches) Below Deck Insulation R-value p IV C. Wall insulation O1 02 03 04 05 06 07 OS 09 10 I.D. Manufacturer& Brand Framing Material Framing Size& Spacing Insulation Type ESR Number Cavity Insulation R-value Insulation Depth (inches) Exterior Wall Insulation R-value Interior Wall Insulation R-value n/a CA Building Energy Efficiency Standards- 2019 Residential Compliance January 2019 61OZ AJenuef aaue!ldwoO le!;uaplsay 610Z - spJepue;S AJuanijB AaJau3 8u!plmg V7 j/IO4bjV0U Iz/cl :adoJS;Jafoid ET :(z;i)eaJV gels ZT % ii '�� i' U� :adA1HuIPl!n8 TT Vd S b$ti � :(uo;! ea; Joo auo! ! uo e o I PpV) (zm) V Ij P 3 P 71 ; l 01 G) :auoZ a;ewllO 60 S 1 :adAl lanj 80 SZ t b :apo0 d!Z LO I :suop!PPV qI!m s;lun SuplamO;o JagwnN 90 �b�MAO :43 V3 s0 .O :(Sap) uope;uapO;uoJj Sulpling b0 10GM} yL :uol1e307 UafoJd EO ZZOZ�4�I� :paleda;dalea ZO r_wq j :aweNPafoJd TO uof;ewJo;ul leJauag •y vo;Jadsu! bu!pl!nq ay; Aq uogoJjpaA alofaq panowaJ aq;ou Iloys slagol Aiolodwal yaw aq Hoys salnsoakv AJo;gpuopy algoollddo pV •uoOJnJ;suoJ alpua ay; Jof a;nrfiUaJ siy; u6!s puo alodald goys uoµJngsuoJ Jof A;grglsuodsaJ fa!gi y;!m uoslad ay; AlanpguJa;lV a1gjsuod5aj am Aay; yJlym lof uopJnAsuoJ fo uogiod ay; o; algoagddo a;oJ!fliaJ o u6rs pun alodald llgys uoslad yJoa 'a;nlf liaJ sly; uo swag ay; fin uopollo;sul Jof Aypq!suodsaJ soy uoslad auo uoy; alow fI Al;s(6ay g;o0 Jap!AOJd S93H 0 y;lm TO-17V-HTj7 g J0;516aj pun a;alduim goys 'yJu! lad 9'E fq anlgA-y uo 6ulnoy;oof Jlgn Jad spunod s'I u0y; ssal o; b'0fo A;lsuap o y;lm (ddsio) woo-4 auoy;alnAlod ADAS OaD uad0 Jo 'you/ lad 8•S uoy; Ja;oaj6 anion-y uo 6u!Aoy;oof J!gn3 Jad spunod s'Z uoy; ssal o; S'T fo A;Isuap o y;IM (ddSJJ) wgod augy;aJnAlod AoldS llaJ asop azgpn;oy; SuogoJa;lV •AJ4sl6aH 0400 Jap!A0Jd SH3H g q;!m paJa;s!6aj pun pa;aldwoJ aq;snw ZO-17V-UI37 o uay; 'uol;oa!f!jan 5H3H wolf;dwaxa;ou alo pun pala;lo am swa;sAs 6uluol;lpuoo aaads fl va;oy SH314 o Aq passod pun pa;sa; Alsno!Aald som wa;sAs;Jnp 6upslxa ay; Jo !so;sagsg y;!m pa;0lnsui sgm wa;sAs;Jnp 6upslxa ay; in!paJoldaJ Jo pappo alam s;Jnp fo got, uoy; ssal:apnlJu! 6upsa; a5v4Dal;Jnp wolf suopdwaxa alq!ssod •s;uawnma aaugydw07 SO-17V -HZ37 Puo SO-17V-HTdJ ay; asn Aow s;uawannbaJ ugWJ9uaA SH3H wolf;dwaxa alo;gy; swa;sAS bwuol;!puo3 aJods o; suopola;lV •AA45ay 0400 Jap!AOJd S83H g qpm pala;sl6aj aq;sjif llogs TO-17V-HTdJ 0 pagnbaj s! uggDVI !JaA SH3H uayM 'aJuolldwoJ Jof uOpgJlfuaA SH3H aJlnbaj;ou op;oy; suopola;Io aldwls o; algoJ!lddo Aluo sl;uawnJOp aJuggdwoJ s!y1 Lty1tY aPoJ tlR Ibj� Vse WOAO) AIIJ OOpI i �Q f1S{:ssa PPV Bwllam0 rG �1 Q—T+ZO p008Vl j��e :ia9wnN 1!wiad ua8Vluawa01u3 ,PafOAd (610 1 aged) u0l;e:)l}IJaA plald S83H allnboU ION 00;EN1 Suol;eJa;lV lel;uaplsay aAl;dlJasaJd 3-S0-1lV-NZAD