HomeMy WebLinkAboutX2019-3037 - PermitsL.
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0 302 MO M
OUa i
CITY OF NEWPORT
X w1a-N3- -
2 e? 3) LP Poli
1LQ nu(k N
BEACHi ,
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newoortbeachca.gov 1 (949) 644-3200
OWNER -BUILDER ACKNOWLEDGEMENT AND INFORMATION VERIFICATION
(HSC 19825)
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
the property improvements specified at S%))6 i zt Lvrew Lk, \%R�11�o�f L'aGh .
We are providing you with an Owner -Builder Acknowledgment and Information Venficatr ion Form to
make you aware of your responsibilities and possible risk you may incur by having this permit issued in
your name as the Owner -Builder.
We will not issue a building permit until you have read, initialed your understanding of each
provision, signed, and returned this form to us at our official address indicated. An agent of the
owner cannot execute this notice unless you, the property owner, obtain the prior approval of the
permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
31 k 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an
"Owner -Builder" building permit that erroneously implies that the property owner is providing his or her
own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious
financial risk for any injuries sustained by an unlicensed person and his or her employees while working
on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully
acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
L,)0_2. I understand building permits are not required to be signed by property owners unless they are
responsible for the construction and are not hiring a licensed Contractor to assume this responsibility.
J✓) 3. 1 understand as an "Owner -Builder' I am the responsible party of record on the permit. I
understand that I may protect myself from potential financial risk by hiring a licensed Contractor and
having the permit filed in his or her name instead of my own.
,)n 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list
their license numbers on permits and contracts.
5. 1 understand if I employ or otherwise engage any persons, other than California licensed
Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor
and materials, I may be considered an "employer" under state and federal law.
jl�_6. 1 understand if I am considered an "employer" under state and federal law, I must register with the
state and federal government, withhold payroll taxes, provide workers' compensation disability insurance,
and contribute to unemployment compensation for each "employee." I also understand my failure to abide
by these laws may subject me to serious financial risk.
,)!2-7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds
single-family residential structures cannot legally build them with the intent to offer them for sale, unless
all work is performed by licensed subcontractors and the number of structures does not exceed four
within any calendar year, or all of the work is performed under contract with a licensed general building
Contractor.
I_N8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be
held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any
latent construction defects in the workmanship or materials.
Forms\owner builder verifdoe 08/12/16 1 oft
Y9. 1 understand I may obtain more information regarding my obligations as an "employer" from the
Internal Revenue'gervice, the United States Small Business Administration, the California Department of
Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the
California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for
more information about licensed contractors.
r10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and
understand that I am the party legally and financially responsible for proposed construction activity at the
following address: 233tp r%2 r I O�,n Glc , �p>t If 2 Y �2rn c l�
A11. 1 agree that, as the party legally and financially responsible for this proposed construction
cti 'ty, I will abide by all applicable laws and requirements that govern Owner -Builders as well as
employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to
any of the information I have provided on this form.
Licensed contractors are regulated by laws designed to protect the public. If you contract with someone
who does not have a license, the Contractors' State License Board may be unable to assist you with any
financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed
Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor
or employee of that individual or firm is injured while working on your property, you may be held liable for
damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible
for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property
owner and returned to the City of Newport Beach, Building Division, for issuing the permit.
Note: A copy of the property owner's driver's license or form notarization is required to be
presented when the permit is issued to verify the property owner's signature.
Print name of property owner: U qn
Property Owner's Signature: Date: Oil/ t2/. I Cl
Note: The following Authorization Form is required to be completed by the property owner only
when designating an agent of the property owner to apply for a construction permit for the
Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal
responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file
the documents necessary to obtain an Owner -Builder Permit for my project.
