HomeMy WebLinkAboutX2021-2607 - Misc (3)CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 ( Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
CIVIL ENGINEER'S CERTIFICATION FORM
From: Date:
Toal Engineering 613124
139 Avenida Navarro
San Clemente, CA 92672
ATTENTION: GRADING ENGINEER, BUILDING DIVISION
Tract 7223, Lot 4 (ref- CR2021-2031)
GPC No.: 2268-2021 Tract/Subdivision/Lot No.: ^ Rough: _Final: X
Project Names: 4 Pinehurst Lane (D2021-0616)
Owner/Developer: Roger and Laurie Jewkes
Type of Project: Notes:
_ Tract: _ Drainage
_ Commercial X Other
Industrial Single Family Residence
Yardage for Project: Notes:
570 Cut: Borrow:
_0
0 Fill: 570 Export:
I hereby approve the grading for this project in accordance with my responsibilities under the
City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive
surface flow to public ways or City approved drainage devices. The grading has been
completed: subsiantially in conformance with -------------------------- YA04--the--following
changesto-the approved grading plan.
Description of Changes:
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Company: Tool Engineering, Inc.
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Name: Caleb Rios m�
(Print) OF CAS
License No.: 57587 (RCE/t=S)
tnglneefe cenincation Form &13
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H1,wr'��kr CITY OF NEWPORT BEACH
�. Community Development Department I Building Division
100 Civic Center Dr.I P.O. Box 1768 Newport Beach, CA 92658
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www.newportbeachca c�ov (949) 644-3200
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CALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION
ADDRESS: ri JeuvyL� I PJ,c PERMIT NO.: 7--
THIS FORM SHALL BE COMPLETED AND SIGNED PRIOR TO REQUEST FOR FINAL BUILDING
INSPECTION. ONE COPY OF THIS FORM SHALL BE SUBMITTED TO THE BUILDING INSPECTOR AT
FINAL INSPECTION AND ONE SHALL BE PROVIDED TO THE BUILDING OWNER AS PART OF THE CAL
GREEN CERTIFICATION PACKAGE.
The following section shall be completed by a person with overall responsibility for the planning and
design portion of the project.
REQUIRED DOCUMENTATIONS PROVIDED TO THE PROPERTY OWNER(S)
Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste)
i7J/ VOC Contents Limitation
a/ Formaldehyde Emissions Limitation
-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mech., Plumb.)
-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mech.,
/lumb., HERS)
Operations and Maintenance Manual
MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY)
certify that the moisture content of the wall and floor framing is less than 19 percent as
determined in accordance with Section 4.505.3 of CAL Green prior to being enclosed.
DECLARATION STATEMENT
• 1 certify under penalty of perjury, under the laws of the State of California, the information
provided is true and correct.
• 1 certify that the installed measures, materials, components, or manufactured devices identified
on this certificate conform to all applicable codes and regulations, and the installation is
consistent with the plans and specifications approved by the enforcing aggncy.
Responsible Person's Name: c Respon ' e Per ignature:
Date Signed: sition e:
e�_/o_2-,-0Z� 1Ooao.—,e1(--
Forms\CALGreen Documentation Compliance Cert Form 1-2017
PROJECT STATUS REPORT CaICERTS, Inc
Effective 06/11/2024 13:34 (Page 1 of 5)
GENERAL INFORMATION
Energy Standards Code Year:
2019
Project Name:
21-577 Jewkes Residence
■
■
Project Type:
New Construction SFR
Address:
4 Pinehurst Lane
■
City/State/Zip:
Newport Beach / CA / 92660
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■
Enforcement Agency:
City of Newport Beach
Easy to Verify @ calcerts.com ■
Permit Number:
X2021-2607
OVERALL STATUS
COMPLETE
HERS VERIFIABLE MEASURES:
COMPLETE
CF1R INFORMATION - Certificate of Compliance (Document Lists Required Energy Features)/
Certificate Type
Compliance
Registered Form
CF1R-PRF-01
Registered Date
2023-09-14 15:14:47
Registration
Number
221-P010200817H-000-000-0000000-0000
CF2R INFORMATION - Certificate of Installation (Documents the proper installation of required energy features) V/
System
Form
Registered Date
Registration Number
CF2R-ENV-01-E
221-P010200817H-000-001-E01001B-0000
Fenestration Installation
2024-06-10 11:22:36
blake rielly
Y/
(LEGACY CUSTOM HOMES INC)
CF2R-ENV-03-E
221-P010200817H-000-001-E03001B-0000
Insulation Installation
2024-06-10 11:24:08
blake rielly�
(LEGACY CUSTOM HOMES INC)
CF2R-ENV-04-E
221-P010200817H-000-001-E04001B-0000
Roofing -Radiant Barrier
2024-06-10 11:24:19
blake rielly
f
(LEGACY CUSTOM HOMES INC)
CF2R-ENV-21-H
221-P010200817H-000-001-E21001B-0000
QII-Framing Stage
2024-06-10 11:24:26
blake rielly
(LEGACY CUSTOM HOMES INC)
CF2R-ENV-22-H
221-P010200817H-000-001-E22001B-0000
QII-Insulation Installation
2024-06-10 11:24:33
blake rielly.,�/
(LEGACY CUSTOM HOMES INC)
HERS Provider: CaICERTS Inc.
CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019
PROJECT STATUS REPORT CaICERTS, Inc
Effective 06/11/202413:34 (Page 2 of 5)
CF2R-LTG-01-E
221-P010200817H-000-001-L01001A-0000
Lighting
2024-06-1011:25:00
blake rielly
(LEGACY CUSTOM HOMES INC)
CF2R-MCH-01-E
221-P010200817H-000-001-M01001A-0000
Space Conditioning
2024-06-10 11:35:16
blake rielly
Systems, Duds and Fans
(LEGACY CUSTOM HOMES INC)
System 1: Location
CF2R-MCH-20-H
2024-06-10 11:36:14
221-P010200817H-000-001-M20001A-0000
blake rielly
(t/
1
Duct Leakage
(LEGACY CUSTOM HOMES INC)
System 2: Location
CF2R-MCH-20.H
2024-06-1011:36:42
221-P010200817H-000-001-M20002A-0000
blake rielly
2
Dud Leakage
(LEGACY CUSTOM HOMES INC)
System 3: Location
CF2R-MCH-20-H
2024-06-10 11:37:13
221-P010200817H-000-001-M20003A-0000
blake rielly
3
Dud Leakage
(LEGACY CUSTOM HOMES INC)
System 4: Location
CF2R-MCH-20-H
2024-06-10 11:37:41
221-P010200817H-000-001-M20004A-0000
blake rielly
'�{
4
Duct Leakage
4l
(LEGACY CUSTOM HOMES INC)
System 5: Location
CF2R-MCH-20-H
2024-06-10 11:38:04
221-P010200817H-000-001-M20005A-0000
blake rielly
(/-
5
Dud Leakage
(LEGACY CUSTOM HOMES INC)
System 1: Location
CF2R-MCH-21-H
221-P010200817H-000-001-M21001A-0000
1
Duds Located In
2024-06-10 11:38:15
blake rielly
Conditioned Space
(LEGACY CUSTOM HOMES INC)
System 1: Location
CF2R-MCH-23-H
2024-06-10 11:38:47
221-P010200817H-000-001-M23001A-0000
blake
1
Airflow
rielly
V/
(LEGACY CUSTOM HOMES INC)
System 2: Location
CF2R-MCH-23-H
2024-06-10 11:39:18
221-P010200817H-000-001-M23002A-0000
blake
2
Airflow
rielly -
V/
(LEGACY:CU)70M HOMES INC)
System 3: Location
CF2R-MCH-23-H
221-P010200817H-000-001-M23003A-0000
3
Airflow
2024-06-10 11:39:59
blake rielly
(LEGACY CUSTOM HOMES INC)
System 4: Location
CF2R-MCH-23-H
2024-06-10 11:40:37
221-P010200817H-000-001-M23004A-0000
blake rielly
4
Airflow
�YJ
(LEGACY CUSTOM HOMES INC)
System 5: Location
CF2R-MCH-23-H
221-P010200817H-000-001-M23005A-0000
5
Airflow
2024-06-10 11:41:23
blake rielly
�Yl
(LEGACY CUSTOM HOMES INC)
System 1: Location
CF2R-MCH-22-H
2024-06-1011:41:41
221-P010200817H-000-001-M22001A-0000
blake rielly
1
Fan Efficacy
(LEGACY CUSTOM HOMES INC)
System 2: Location
CF2R-MCH-22-H
2024-06-10 11:41:59
221-P010200817H-000-001-M22002A-0000
blake rielly
(16
2
Fan Efficacy
(LEGACY CUSTOM HOMES INC)
System
System 3: Location
CF2R-MCH-22-H
2024-06-10 11:42:20
221-P010200817H-000.001-M22003A-0000
blake rielly
3
Fan Efficacy
(LEGACY CUSTOM HOMES INC)
HERS Provider: CaICERTS Inc.
CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019
PROJECT STATUS REPORT CaICERTS, Inc
Effective 06/11 /2024 13:34 (Page 3 of 5)
221-P010200817H-000-001-M22004A-0000
System 4: Location
CF2R -MCH-22-H
2024-06-10 11:42:42
blake rielly
(✓
4
Fan Efficacy
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M22005A-0000
System 5: Location
CF2R-MCH-22-H
2024-06-10 11:43:02
blake rielly
V
5
Fan Efficacy
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M25001A-0000
System 1
CF2R-MCH-25-H
2024-06-10 11:44:15
blake rielly
Z/
Refrigerant Charge
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M25002A-0000
System 2
CF2R-MCH-25-H
2024-06-10 11:45:11
rielly
Refrigerant Charge
(lake
LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M25003A-0000
System 3
CF2R-MCH-25-H
2024-06-1011:46:11
blake rielly
Refrigerant Charge
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M25004A-0000
System 4
CF2R-MCH-25-H
2024-06-1011:47:18
blake rielly
Refrigerant Charge
(LEGACY CUSTOM HOMES INC)
221-POl0200817H-000-001-M25005A-0000
System 5
CF2R-MCH-25-H
2024-06-10 11:48:15
blake rielly
Refrigerant Charge
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M26001A-0000
System 1
CF2R-MCH-26-H
2024-06-10 11:52:55
blake rielly
Rated Equipment
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M26002A-0000
System 2
CF2R-MCH-26-H
2024-06-10 11:49:28
blake rielly,
Rated Equipment
(LEGACY CUSTOM HOMES INC)
221-POl0200817H-000-001-M26003A-0000
System 3
CF2R-MCH-26-H
2024-06-10 11:50:18
blake rielly
d Equipment
(LEGACY;CUSTOM;HOMES INC)
221-P010200817H-000-001-M26004A-0000
System 4
CF2R-MCH-26-H
2024-06-10 11:50:47
blake rielly
Rated Equipment
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M26005A-0000
System 5
CF2R-MCH-26-H
2024-06-10 11:51:16
blake rielly
Rated Equipment
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-M27001A-0000
CF2R-MCH-27-H
2024-06-10 11:51:45
blake rielly
IAO and MV
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-B02001A-0000
CF2R-PLB-02-E
2024-06-10 11:52:16
blake rielly
SD HWS Distribution
(LEGACY CUSTOM HOMES INC)
221-P010200817H-000-001-V01001A-0000
CF2R-PVB-01-E
2024-06-1011:52:47
blake rielly
V/
Photovoltaic Systems
(LEGACY CUSTOM HOMES INC)
CF3R INFORMATION - Certificate of Verification (Documents the verification of HERS Measures) ./
System I Form Registered Date I Registration Number
HERS Prodder CaICERTS Inc.
CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019
PROJECT STATUS REPORT CaICERTS, Inc
Effective 06/11/2024 13:34 (Pace 4 of 5)
CF3R-ENV-21-H
221 -P01 0200817H-000-001 -E21 001 B-E21 C
(QII-Framing Stage)
2024-06-10 11:53:40
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-ENV-22-H
221-P010200817H-000-001-E22001B-E22C
(QII-Insulation Installation)
2024-06-10 11:53:49
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 1: Location
MR-MCH-20-1-1
221-P010200817H-000-001-M20001A-M20A
1
(Duct Leakage)
2024-06-10 11:53:58
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 2: Location
CF3R-MCH-20-H
221-P010200817H-000-001-M20002A-M20A
2
(Duct Leakage)
2024-06-10 11:54:09
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 3: Location
CF3R-MCH-20-H
221-P010200817H-000-001-M20003A-M20A
3
(Duct Leakage)
2024-06-10 11:54:17
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 4: Location
MR-MCH-20-1-1
221-P010200817H-000-001-M20004A-M20A
4
(Duct Leakage)
2024-06-10 11:54:33
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 5: Location
MR-MCH-20-1-1
221-P010200817H-000-001-M20005A-M20A
5
(Duct Leakage)
2024-06-10 11:54:47
Shane Vercruysse (CC2006172)
UV
(Energy Calc Services, Inc)
System 1: Location
CF3R-MCH-21-H
221-P010200817H-000-001-M21001A-M21A
1
(Ducts In Cond Space)
2024-06-10 11:54:54
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 1: Location
MR-MCH-23-H
221-P010200817H-000-001-M23001A-M23A
1
(Airflow)
2024-06-10 11:55:02
Shane Vercruysse (CC2006172)"
(Energy Calc Services, Inc)
System 2: Location
3R-MCH-23-H
221-PO10200817H-000-001-M23002A-M23A
2
%Yflow )
2024-06-10 11:55:12
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
[
System 3: Location
MR-MCH-23-1-1
221-P010200817H-000-001-M23003A-M23A
3
(Airflow)
2024-06-10 11:55:22
Shane Vercruysse (CC2006172)
(U/
(Energy Calc Services, Inc)
System 4: Location
MR-MCH-23-1-1
221-P010200817H-000-001-M23004A-M23A
4
(Airflow)
2024-06-10 11:55:35
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 5: Location
MR-MCH-23-1-1
221-P010200817H-000-001-M23005A-M23A
5
(Airflow)
2024-06-10 11:55:46
Shane Vercruysse (CC2006172)
iY/
(Energy Calc Services, Inc)
System 1: Location
MR-MCH-22-1-1
221-P010200817H-000-001-M22001A-M22A
1
(Fan Efficacy)
2024-06-10 11:55:56
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 2: Location
MR-MCH-22-1-1
221-P010200817H-000-001-M22002A-M22A
2
(Fan Efficacy)
2024-06-10 11:56:06
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 3: Location
MR-MCH-22-1-1
221-P010200817H-000-001-M22003A-M22A
3
T2024-06-10
(Fan Efficacy)(Energy
11:56:15
Shane Vercruysse (CC2006172)
Calc Services, Inc)
HERS Provider: CaICERTS Inc.
CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019
PROJECT STATUS REPORT CaICERTS, Inc
Effective 06111 /2024 13:34 (Page 5 of 5)
System 4: Location
F3R-Mcacy) H
221 -P01 0200817H-000-001-M22004A-M22A
4
(Fan E
( Efficacy)
2O24-06-10 11:56:23
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
System 5: Location
CF3R-MCH-22-H
2024-06-1011:56:33
221-P010200817H-000-001-M22005A-M22A
Shane Vercruysse
5
(Fan Efficacy)
(CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-25-H
221-P010200817H-000-001-M25001A-M25A
System 1
(Refrigerant Charge)
2024-06-10 11:56:46
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-25 H
221-P010200817H-000-001-M25002A-M25A
System 2
(Refrigerant Charge)
2024-06-10 11:56:59
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-25-H
221-P010200817H-000-001-M25003A-M25A
System 3
(Refrigerant Charge)
2024-06-1011:57:11
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-25-H
221-P010200817H-000-001-M25004A-M25A
System 4
(Refrigerant Charge)
2024-06-10 11:57:24
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-25-H
221-P010200817H-000-001-M25005A-M25A
System 5
(Refrigerant Charge)
2024-06-10 11:57:36
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-26-H
221-P010200817H-000-001-M26001A-M26A
System 1
(Rated Equipment)
2024-06-10 11:57:49
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-26-H
221-P010200817H-000-001-M26002A-M26A
System 2
(Rated Equipment)
2024-06-10 11:58:02
Shane Vercruysse (CC2006172)
X
(Energy Calc Services, Inc)
CF3R-MCH-26-H
221-P010200817H-000-001-M26003A-M26A
System 3
(Rated Equipment)
2024-06-1011:58:29
Shane Vercruysse (CC2006172)
i
`E
(Energy Calr c ervices', Inc)
CF3R-MCH-26-H
221 -P01 0200817H-000-001 -M26004A-M26A
System 4
(Rated Equipment)
2024-06-10 11:58:44
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-26-H
221-P010200817H-000-001-M26005A-M26A
System 5
(Rated Equipment)
2024-06-1011:58:56
Shane Vercruysse (CC2006172)
(Energy Calc Services, Inc)
CF3R-MCH-27-H
221-P010200817H-000-001-M27001A-M27A
(IAQ and MV)
2024-06-10 11:59:09
Shane Vercruysse (CC2006172)
`�/,
RJ
(Energy Calc Services, Inc)
HERS Provider: CaICERTS Inc.
CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019