N011VllV1SNl 30 31V:)1311N3D NOISS!WA00 AON3N3 MNNOjIIVO (6 MO Peslnaa) 3-90-ilV-MZd0-CM uol}eOUPOn plalj SN2H ajlnbaN ION OQ;eyl SUol;el041V lel;uaplsaa angdlJaSaad VMJ04' 1lVO 3O 31V1S STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification 10 CEC-CF2R-ALT-05-E (Revised 01/19) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 7 of 9) P,o dName: � —Vt0.2CM „ o it Enforcement Agency : tecich — Ni QI rition Permtt Number o 2- 0253 ewemng Address: t54 ►riP aty t zip Code ZW2�i Mechanical and Plumbing N. Space Conditioning (SC) Systems — Heating/Cooling (Section 150.2(b)) Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CFIR-ALT-05 and CF2R- ALT-05 Compliance Documents. If new space conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF1R-ALT-02 shall be completed and registered with a HERS Provider Data Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance: 99 a: space conditioning system was not altered; ❑ b: less than 40 ft of ducts were added or replaced; ❑ c: (exempt from duct leakage testing) if: the existing duct system was insulated with asbestos; ❑ d: (exempt from duct leakage testing) if: the existing duct system was previously tested and passed by a HERS Rater. 01 02 03 04 Dwelling Unit Name SC System Identification or Name SC System Location or Area Served Exemption from HERS Verification ❑a ❑b ❑c ❑d ❑a ❑b ❑c ❑d ❑a ❑b El ❑d ❑a El ❑c ❑d El ❑b ❑c ❑d ❑a ❑b ❑c El ❑a ❑b ❑c ❑d El ❑b ❑C ❑d El ❑b ❑c ❑d ❑a ❑b ❑c ❑d El ❑b ❑c ❑d ❑a ❑b ❑c ❑d ❑a ❑b ❑c ❑d CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019 61OZ Adenuel aauelldwo:) lel;uoplsay 6TOZ - spdepue;S ADualoll;3 A8jau3 aulplln8 tl7 AagwnN IapOlhl dadnagnuevy aweN JO 01 wa;sAS Sul;eaH aa;eM EO ZO TO uollewjo;ul jainlae;nueNl aaleaH aaleM Papelsul A 4 � u0113edj sPulne 5 delo5 do-13ee anleA-y nsu I ;opa;x3 W ssol h ue;5 qP anleA houaul 113 5u!;eaH adAl Aauapl D3 Sul;eaH anleA ;ndul pa;ey adAl ;ndu pa;ey adAl lanj (lea) awnloA a8eJo;s is ea 1 H ja;eM wa;sAS ul sda;eaN ja;eM )o q adA1 da ea H da;eM adA1 wa sA ; 5 2upem daleM Pandas eadV;a uopeoo wa;sAS l 8u0eaN ia;eM aweN ;o uol;eol;puapl wa;sAS 8upeaN as;eAq aweN ;Nn sulllama ST VT £T ZT TT OT 60 80 LO 90 SO b0 £O ZO TO (`JT(q)Z'OST uol;aaS) swalsAS Sul;eaH Ja;eM Palle;sul 'O ytt�01i 6 apo,dil Aby1 VA WWTO) I '" ga"I'll--3U/1 h5Z saiFVtlemdama s L ZY i 9-bo —UZ 1,wnN l!wsad GITIA�e 4join - 430;4 po m7N iu :/aua8tlluawavolu3 y YMYu YpYFry{1 �NJ;:b�{" I--Olh h�l �o aweN Palwd (610 g abed) uol;eagllaA Pla13 Sl13H a.Ilnbaa;ON o0;e415uol;eja;IV Iel;uaplsay and;dljasaad 3-S0-11V-MD N011V11tllSNl 30 31VDIJI-LH30 NOISSINNOO AOM3N3 VINHOdIWO (6U10 Paslna}j) 3-90-11V-HZd0-D30 uORBOUPOA Pla!d SN3H aainbeN ION oa }e41 su0)Ieaa;)V (e(;uaP(saa eA(;dposaid VINWAIWO AO 31ViS