Scopg of Constructiop Project (or Description of Work): ,
Project Location or Address: Z2J�J l%4—A- Le12,n.2r CAL �Cz W�s2F ��aGl�t
Name of Authorized Agent: CIALLC 1I��ABn TelNo�� Jcly-co oC'S
Address of Authorized Agent: 11 Cedlnes I L12U),P01a I" CoaS'f CA
I declare under penalty of perjury that I am the property owner for the address listed above and I
personally filled out the above informatio d c accuracy. Note: A copy of the owners drivers
license, form notarization, or other v lcatio ccepta 1 to the agency is required to be presented when
the permit is issued to verify the pr pert er'ss/ nature.
Property Owner's
Date: U 112-4
Note: A copy of the ner's driver on is required to be presented when the
permit is issued to veri y rty-o er's signature.
Fortes\ov er builder verifdoc 08/12/16 2 oft
X201°1- a-51
23-70LO �0'rt -�erwic ,
�EWP°Rr CITY OF NEWPORT BEACH
O4
' + COMMUNITY DEVELOPMENT DEPARTMENT
r BUILDING DIVISION
°q<+ko P 100 Civic Center Drive P.O. Box 17681 Newport Beach, CA 926588915
www.newi)ortbeachca.cov 1 (949) 644-3200
SETBACKS AND TOP OF SLAB/FLOOR
ELEVATION CERTIFICATE
The purpose of this certificate is to insure that the structure is located properly on site per the approved
drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings.
After the top of slab/floor elevation is verified to match the elevation specified on the approved
drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to
verify that it is equal or less than the dimension shown on building sections and elevations.
This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys.
The survey must be done after the concrete forms are in place or preferable after the concrete slab is
poured or raised floor is built, but prior to starting wall framing.
Engineer/SuiveWLs Name CHUG ir" " & U Y r til License #
Engineer/Staweyer s Address i t \/I I'l /'Y 1-4"S S Nsi=W Poazr CZ ✓j'
Job Address 2-3?I6 PORiT7 1_Efzl.UfC� PL. iyew P6 RT Qy--AcC-H
Setbacks: Sketch a site plan and specify surveyed setbacks (use back page).
" Top of slab/floor elevation: --MV C -F ( 1 (-e1NG; G I Pci3 A,\j D WOO D t=c9 R M 6 Af-kO 'V1- S%M1=
C9Ec- {=1El-D i'lOTCS)
* If slab/floor elevation varies, sketch a plan or section through slab on die back page and specify the
elevations. Use same datum used in the survey of record.
I certify that the setbacks
from plans:
are, are not ❑, per City approved plans. Describe any deviations
I certify that top of slab/floor elevation(s)
any deviations from plans:
��6. 2g 3 tow
Date
Forma/Setbacksm,tropofSlabElevatimOnt.
isA, is not ❑, per City approved drawings. Describe
stamp
P � 7
1038m,"
Exp.
u
EXIST.
BACK YARD
(E)
EXIST. GARAGE
(1ST FLODR:600 SF)
(E) FIRE PLACE
EXIST.
FRONT YARD
C 38556 `
EXP. VZ((,Zr
G��1'-x
a 2-/a gl
EXIST. SIDEWALK
EXIST. GRASS r -(E) TOP OF CURB
PORT LERW7CK PL.
FIELD NOTES:
2X WOOD FORMS ARE USED FOR CONCRETE FOOTING AND SLAB.
THE TOP OF WOOD FORMS AND THE ELEVATION OF THE EXISTING
CONCRETE SLAB IN FRONT OF BOTH FIREPLACES ARE THE SAME.
2336 PORT LERWICK PL.
SITE PLAN
�(E) FIRE PLACE
2X WOOD F
AB
OF EXIST. RESDENCE
(2ND FLOOR: 992 SF)
0
(!SPRINKLER NO)
-
RR
SDE YAR)
(E)
EXIST. GARAGE
(1ST FLODR:600 SF)
(E) FIRE PLACE
EXIST.
FRONT YARD
C 38556 `
EXP. VZ((,Zr
G��1'-x
a 2-/a gl
EXIST. SIDEWALK
EXIST. GRASS r -(E) TOP OF CURB
PORT LERW7CK PL.
