HomeMy WebLinkAboutH2018-0699 - Permits� NtY,a City of Newport Beach - Building Division III III 1111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 6 0 6 9 9
- n Permit Counter Phone (949)644-3288
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Job Address: 1772 PORT MANLEIGH CIR BIdg:1 Floor:
Description of Work: MECH/CHANGE OUT F.A.U.
InspectorArea:4 Code Edit: 2016
Legal Description: N TR 6938 LOT 63
Owner: BOHL KEITH B Contractor:
Address: 1772 PORT MANLEIGH CIR Address:
NEWPORT BEACH, CA 92660
Phone:
Issued Date:11105/2018
Suite:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
GREENSTAR HOME SERVICES
1951 N MAIN ST
ORANGE CA 92865
949-885-0102
795556
02/29/2020
BT30056111
MECHANICAL Permit: H2O18-0699
Project No:
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier : LIBERTY INS
Policy No: WA7631D508631018
Expire :10/01/2019
HERS VERIFICATION REQ
AG Items
FEES
'nacesBoilers & Compressors
Ventilation
Other
to 100K BTU/hr: 1 $19.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
)r 100K BTU81r: 0 $0.00
> 3 HP to 15 HP:
0
$0.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
$0.00
II/Floor Heaters: 0 $0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
it Pumps & Package Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
to 100K BTU/hr: 0 $0.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee:
$0.00
Investigation:
$0.00
:r 500K BTU/hr 0 $0.00
Air Handling Units
Cnmm Hood'
0 $0 00
Plan Check
$0.00
to 1M BTU/hr: 0 $0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$35.00
to 1.75M BTU/hr: 0 $0.00
Over IDK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
sr 1.75M BTU/hr: 0 $0.00
VAV Box:
0
$0.00
Zoning PC:
$0.00
TOTAL: $54.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $54.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday- Friday 7:00 a.m.to S+^0 � m.and Saturday from 8:00 a.m. to 6:00 p.m.
OWNER -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 items)
(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 7000) 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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
'iapply 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 entirely 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.gov/calaw.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 Code, and my license is in full force
and effect. "
/' 1s
License Class License No Date Contractor Signature
E
WORKERS'COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1 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
mance of the work for which this permit is issued. Policy No.
eve and will mai In 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
surance carrier and fi number are: r ^
pX IL V I 4 .—C, W.Ihh Expiration Date
ce of Agent
certify that, in the pe rural
, if I should become subject
iature of Applicant . 1
I 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 agre
the wo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
d - Date X
CLARATION R_ _ ' ON RUCTION LENDING AGENCY
: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 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 two ant t the, aboµe-ide�nt�fied property for inspection purposes. /� /
nature of Property Owner or Authorized Agenty to T %.L✓ 1//�t ^ Print Property Owner's or Authorized Agent's Name x VX ), /Y, - , n
ACTION DATE BY FEDERAL
r . GUL ` ION 1 OF
FEDERAL REGULATfONS PART 61 OF71TLE40AND
AQMDRL'LE- 14(rr
PERMtTEXP)RED t SUDL4TT6)ASDESTOS NOTIFICATION TO:
PERMITCANCELLED G EPA
PERMIT EXTENDED ❑ AQMD
ASBESTOS TIONTS NOF APPLICABLE 70
PERMITFINAL 1 j/ / I$ I i`C1A PROPOSED DEMOLITION,
CERTLFICATEOF S SISKATrIRF:
OCCUPANCY ISSUED
Date
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3) I
Project Name: H' 1,L!j K
1772 Port Manleigh Cir ( Date Prepared:
2018-11-05
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
1772 Port Manleigh Cir
02
Date Prepared
2018-11-05
03
Project Location
1772 Port Manleigh Cir
04
Building Type
Single family
05
CA City
Newport Beach
06
Dwelling Unit Name
1772 Port Manleigh Cir
07
Zip Code
92660
OS
Dwelling Unit Conditioned
1838
Z
Floor A ea (ft)
Number of Space
09
Climate Zone
6
10
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
- 05
06
07
08
09
10
SC System
SC system
CFA served
Is the SC
system A
Installing a
refrigerant
Installing new Sr
Installing
Installing
Installing
Identification or
Name
Location or Area
Served
by this SC
System (ft)
ducted
system?
containing
component?
system
components?
more than 40
feet of ducts?
entirely new
duct system?
entirely new
SC system?
Alteration Type
System 1
Location 1
1838
Yes
No
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 418-AO20087171A-000-ODO-0000000-0000 Registration D�tb/Timz: 201,3-11-05 08:51:32 HERS Provider: CHEERS
CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2018.0.001 _ Report Generated: 2018-11-05 08:51:32
Schema Version: rev 20180426 -
CERTIFICATE OF COMPLIANCE
CF1R-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)lE 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
No Cooling
This field or
This field or
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
Component
section is not
section is not
Setback
section is not
section is not
components
Altered
applicable
applicable
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: <=15 percent or <= 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 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) I
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-A020087171A-000-000-0000000-0000
Registration Dite/Time: 2018-11-05 08:51:32
HERS Provider: CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance ReportVersion 1018.0.0C1 Report Generated: 2018-11-05 08:51:32
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-SR-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
ShanwwrvPh[U6pk
Company:
Signature Date:
We Green, Inc.
2018-11-05
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. 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, 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.
S. I 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:
Cynthia Alvarez
Cynd Li Alv
Company: -
Date Signed:
ARS American Residential Services of California Inc. dba Greenstar Home Services
2018-11-05
Address:
License:
965 Ridge Lake Boulevard, Suite 201
795556
City/State/Zip:
Phone:
Memphia TN 38120
949-954-5163
Digitally signed by CHEERS'"". This digital signature is provided in order to secure the contant or this regi- tered
document, and in no way implies Registration Provider responsibility for the accuracy of the hdormalion. -
Registration Number:418-A020087171A-000-000-0000000-0000
Registration Dcte(Time: 2019-11-n5 08:51:32
HERS Provider: CHEERS
CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: Z318 0, 001 - Report Generated: 2018-11-05 08:51:32
Schema Version: rev 20180426 -