HomeMy WebLinkAboutH2018-0350 - PermitsCity of Newport Beach - Building Division III III 1111111111111111111111111IN111p11111111
o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 3 5 0
h Permit Counter Phone (949)644-3288
Job Address: 504 AVENIDA LADERA BIdg:1 Floor: Suite:
Description of Work: MECH/NEW A/C "TAMPER RESISTANT CAP REQ"
InspectorArea:8 Code Edit: 2016
Legal Description: TR 5692 (L.L.84-214027) PAR 23
Owner: BACKLUND JIM & NICOLD Contractor:
Address: 504 AVENIDA LADERA Address:
NEWPORT-921CH, CA 92660
Phone:
Issued
Processed
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
AIRWEST A/C & HEATING INC
1886 SO SANTA CRUZ ST
ANAHEIM CA 92805
714-978-7877
733715
03/31/2019
BT30057337
05/31/2019
MECHANICAL Permit: H2O18-0350
Project No :
Inspection Requests Phone (949)644-3255
1ECTO Rvi
Worker's Comp Insurance -
Carrier : NORGUARD INS
Policy No: AIWc857477
Expire :11/14/2018
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mmeaoa
SU13JECTToFIELD
LbS F'C°�1'Uh'
REVIEW AND APP1ZOyA1
same °
• o m ° °
••mm ee °
AC Items
/
FEES
`••-
° °•e1
^nacesBoilers&Compressors
Ventilation
Other •
.e•
to 10OK BTU/hr:
0
$0.00
Up to 3HP:
1 $18.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0
$0.00
°x$0.00 0
ar 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
0
$0.00
° °
°
$0.00 • m °
ill/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0
$0.00
• °
° ° • ° • °
at 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
Comm. Hood:
0 $0.00
Plan Check:
$15.66
to 1M BTU/hr:
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
ASX160361F
Issuance:
$33.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AMANA
:r 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$37.50
TOTAL: $104.16 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $104.16
PERMITS EXPIRE 180 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.
°
DWNER-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
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do l_) 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
�im roved for the purpose of sale).
1, 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
apply 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 legall
sell 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
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 700 ) of Division 3 of the Business and Pr fess on ode, and my license is in full force
and effect. .....
4p nso,Class • ... • License No DateXD Contractor Signatur
NOR14ERS' 60PPVNSATION DECLARATION
AIyeNMG: FAILURE TO•SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT ANEPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COSJQP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.hereby affirm undo; penalty of perjury one of the fallowing declarations:
:1•1 -have and•Alf 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 the
o ante Qft14e work for which this permit is issued. Policy No.
Aav andwill4aintain 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' compensation
osdra a carrier and policy number are:
• N b i�GJ� %22(o3S Ex !ration Date
r ..._,., Pollcy um er
P
If of Agent
Phone #
certify tlTe�tli� she performance o h or f r which }hi ennit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
I. if I should beco a subject to th wor rs mpens visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
Date ��/'S��J
CLARATION RE RDING CIST—RUCTION LENDING AGENCY
areby affirm uncle penalty of perjury that there is a construction lending
agency for the performance of the work for which this permit is iss d (Section 3 97, Civil Code).
lder'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 pro 'ded is
rect.
I agree to comply with all applicable city and county ordi an s an
tate laws relating to building construction.
I authorize representatives of this city or cou ty to ant he a ove-
ntifie party for inspection purposes.
' G
nature of Property Owner or Authorized Agent
t Property Owner's or Authorized Agent's Name Date
ACTION DATE BY
DECLARATION OF COMPLIA CEWITNCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART fit OFTITLE40AND
AQMDRULE 7403.
❑ i SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
SIGNATURE.
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL O
CERTtFtCATEOF
OCCUPANCYISSUED
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) 1
Project Name: Backlund I Date Prepared: 2018-06.05 I
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
Backlund
02
Date Prepared
2018-06-05
03
Project Location
504 Avenida Ladera
04
Building Type
Single family
05
CA City
Newport Beach
06
Dwelling Unit Name
Backlund
07
Zip Code
92660
08
Dwelling Unit Conditioned
1547
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
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 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
Location 1
1547
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 218-A020160748A-000-000-0000000-0000
Registration Date/Time:
2018-06-05 07:43:44
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-06-05 07:44:17
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 150.2(b)1E 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
No heating
This field or
This field or
Central split
All new
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
cooling
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct Insulation requirement forthe 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)
CF2R and CF3R-MCH-20-H - Duo 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%or <=10%leakage to outside, or seal all accessible leaks.
CF2R and MR -MCH -25-1-1 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 250.2(b)1DI[a and 150.2(b)IE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 218-A02016074BA-000-000-0000000-0000
Registration Date/Time:
2018-06-05 07:43:44
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-06-05 07:44:17
Schema Version: rev 10/16
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: �
�iavir��retzka
Dretzka, David
Company:
Signature Date:
AIRWEST AIR CONDITIONING AND HEATING INC
2018-06-05 07:43:44
Address:
CEA/ HERS Certification Identification (If applicable):
1886 SOUTH SANTA CRUZ STREET
City/State/Zip:
Phone:
ANAHEIM CA 92805
714-978-7877
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 forthe 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: /� -
Dretzka, David
avid refzka
Company:
Date Signed:
AIRWEST AIR CONDITIONING AND HEATING INC
2018-06-05 07:43:44
Address:
License:
1886 SOUTH SANTA CRUZ STREET
733715
City/State/Zip:
Phone:
ANAHEIM CA 92805
714-978-7877
Easy to Verify O O
at CaICERTS.Com
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies
�
Registration Provider responsibility for the accuracy of the information.
Registration Number: 218-AO20160748A-000-000-0000000-0000
Registration Date/Time:
2018-06-05 07:43:44
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-06-05 07:44:17
Schema Version: rev 10/16