FIELD NOTES:
2X WOOD FORMS ARE USED FOR CONCRETE FOOTING AND SLAB.
THE TOP OF WOOD FORMS AND THE ELEVATION OF THE EXISTING
CONCRETE SLAB IN FRONT OF BOTH FIREPLACES ARE THE SAME.
2336 PORT LERWICK PL.
SITE PLAN
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov (949) 644-3200
Structural Observation Report
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit #:
?331
APR(L- 01, 2_o7__zD
Conventional
Footings & Slab
IzII(a,'2_01
Building Owner Name:
Owners Mailing Address (if different from site);
Owners Telephone M
CNB Plan Check #:
Jp.CQUELYNE W&U'YEIJ
❑ Masonry
`("/3R4-6606
❑ Steel Deck
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
CHUC jC14 "&UYt=tJ
cichi2 uyQti'Wr
yG6o5
r-38556
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
OQ/r91202(7
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
❑ Other:
❑ Other:
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
1. I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
2. 1, or another licensed design professional whom I have designated above and is under
my responsible charge, have performed the required site visits at each significant
construction stage to verify that the structure is in general conformance with the
approved construction documents;
3. 1 understand that all deficiencies which I have documented must be corrected, prior to
final acceptance of the structural systems by the City of Newport Beach, Building
Division.
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY
Fom,s\Stmow ]ObservationRepotl&lnslmdions
04/telIzo2
F C3M 1
'3.31Z
STAMP OF STRUCTURAL OBSERVER
BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
I
Owner: Jacquelyne My Ai Nguyen Item: Change Order #1
JQ 0119 2336 Port Lei -wick PI. 1/6/20
Newport Beach 92660
Floor Beam Grid 1 C, total L = 22.3'
Ridge Beam Ceiling Beam First span 11.75'
D=10f
D+L = 5,125#
ps
WF L = 40 psf
Tributary = 28/2 = 14'
Second span 10.5'
D=10 psf
WF L = 40 psf
Tributary = 12/2 = 6'
D+L=5,849# 6x10 Ridge Beam
D+L=10,174# D = 1,344 #
L=1,920#
4x10 Ceiling Beam
D=636#
L=979#
Check footing
7"x9 1/4" 2.0E PSL
Loads to 51.5" at ground level under linear footing:
P = 1,500 x (51.5 x 16)/(12x12) = 8,538 #
Use 3'x3' footing for mid post P = 10,174#
p = 10,174 /(3x3) = 1,130 psf OK
p�lOFE3S/p�,
\CM ly�
c� C31558Y/y�'
L Ch1
��OFCAIIf�� 1 /�
ii2FORTE MEMBER REPORT PASSED
Level, Floor: Flush Beam
1 piece(s) 7" x 9 1/4" 2.0E Parallam@ PSL
isvera L-.ng¢h: 3'
All locations are measured from the outside face of left support (or left cantilever end). All dimensions are horizontal.
Design Results
Actual'. a Location
.Allowed
'Result
LOF Load: Combination(Patbem)
Member Reaction (lbs)
8508 @ 11' 9"
15313 (3.50")
Passed (56%)
-- 1.0 D + 1.0 L (All Spans)
Shear (Its)
4991 @ 10 10"
12518
Passed (40%)
1.00 1.0 D + 1.0 L (All Spans)
Moment (Ft -lbs)
11874 @ 5'3"
24831
Passed (489%)
1.00 1.0 D IF 1.0 L (Alt Spans)
Live Load Defl. (in)
0.203 @ 5' 6 11/16"
0.290
Passed (L/683)
-- 1.0 D + 0.75 L + 0.75 Lr (Alt Spans)
Total Load Defl. (in)
0.306 @ TV
0.579
Passed (L/454)
-- 1.0 D + 0.75 L + 0.75 Lr (Alt Spans)
• Detection criteria: LL (L/480) and TL (1,/240).
