HomeMy WebLinkAboutH2017-0384 - Permitsv ar City of Newport Beach - Building Division III'IILIIIIIIIIIIIII�IIIIIIIIIIIII MECHANICAL Permit: H2O17-0384
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 3 8 4 Project No
Permit Counter Phone (949)644-3288
'��rrrea Inspection Requests Phone (949)644-3255
Job Address: 614 MICHAEL PL BIdg:1 Floor: Suite:. ,?
Description of Work: MECH 17Pl!"Fr-PRIM
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InspectorArea:3 ®'Edit: 2016
If applicable:
Legal Description N TR 06 LOT 6
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Owner: BIG LAND "ILL Y rac 47109 I & A/El 809/0 015 �e 's GG%n9aiand
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Address: 614 MICHAtL P Addre Carrier : REPUBLIC UNDER ITERS
NEWPORT BE H, 9266 CH 92648 Olicy No: ATW000664Phone: on LO Wholl.p eff-
ee° e
Con State Lic: 794154
°
Issued Date:07/24/2017,•"
000e eoe o 0
Processed By: UZLIC"'EXPIR
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ED
HVAC Items g R e
FurnacesBoilers & Ccirhpr sor a 5ftat400 9 1�+� rads $ .00 Other $0.00
Up to 100K BTU/hr: 0': 0.0 p���3//H� �0{ $�0.0 Bathroom F v 1
Wall/FIooOver KHeatehs: 0"t0hote>50
00 >15HFfP tock 0$0.00 Att3.00 hc Fanaust Fan: 00/n,$Qn(jQt! kdPr.,�lce: 0 $ .00 $0.00
Heat Pumps & Packade U >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $$00.0000 Record Mgt Fee: $ .00
Up to 1 OOK BTU/hr: Qs HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $3 .50 Investigation: $0.00
Over 500K BTU/hr:',;00 Air Handling Units Comm. Hood: Plan Check: $28.71
Up to 1M BTU/hr. 00 u to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00I[1� �e5titi3l 7L 48A Issuance: $33.00
Up to 1.75M BTU/hr: 0; 00 Over 1 OK CFM: 0 0.0 upp emen a ee: M nu acturer: RICAN ANDA
Over 1.75M BTU/hr: 0
TOTAL: $132.21 Plan Check Fee $0.00 Fee Due at Permit Issuance: $132.21
PERMITS EXPIRE 980 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.
)WNER-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 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
is 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Usiness 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 ownercri4lie•p7operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply tq,an ownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3af°g� exemljt frpM Rcensure under the Contractors'State License LawfdP"tfifie'PDIlowing reason[---
_.., ..-
lj m ysignaturebelow 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
elLa structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed ContraptQfs.-Irldepitand that a copy of the applicable law, Section 7044 of the Business and
rofLSsions Code, isayailable upon request when this application is submitted or at the following Web sitehtp //v".'Ieg fd.Ca.gov/calaw.html.
Valule of Propgrty Vner or Authorized AgentDate
.ICLNSED CONTRACTOR'S DECLARATION; z't?�;�e , L. I lrl
hareby affirm under enalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ectl n 7000 of Division 3 of the Business and of ssio s Code, and my license is in full force
Dd effect. .' /Pd� . 2A 1 1i
icanco faacc • I inensa Nn ' ` 's'�a}p / f � nn}ractnr Rinna}ive
:RS' COMR1NSATION DECLARATION
FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUN E THO SAND DOLLARS ($100,000), IN ADDITION TO THE
OMPENSATI®N. OAMAGESASIPfiOVIDED FORJN_SECTION 3706OF.THE LABOR CODE. INTERESTJAND. ATT.ORN Y'SFEES.
re6v affirm ender oenalty of
I have and will
ormance of the
tleva-aad will 1
rance carrier al
by the Director of Industrial Relations as providi ed for by Section 3700 of the Labor Code, for
workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for
number are:
s'—"& 9• % Policy NuRlber ExpiratioD Date
this permit is issued. My workers'
Name of Agent ,I
1
I
I certify that, in the or ante o the work for which thi permit is issued, I shall not emp oy any person in an manner so as t become subject to th
that, if I should beco a ubj t to a w4f(��SJ(2'yQITS49 t air visions of Section 3700 of the Labi(l�-WW(yj'4ICf�ij t )ly with those provisio S.
orkers' compensation laws of California, and agre
Signature of Applica
- Date
— J
DECLARATION RE ¢¢&&O S CTION LENDING AGENCY
hereby affirm under a IbFpe' eraisa-seastN+ctieaJ
aas®.oftlae.warkiar-whish-this-peraa•it-is-iSSW e etion
097, Civil Code).
Lender's Name
Lender's Address
By my signature be] a hCertify to each9 a following:
_...
Insp. initials:
I am the propert towner or authorized to act on the
ropert owner's behalf. _ _
I have read this application and the In orma Ion ave prove a Is�correc .
