HomeMy WebLinkAboutH2019-0653 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
MECHANICAL Permit: H2O19-0653
cs' & 100 Civic Center Drive, Newport Beach CA 92660
a
H 2 6 1 9
6 6 5 3
Project No :
�. Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 316 ANADE AVE Bldg:1 Floor: Suite:
Description of Work: MECH/ A/C C/O "TAMPER RESISTANT CAP REQ"
I I V S P E/�T
�/
InspectorArea:1 Code Edit: 2016
Legal Description: EAST NEWPORT BLK A LOT 43
I
Owner: LAGSAM BOB & PATRICIA Contractor:
BASIC AIR INC
Worker's Comp Insurance
Address:- 31 AVE Address:
1157 SALINAS AVENUE
Carrier: OAK RIVER INS
EWPORT EACH, CA 92661
COSTA MESA CA92626
Policy No: BAWC917646 e °
Phone: 949-375-034 Phone:
714-469-4542
Expire :10/22/2019 .....
Con State Lie: '909834
Issued ate:10/23/2019 Lie Expire:
01/31/2020
Bus Lie:
BT30045172
°�•�
Processe Lie Exp Date: 10/31/2019
eo, ° °
cl!)13.1 ECT TO FIELD&W"PCTCFf'%`°
RE,VJLWANDACPROVAt,
HVAC Items
FEES
°
FurnacesBoilei &Compessors Ventilation
-
Other
Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1
$20.00 Bathroom Fan:
0 $0.00
Fire Dampers: 0 $0.00 $0.00°
Over I OOK BTU, 0 0.00 > 3 HP to 15 HP: 0
$0.00 Exhaust Fan:
0 $0.00
° b
Gas Line: 0 $0.00 $04° o
Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0
$0.00` Attic Fan:
0 $0.00
°
Metal Fireplace: 0 $0.00
Heat Pumps & Package Units >30 HP to 50 HP 0
$0.00 Down-Draft Fan:
0 ' $0.00
Record Mgt Fee: $0.00
Up to 1 OOK BTU/hr: 0 $0.00 >50 HP; 0
$0.00 Residential Hood:
0 " $0.00
Additional Fee: - $0.00 investigation: $0.00
Over 500K BTU/hr: 0 $0.00 Air Handling Units
Comm. Hood:
0 $0.00
Plan Check: $17.40
Up to 1M BTU/hr: 0 $0.00 up to 1O CFM: 0
$0.00 Repair/Alter/Add:
0 $0.00
Model RXTQ36TAVJU Issuance: $35.00
Up to 1.75M BTU/hr. 0 $0.00 Over IOK CFM: 0
$0.00 Supplemental Fee:
$0.00
Manufacturer: DAIKIN
-
Over 1.75M BTU/hr: .0 $0.00 VAV Box: 0
$0.00
Zoning PC:- $41.50
TOTAL: $113.90
Plan Check Fee
: $0.00
Fee Due at Permit Issuance : $113.90
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
)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 applicabld-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
:he 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
3rofessions 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 fora permit subjects the applicant to a civil penalty of
iot 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
'mproved 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'wno 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 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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm ender penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions CqOe, and my license is in full force
and effePt
tltefttllass,"", License No Date 6 Contractor Signature en
VV,0RKERS' CON tNSATION DECLARATION
*AFT WV!FAILURE TOT SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS [$1D0,0001, IN ADDITION TO THE
COST OF COMPENSAFrIONPDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Idieieby.affirm under penalty of perjury one of the following declarations:
rgve and Vl6m%itain 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
ormance of" "k for which this permit is issued. Policy No.
...
alta, and will maintain 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
I
ut nco carrier, a0d9(licy number are:
R9f y
Polic Number Expiration Date
- ^'---
I certify that, in the performance 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
that, if I should become subject to the, rker ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date (b 23 j
DECLARATION REG RDIN CONSTRUCT ON L G GMCY
I hereby affirm under enalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued action 3097, Civil Code).
Lender's Name. Lender's Address
By 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 ordina es and state laws relating to building construction.
I authorize representatives of this city or co a enter e -identified property for inspection purposes. 1, -
Flnnature of PmDertV Owner or Authorized AGent / —�-/-11
Print Propert Owner's or Authorized Agent's Name U t rah �jG i'�A'�Date Z.3
ACTION DATE BY
FEDERAL REGULATIONS PART Bf OF TtTLE40AND
PERMITEXPtR£D AQMDRULE7403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO.-
PERMITCANCELLED ❑ EPA
PERMITEXT€NDFD [3 AQMD
❑ ASBESTOS NQTIFICARQNIS NOF APPLICABLE TO
PERMITFINAL PROPOSED DEMOLITION.