• Top Edge Bracing (Lu): Top compression edge must be braced at 22'1" o/c unless detailed othemlee.
• Bottom Edge Bracing (Lu): Bottom compression edge must be braced at 22' 1" o/c unless detailed otherwise.
• Member should be side -loaded from both sides of the member or brad to prevent rotation.
RIM Board Is assumed do carry all ioacs appllea mrsoLly douve Il, uWl IFiy u,e IIieiI — U-19 utiiyii—
Vertical Loads
Location (Side)
Searing Length
Dead
.(0.90)
Loads W Supports(Ibsil
goof Live
(non -snow: 1.25)
comments
Supports
Total
I Available I Required
Dead
Floor Live Root Uvel.
Total
Accessories
1- Column - DF
3.50"
2.25" 1.50"
1376
2908/-72 868
514/
11/4" Rim Board
2- Point (Ib)
TY (Front)
N/A
1394
-
1920
6x10 Ridge Beam
2 - Column - DF
3.50"
3.50" 1.94"
2839
5669 1666
10174
None
3 -Column - OF
3.50"
2.25" 1.50"
1900
1139/455 2815
S455/
11/4" Rim Board
5 - Point (Ib)
22' 3" (Front)
N/A
1414
-
2319
RIM Board Is assumed do carry all ioacs appllea mrsoLly douve Il, uWl IFiy u,e IIieiI — U-19 utiiyii—
Vertical Loads
Location (Side)
TributaryWidth
Dead
.(0.90)
Floor Live
(1-00)
goof Live
(non -snow: 1.25)
comments
0 - Self Weight (PLF)
11/4" W 22' 13/4"
N/A
20.3
--
-1-
1 -Uniform (PSF)
0 to 11' 9" (Front)
14'
10A
40.0
-
Floor
2- Point (Ib)
TY (Front)
N/A
1394
-
1920
6x10 Ridge Beam
3 - Paint (lb)
18' 9" (Front)
N/A
636
-
979
4x10 CB
4 - Uniform (PSF)
11' T to 22'3" (Front)
6'
10.0
40.0
-
Floor
5 - Point (Ib)
22' 3" (Front)
N/A
1414
-
2319
Member Notes
22.25' Floor Beam
System : Floor
Member Type: Flush Beam
Building Use: Raditlential
Building Cade : IeC 2015
Design Methodology : ASD
Weyerhaeuser Notes
Neyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product all criteria and published design value. Weyerhaeuser expressly disclaims any other warranties
elated to the software. Use of this software is not Intended to circumvent the need for a assign profe alonat as determined by the authority having jurisdiction. The designer of record, builder or framer is
eponsible to assure that this calculation Is compatible Ivan the overall project. A cessories (Rim Boara, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Neyerhaeuser facilities are Nird-party obtfled to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by 10C -ES under evaluation reports ESR -1153 and ESR -138)
and/or tested In accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser product literature and installation all refer to
eww.weyerhaeuser.cam/woodproducts/document-library.
rhe product application, input design loads, dimensions and support information have been provided by Chuc Nguyen, PE
FarteWEB Software operator 1/6/20209:07:03 PM LITE
ForteWEB v2.1, Engine: V7.3.2.309, Data: V7.2.0.2
File Name: 2336 Port Lerwick PI. Newport Beach
Pagel/2
Job Notes
Chuc Nguyen,PE
22.5' Floor Beam Grid ID
Sigma Design
2336 Part Lerwick PI
(949) 394-6605
Newport Beach
cichnguyen@gmaH.com
SPECIAL DEPUTY INSPECTOR'S REPORT
AMERICAN INTERNATIONAL Office: (626) 795-0770
INSPECTIONS AM TESTING Fax: (626) 432-1717
00 www.specialinspectors.net
PERMIT #
ISSUED BYDATE(S)
JOB ADDRESS
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PROJECT
JOB ID
CONTRACTOR
CONCRETE MIX DESIGN
PLACEMENT CHECK B
SUB -CONTRACTOR
CU. YDS SPEC. STRENGTH @ 28 DAYS
# OF CYLINDERS SLUMP
SUP�RINT�NDENT
WELDING OPERATOR(S)
CITY INSPECTOR
CERT # & EXPIRATION
ELECTRODES
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Deputy Inspector
I ALL INSPECTIONS BASED ON A 4 -HOUR MINIMUM: OVER 4 HOURS = 8 HOURS.