I agree to comply with all applicable city and c ordinances and state laws relating to building construction.
I authorize representatives of this city or coun t
ter the aboveentified property for inspection purposes.
,/
Signature of Property Owner or Authorized Age i .----
Print Property Owner's or Authorized Agent's Name -
r
Dat 7
ACTION DATE
""
BY
DECLARATION OFCOMPLIANCEtMTHCODEOF
FEDERAL REGULATIONS PART 61 OFTf7LE40AND
FOR OFFICE USE 01
AQMD RULE 1403.
❑ I SUBMITTEDASBESTOS NO77F/CATION TOr
PERMITEXPIRED
PERMITCANCELLED
F
❑ EPA
❑ AQMD
❑ ASBESTOS N071FICA77ON IS NOT APPLICABLE TO
P£RMITEXTENDED
PERMIT FINAL
PROPOSED DEMOLITION.
CERT10CATE OF
OCCUPANCYISSUED
SIGNATURE.
CERTIFICATE OF COMPLIANCE CF111-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: p
Stephens, Lance
Company:
Signature Date:
11M & STEPHANIE ENTERPRISES INC
2017-07-13 09:57:07
Address:
CEA/ HERS Certification Identification (if applicable):
7050 LAMPSON AVENUE
City/State/Zip:
Phone:
GARDEN GROVE CA 92841
714-379-4757
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 ar system design features identified on this Certificate of Compliance are: consistent with the informationprovided on othef applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 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 agencyfor 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:
Stephens, Lance
Company:
Date Signed: -
11M & STEPHANIE ENTERPRISES INC
2017-07-13 09:57:07
Address:
License:
7050 LAMPSON AVENUE
794154
City/State/Zip:
Phone:
GARDEN GROVE CA 92841
714-379-4757
Easy to Verify 0..
at CaICERTS.com
Oigitallysignedby CaICERTS. This digital signature is provided in order secure the content of this registered document, and in noway implies Registration Providerresponsibilityf
the accuracyofthe inform
Registration Number: 217-A020238515A-000-000-0000000-0000
Registration Date/Time: 2017-07-13 09:57:07
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-07-13 09:57:34
Schema Version: rev 10/16 -
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
CF1R-ALT-02-E
(Page 1 of 3)
Project Name: Michael Place I Date Prepared: 2017-07-13
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
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
Michael Place
02
Date Prepared
2017-07-13
03
Project Location
614 Michael Place
04
Building Type
Single family
05
CA City
Newport Beach
06
Dwelling Unit Name
Michael Place
SC System
SC System
CFA served
system a
Dwelling Unit Conditioned
Installing new SC
07
Zip Code
92663
08
Floor Area (ftZ)
2291
by this SC
ducted
containing
system
Number of Space
entirely new
09
Climate Zone
6
10
Conditioning (SC) Systems in
1
component?
components?
feet of ducts?
duct system?
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
.-. 04
05
06
07
08
09
10
Is the SC
Installing
-
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 (ftZ)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Entirely new or
complete
System 1
Location 1
1
Yes
Yes
Yes
No
Yes
Yes
replacement space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectionl50.2(b)lDiib)
This section does not apply to this project.
Registration Number: 217-A020238515A-000-000-0000000-0000 Registration Date/Time: 2017-07-13 09:57:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-07-13 09:57:34
Schema Version: rev 10/16
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 15O.2(b)1E and F)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 15O.2(b)iDiia and 15O.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C)
01
02
03
04
05
06
07
08
09
10
11
Heating
Cooling
System
Heating
Minimum
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Type
Component
Type
Value
System Type
Component
Type
Value
Type
R -Value
Annual.Fuel
-
Central gas
All new heating
Utilization
Central split
' All new cooling
..
SetbackTher
System 1
furnace
components
Efficiency
81
'
AC
components
'SEER
14
mostat
R-6
(AFUE)
Recurred 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 1-30, 12 and 13) and R8 (CZ 11 and 14-16)
CF211 and CF3R-MCH-20-H Duct Leakage Test required
- Leakage rate compliance: <= 5%.
CF2R and CF3R-MCH-22 Fan Efficacy
CF2R and CF3R-MCH-23 Airflow Rate Verification
- Compliance: Fan Efficacy <= 0.58 W per cfm and System Airflow >= 350 cfm per ton.
- Alternative Compliance: CF2R and CF3R-MCH-28 Return Duct Design verification is an alternative to MCH -22 and MCH -23 verification.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
Exceptions:
Heating -only systems are exempt from the 0.58 W per cfm and 350 cfm per ton requirements.
Note: An "entirely new or replacement duct system" means at least 7S% of the duct system is new duct material, and up to 25% may consist of reused parts from the dwelling
unit's existing duct system (e.g., registers,
grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 217-A020238515A-000-000-0000000-0000
Registration Date/Time: 2017-07-13 09:57:07
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-07-13 09:57:34
Schema Version: rev 10/16