HomeMy WebLinkAboutH2019-0095 - Permits (3)�$�W,4r City of Newport Beach - Building Division 11111111111p1111111p111111111p111p1111111111111 MECHANICAL Permit: H2O16-0095
of P 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 6 0 0 9 5 Project No
ti `�., Permit Counter Phone (949)644-3288
V �
ny{� pis Inspection Requests Phone (949)644-3255 1.
Job Address: 2029
VISTA CAJON BIdg:1 Floor: Suite:
? '
Description of Work:
MECH -REPLACE
FAU "LIKE FOR LIKE"
InspectorArea:3
Code Edit: 2016
Legal Description:
TR 5480 (L.L.84-214026) PAR 43
•'
Owner: GAUL
�` Contractor: COLE SERVICES
If applicable. Worker's Comp Insurance -'
Address: 2029 V[16
CAJON
— ddress: 10652 T VE
Carrier: CALIFORNIA INS
CO
NEWP
GARDEN GROVE CA
9�4�ofo 1
Phone:
Phone: 7
#&n SJ& LI : at+'i�71t
or 0 rj00ii1/2o17100101
Issued Date:02/22/
�
%AAFLic i�:te�. %02/28/2016
to whom:
Processed By:
HVAC Items
S
Other
FurnacesBoilers &
om
V1.^
Up to 100K BTU/hc
1
Up to 3HP: 0 $0.00 Bathroom Fan:
0 $0.00 Fire Dampers: 0
$0.00
$0.00
Over 10oK BTU/hr:
0 $0.00
> 3 HP to 15 HP: 0 $0.00 Exhaust Fan:.
,0 $0.00 Lily I ^ 0
$0.00
$0.00
Wall/Floor Heaters:
10 $0.00
>15 HP to 30 HP .n !90.00 Attic_
A. _.'
$0.00
Heat Pumps & Pack e L u -
D Dow -t FaLJ 1iW.W F�`cordlCg[ Fee:
$0.00
Up to 100K BTU/hr
�0
%„mSQ*W I 10u V00 Residential HoT6oSNO:
ar nal Fee:
$0.00
Investigation: $0.00
OPer 500K BTU/hr:0
Fj�ltipg�\ Comm. Hood:
0 $iT
Plan Check: $0.00
U to 1M BTU/hr.
s0 $0.00
`Air
` �tb1{tj `�`� /0 $0.00.. Re air/Alter/Add:
0 $0.00 Model:
Issuance: $32.00
Up to 1.75M BTU/hr:
'0 $0.00
Over 1 OK CFM: 0 $0.00 Supplemental Fee:
$0.00 MaaufactupiOver
1.75M BTU/hr:
_0 ,. 0
''��
VAV Box: 0
---
initials:
Insp.
TOTAL:
$50.00
00 F P n„ ,+ ormit Issuance
:
$50.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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
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
3t more than five hundred dollars ($500).
1-1, 3a 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,
us.n=ss and Processions 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
iprovements 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
ip; oveG for the purposa of sale).
1, as owner of ti property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)ply to in owner-cf poperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 I am exempt fom liuensure under the Contractors' State License Law for the following reason:
y my signature te'ow 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 legal
:II a Sd'ucture tn
pt I na"e 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/mlaw.html.
ignatLre of Property Owner or Authorized Agent Date
ICENEED CCNTIYACTOR'S DECLARATION -
lereby affirm undue a am Icnnse un er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a id Professions Code, and my Iic -se is in full force
nd effect. -' / g /�
icense Class, a No ! L/S �l Date Contractor Signature '
✓ORKERS' ENSATION DECLARATION
'ARNING: FAILURCURE WORKERS' COMPENSAT ON COVERAGE IS WF AND. SHALL SUBJECT AN EMPLOYE 0N70QM1 P& IE AtJ(It�I�O,/f,Ir3FBa1(q jA6NE I�UNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
OST OFCOMPE, DA VIDED F NSECTION 3706 OF R CODE, INTEREST AND ATTORNEY' V 76 V I r vv iv I �irur IU [@i.