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newoortbeachca.aov 1 (949) 644-3200
Structural Observation Report
Project Address:
2336 PORT' LERWICK- PL,
Report Date:
6 F p TF,- M R-2ozo
CNB Inspector Name:
CNB Permit #:
ict
Building Owner Name:
Owner's Mailing Address (if different from site);
Owners Telephone #:
CNB Plan Check #:
JAGQu�I—Yrt� M6uyGN
❑ Concrete
q4`i 39 -6666
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
C_R uG 1614 N &UYFEIIJ
C- ch r)u ert &rn aA. (oA
614q 394 _ G, 6GS
C - 3,s S56
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
❑ Other:
X Other: NEW
ROOF B! %I-C>O{i
/4/?o ?0
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
2. I, or another licensed design professional whom I have designated above and is under
my responsible charge, have performed the required site visits at each significant
construction stage to verify that the structure is in general conformance with the
approved construction documents;
3. 1 understand that all deficiencies which I have documented must be corrected, prior to
final acceptance of the structural systems by the City of Newport Beach, Building
Division.
0381
EXP, 4rIL
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Forms\StnctnraID6ec ation Rcpn&Iotmctions
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 CINc Center Drive I P.O. Box 17881 Newport Beach, CA 92858-8915
www.newpolbeachca.yov 1(949) 844.3200
BUILDING HEIGHT CERTIFICATION
Project street Address: Z13 3 (a PORT LER W Ics= 21Ki B.
Building Permit Number(s): 24 f 6 '2Xl IR
As the surveyor of record for the project: at the above address, I hereby certify that I have reviewed the
City of Newport Beach approved plan and original topographic survey and based the elevations listed
below on those plans.
Elevations shall include an allowance for roofing material thickness If not yet installed. Provide
each critical ridge and flat roof, or roof deck.a l ng elevations Indicated on the approved plans.
Use the format below on the bade of this fnum If additional space Is necessary or further
explanation is needed. Provide miginai copy to the inspector before roof framing Inspection.
All elevation points ane based on: 014AVDU O NM29 Assumed
Pkase ProyMe Me1o11ow1n9 elewotton lnfmnationfor die hi9hW roof rkfgm Jlat roofs, or
porepeWguordAWAL Addition! elevation Points may be Nquesud by the &d&ft IMPector.
RIDGES (3.12 slope or grcoter)
1. Approved elevation point of ridge Is 23� - ( and actual elevation point Is 23n,
2. Approved elevation pow of ridge is and actual elevation point Is
3. Approved elevation point of rime Is and actual ekwatian point Is
FLAT ROOFS, PARAPETS AND GUARDRAILS
1. Approved elevation point of flat roof or parapet is and actual elevation point is
2. Approved elevation point of flat roof or parapet is and actual elevation point is
3. Approved elevation point of flat root or Parapet is and actual elevation point is
1 certify that the above height measurements we correct and the above projed:
IS in compliance with the City -approved plans.
Ois NOT kr compliance with the Citrapproved plans (Provide explanation).
Please describe any deviation from the 0"irmoved plans on the bade of" form.