CERTIFICATEOF SIGNATURE:
OCCOPANCYISSUED
0 ZOIq - 3tV Wa 4b Alf -
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: 316 Anade Ave. Date Prepared: 2019-10-22
A. General Information
CFIR-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
316 Anade Ave.
02
Date Prepared
2019-10-22
03
Project Location
316 Anade Ave.
04
Building Type
Single family
05
CA City
Newport Beach
06
Dwelling Unit Name
316 Anade Ave. - -
07
Zip Code
92661
08976
Dwelling Unit Conditioned
=
Installing new SC
Installing
Installing
Installing
Floor Area (ft)
_
Location or Area
by this SC
ducted
containing
Number of Space
=
09
Climate Zone
6
10
Conditioning (SC) Systems in
1
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
B. Space Conditioning (SC) System In +P[ 0: i}{�`j 1 ;'t iu
tIili. ;'+4
�IN3ltli. �iiY 311
4in gi 11 H 'Yt ` I I
01
02
03 � �il
04
4, u,05
a.. „ ,06.,
d'7" 6lkli
, , 08
.,.11110,« ,09
„It the SCI„,.,.
Installing a
,",its �.,�,
ii ... � '4,11 �
'�,.�,� ,..
T 1,
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
Entirely new or
System 1
Whole House
976
Yes
Yes
Yes
Yes
Yes
Yes
complete
replacement space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Dii1b)
This section does not apply to this project.
Registration Number: 219-A020226569A-000-000-0000000-0000 Registration Date/Time: 2019-10-2210:55:57 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-22 10:55:52
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CFIR-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)IE and F) I
This section does not apply to this project.
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)
01
02
03
04
05
06
07
08
09
10 �-
r 11
Heating
Cooling
System
Heating
Minimum
Cooling
Minimum
_
Required
Identification or
Heating System
Altered Heating
Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat
Nlaw Duct
Name
Type
Component
Type .,
Value
System Type
Component
Type
Value
Type ` `
k-Valu6
System 1
Central split HP
All new heating
�a;;tt.-
Hea '
Sea ln?al
Perfo't anc
IIL
i; II
f11 8
us.f , pJ11111un11 = 111a%
Ce tMIllsp tulj
, sk r11sw% �I11111111%
ew 2da' g
A
1j
E
SetbackTher
(
co npone ts7;11
P
f1
cfnp efts
R
I�
14
�;
mosta:
R-6
ac�'rlir
t11
EisE1sI
t �s1f
jl`v'
-
-
`�'
(HSPF),.. 1
Reauired 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
- Leakage rate compliance: <= 5%.
CF211 and CF311-MCH-22 Fan Efficacy
CF211 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 75% 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: 219-A020226569A-000-000-0000000-0000
Registration Date/Time: 2019-10-22 10:55:57
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-22 10:55:52
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-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:
Samaniego, Jason
�RORf!/r�Rs/LR7GGP�F'
d
Company:
Signature Date:
Plus Air Duct Testing
2019-10-22 10:55:57
Address:
CEA/ HERS Certification Identification (if applicable):
6843 Regal Park Dr.
CC2005629
City/State/Zip:
Phone:
Fontana CA 92336
909-273-7272
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. r
2. 1 am eligible under Division 3 of the Business and Professions Code to acceptresponsibility for the building design or system design identified on this Certificate of Compliance (responsible de signer `
3. That the energy features and performance specifications, materials, components, and Manufactured devices forth building design pr system deli n identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part6.of the California'Code of gzons M-«Oiillflii i;is! !W#V!l ,
pp, �a
4. The building design features or system design features entified o is Certific'a' of Mm"liance are psj;tea he id orm rovided o th'Fn'`ap�31'ca 'Ii compliance documents, worksheets,
calculations, °
P
plans and specifications submitted to the orcemen ency for,3`j' va w this buffing perm t a licafot.
15� �,
5. twill ensure that a registered copy of this:Certific`A1,JlC Ipliances iltIbemage,� ailld le lixthe building p"frmd ussu�d fori$he bmld7�ifg and made ova ab�l tithe€nforcement agency fa.; I'a`PPlicable .
inspections. I understand that a registered copy of th"r}11 +` (¢ate of Co pliance'S,requ rRd to bg,induded ith the,docum Dtanon the b�iider r vides to
(n er Prfq.,., byid Ing owner at occupancy.
rr:.: ,� x , , ,r•She
Responsible Designer Name: "fq ..t �,.,. (r'V.. :,,,,,S
Samaniego,Jason
Responsisle De signer Sllgnafureri'a`
Company:
Date Signed:
Plus Air Duct Testing
2019-10-22 10:55:57
Address:
License:
6843 Regal Park Dr.
909834
City/State/Zip:
Phone:
Fontana CA 92336
909-273-7272
Easy to Verify �� �'0
at CaICERTS.com
5i � -
Digitally signed by CaICERTS. This digital signature is providedin order to secure the content of this registered document, and in noway implies
O
Registration Pmvider responsibility for the accuracy of the information.
- -
Registration Number: 219-A020226569A-000-000-0000000-0000
Registration Date/Time: 2019-10-22 10:55:57
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-22 10:55:52
Schema Version: rev 20180426
�r-