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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 ° 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