hereby affirm pen
I have andaint n a certate of consent sure for workers' co : on -:i_s d QotWhiomc of Industrial Relations as pro ded for by Section 3700 of the Labor Code, for the
ance o'NJ
rk f permit 'Ii`i`ssue Polic o.
ha and ntai workers' c mpensation insurance, as required b Section 3700 of the Labor Code, for the pertormance of the work for w ich.fhis permit is issued. My workers' compensation
is carripoll e: g�i�® ®® � M - r—
arner LtdN' fn "' """ ! .i Expiration Date I Z/ /a 0 L 7
ie of Agent _
certify that, in
, if I should be
work for which this permit is issued, I shall not employ any person in any manner so as to become sL
keys' compegmjB pn provisioyl"f Section 3700 of the Labor Code, I shall forthwith comply with those
nature of Applica Date
CtARATION RE D '^ " __.^•• • ^...^,n _ siwY V 5 /1 /A 0-1 L.
:reby affirm unde era y _. �,,.1!'C7C�[ * T.._ __ _ ",gency fort 1i `'F'—
ider's Name Len e—rss Address _
my signature bel
I am the proper
I have read this
I agree to comp
I authorize repn
nature of Proper
PERMIT EXPIRED
PERMIT CANCELLED
I certify to each �startea)
vner or authorize to act on the property owners behalf.
lication and the information I have provided is correct.
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
or
or
for inspection
❑ I SUBWTFEDASBESTOS M077FICATIONTO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOIIHCA770NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
to t1tworkers' compensation laws of California, and
Sion .
Civil Code).
OFFICE USEONLY
CERTIFICATE OF COMPLIANCE
CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3 ) (
Project Name:
2029 Vista Cajon I Date Prepared:
2016-02-22
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.
O3
Project Name
2029 Vista Cajon
02
Date Prepared
2016-02-22
03
Project Location
2029 Vista Cajon
04
Building Type
Single family
05
CA City
Newport Beach
06
Dwelling Unit Name
Main
07
Zip Code
92660
08
Dwelling Unit Conditioned
1500
Floor Area (ft2)
Number of space conditioning
09
Climate Zone
6
10
(SC) systems in this dwelling
1
unit.
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
1500
Yes
No
Yes
No
No
No
Altered space
conditioning system
U.0. GIICI 1[301.CI;3 HJAVI.:l GILIVdF
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Dlib)
This section does not apply to this project.
Registration Number: 316-A1020623A-000000000-0000
Registration Date/Time: 2016-02-22 09:45:46
HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-22 09:47:14
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (rage 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
031AFUE
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
AlteredMinimum
Altered
Cooling
Minimum
Required
New or
Identification
System
HeatingEfficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
ComponenValue
System Type
Components
Type
Value
Type
Duct Length
R-Value
Central gas
All new
No cooling
Less than or
System 1
furnacecomponent
heating.80
No cooling
component
SEER
14
Setback
equal to 40
R-6
altered
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: RE.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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-MCH-25-H & MR-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable In CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow>_ 300 CFM/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 MECH-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)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
tI Raters Association
T is secti ?does not apply to this project.
Registration Number:316-A1020623A-000000000-0000 Registration Date/Time: 2016-02-22 09:45:46 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-22 09:47:14
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CFIR-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:
Micheal Block
Signature Date: ��
Company:
Cole Services
2016-02-22
Address:
CFA/ HERS Certification Identification (if applicable):
10652 Trask Ave
718978
City/State/Zip:
Phone:
Garden Grove CA 92840
(714)741-8390
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 istrue 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 forthe 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: Li j?��
Micheal Block
/ ` Che O
Company:
Date Signed: -
Cole Services -
2016-02-22
Address:
10652 Trask Ave U.S. Energy Ra
License:
eAssociation
City/State/Zip:
Phone:
Garden Grove CA 92840
(714)741-8390
U TM
'This digital signature is provided in order to secure
the content of this registered document. and in no
way implies Registration Provider responsibility for
U.S. Energy Raters Association the accuracy of the information.'
Registration Number: 316-A1020623A-000000000-0000 Registration Date/Time: 2016-02-22 09:45:46 HERS Provider: USERA
CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-22 09:47:14
Schema Version: 0.555SDD