Surveyor or gull Engins* e'signature and seal SSIONq(�2 Date
(Wet stamp and slgrwture required) hip N• P CST LAti f W A -N
' License number of 33965 or lower W.,47'- A
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OATE:
2 Fire WT*W system wwaffied DWth8 approved plans
3 Al cxvftuclkn sowers ranxred ft= spdr*ler heads
4- CGVW pklb!g aro NOT to be nStEdSCL but Shoff be WYM12bS M the Jobsffim
5- Al *m and paint removed fivrn *&*er heads
S. Fresh frim 6i WW w= -d VdIder heads
7 Proper signage posted at al( mqwmd bcmbom
FAM test C"Xkx:w and beff
.9. L=armn of k=m ctoes tes&V va&e in approved b=bm
SYSTEMS.
I a- C*arff=s around suffnider his and riser - no obstructions
11.
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12 Baric fawpreverderkotaffied
13 System kiscaffed per ffonufacaffem sPecffcmff0ns
OATE:
PROJECT SUMMARY
Project Name:
Address:
City, State, Zip:
Building Department:
Permit Number:
Building Energy Code:
C19-3175RRR
2336 PORT LERWICK PL.
NEWPORT BEACH, CA 92660
Newport Beach, City of
X2019-3037
2016 Standards
HERS VERIFIABLE
MEASURES
ENERGY CODE
COMPLIANCE
CERTIFICATE OF COMPLIANCE (CF1 R)
Scan to Validate
COMPLETE o
COMPLETE lO
DATE
DOCUMENT
TITLE
REGISTRATION NUMBER
04/01/2021
CF1R-PRF-01-E
Performance Compliance
421-P010045825A-000-000-0000000-0000
CERTIFICATE
OF
INSTALLATION
(CF2R)
DATE
DOCUMENT
TITLE
REGISTRATION NUMBER
03/02/2022
CF2R-ENV-01-E
Fenestration
421-P010045825A-000-001-E01006A-0000
03/02/2022
CF2R-ENV-03-E
Insulation Installation
421-P010045825A-000-001-E03007A-0000
03/02/2022
CF2R-ENV-04-E
Roofing Radiant Barrier
421-P010045825A-000-001-E04008A-0000
03/02/2022
CF2R-LTG-01-E
Lighting
02/22/2022
CF2R-MCH-01d-E
HVAC, Ducts and Fans
WHOLE HOUSEI
02/22/2022
CF2R-MCH-20a-H
Duct Leakage
02/22/2022
CF2R-MCH-22a-H
Fan Efficacy
02/22/2022
CF2R-MCH-23a-H
Airflow Rate
02/22/2022
CF2R-MCH-25b-H
Refrigerant Charge
continued on nextpage -
421-P010045825A-000-001-101009A-0000
421-P010045825A-000-001-M01001A-0000
421-P010045825A-000-001-M20002A-0000
421-P010045825A-000-001-M22004A-0000
421-P010045825A-000-001-M23003A-0000
421 -P01 0045825A-000-001 -M25005A-0000
STATUS
0
STATUS
O
O
O
O
O
O
O
O
s r /
NOTICE: compliance generated registration platform tli using
an that has been uploaded to that registration platform by third parties that are not or related to tE RS
CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the page 1 of 2
information contained in this certificate.
CERTIFICATE OF VERIFICATION (CF3R)
DATE DOCUMENT TITLE REGISTRATION NUMBER
WHOLE HOUSEI
02/22/2022
CF3R-MCH-20a-H
Duct Leakage
02/22/2022
CF3R-MCH-22a-H
Fan Efficacy
02/22/2022
CF3R-MCH-23a-H
Airflow Rate
02/22/2022
CF3R-MCH-25b-H
Refrigerant Charge
421 -P01 0045825A-000-001 -M20002A-
M20A
421-P010045825A-000-001-M22004A-
M22A
421 -P01 0045825A-000-001-M23003A-
M23A
421 -P01 0045825A-000-001-M25005A-
M25A
Scan to Validate
STATUS
@)
NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using
:II �� ! ��j information that has been uploaded to that registration platform by third parties that are not affiliated or related to
�. CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the page 2 of 2
information contained in this certificate.