HomeMy WebLinkAboutH2018-0080 - PermitsO C COC 2 OCT
2
m -0D O
r g 00-
-
G V fD d
O
J
N �p
'O N
• G'CT$Cy
_
:,,.-4
O
a'cn
m
wog°oomm
K A N � W 3
o.
N
0 D J N
#3
-j00 W = co
co C .� o m
co
K
o m Z
-W-I
C C? C s C
o O
aha
3 J m
�. m T*
A O
nNi
o W
y
o p
W O z<
-0 8 0
00000 0003
°D oD�2
3w
inq
-1
c V
A WA
M
m. 00
O..
<
0
000
000003000N
'�
m m Z
00000g0000
O�
��
17
W cpm
r
�,
u
<0 >v vvvC<
wo om
mo
a a
CmD''oo<n4i��
rm
Oma
�m
W
n
oo'o�,'Cn_v_m_�wd
NO
a0
p
X G O O O O
W N .11
W W 0
:300�
-n cnw�.. J
3
O'U
TO 00.0
��C 22=
-'co
0-V D0
01 1 co
3E
?
crn
J ���
0F)0.o
a0 mm
W
t�
E
x_rxc)
� o �•
�
>_.
O.
�y
N
0 00 0 000-+
p
mN o
m
0
D
o
v b
r
m
o00 00000
000 00000
�
j m
y o
O 60
W a
N
N
m0 m0 Dxm
�*
A
O
N S S
Zm
O � T
D
o
m 3 m m y o
W W W
z
N jo
3m
CDmodm-n�
o = m T
3
0N=
D
a2 -n
mo
m
-n
O -
m
cMica
n
mm m
A
m
0
y
m
o00000o
Z
m
mp
j a
rn
o
wF»to fn wui rn ui
m
;
o
e
IX
yin
o
00000000
m�
M ry
G
wo y
O3
= Omsw
xfry N
-o
°0
VD0m0
c m K m 3
YY.a
Y
7m
N
N -n� N
W N W
Yo•cf.
NC
Z
2
0..
°
0
01
fOD
.•
N
('�
3
o
a
�
u= o00
�
•Y
e
n E.
"
oc.
w m
.
Yom
m`
*
tJ'1
N 0000 0
•
a
�
oeWw_�.D
0 0 0 0 0
o
Z>,
n
o Y
o
n o o
y
n o
°r
�
m
oo°
nn000 e(D
O•
O N �< O
�.^4�;-^�ynmo
46
W
0
C'7
Z
z
-�
00
W W p 0O O
6
C Q M O 0 0
T
cm
O
w0 N O N O
E m
4:5 v
v aNn o n v
D
@@ 0 0 c a c m
0o E3 v
N n r N
N0 v
o o'> o n w
ca@ioo vL0n N
aco o>c
myarn `O av
o
••••• �Kg °°nL–.�Y•s°. Nc3vLeD.wJ•J
N c @n3COmN_NE j 6« v3CU•@ y N d n–
'wD E°pa 0CNMo �n 0 °mO
a
•mr�°vcc@ccN@°�2 @�– °oO>+LNC❑L�'@A�.Ca�Iy OE
.
09–
ovm,'2
m3 N@ Lir1d
TCO
Ny-w
n`
OCw
`
a
E
acE
m E
iv�vN�c
>o„ 0 y cO @L~o@N
@L2 0
yTm
@ @N @
m
O0a
0 N
a`z,0ao
v OJO
@
OJ pU
,Sdw,2,
coLO
O 0Jc
0ac
w Et O
U QO O
2 -ca a`cc Oaya
o � o
O9
to €mc Nm oo 0
OO 0>
TO
N@ Q E
E CyN O N0 •s?•
oaca
ID@0vW>
•N U)t
O .p1N0
ONoeVN nGai•O
vv
Lc ag cc O
LI L@ yO a c co_
vi 0
oOaWo N0c
O€m@vOda
Jedd oia
amW >> ENE
'a pN0Nm
O
O`mY
wvc_
c�
O
'.'�.•r.dN0
o`v,«.a@y2ccVd"@�9nyT0uNrN`nNEd'–O O o
>c
U
C
9
JJ
@
rW a
. >w
N� N ❑ 6@C
A
0
Q
dFg
owOVCUN�UdEac@y00
U)
J CoO
m
OO:t ~c@NEN❑OO
jcN
Nrc
rn3Cr
yE
y
n
O.
N
cc
€
y@O
o 2 E a
O -
«U OUo
09m 0O0C?y
NE
OU 0-aNO Ld
O @Q
2N .O
c8 =E
«O
-C 6
'QU
U0 Joc N>O
N O @Le m_
05
JOZC-12
we VNU K
FD
TEOWaoNW)022'o 4.5
v @ cEp
E o 'm U) T
@ L 3Q
aUo no .2.-y>wOv
E .FO
£000cao
w Eo Ua0uo ccU)
UNNwm« E. Z3
E@–T0Wc
dr7 T n Q m U L c.
W L
2
H w
O
z Q
o 0
0
o U
a 0
o J
r
Nw O
p O
r
0 N
O C
0
0
O T
F a
W w
c a
Y y
o_ >
O
W
2 0
O
O m
F
6 N
c
y O
2 0
LL @
S �
U
O N
� o
@ 0
w �
J
a O
W O
LL U
a 5
2 ❑
aN
U
0w T
FLL �
OZ N
ap H
w
Ya c
40
z c
N
y W E
�2
O U
2
yW 0
00 y
O `O
Jo 3
;5 o
w v
O~ N
NO U C
O D
N
d
3
v
FQgUQ
rcCazZZ 2V °iNs
2d0
`
wN
wp=0
Z O
Ozww
0Y dyC
FW$
i$`OU
oO
2. 0
W00
ZOr3 O2
7-6
W UC vn4W z
02
O c
W @
o m
1 N @
OLi
c
O >
@
U
O
O
m
C @
@L
c �
d
N
U
3
3
r
0
O
Q
1
O LL{ o
OPR
u�
Uu
0
�a O
h
p Znw
am:a
o�❑❑�pp,
Q
q
❑
❑0.
y
1
❑
h
u
NOISE LEVEL AGREEMENT
Date: / /1$ //a
1, J-1-CL)e4) "1", G f, l ,d Ila
owner
Print affected adjacent property Owner's Name (owner)
of � 'p- 3 z 3�J�D 5�necf
Print affected adjacent property Owner's Address (owner address) _
authorize the installation of air conditioning unit(s) at the following neighbor's address,
Cqc-g,�? 331�—p lJ7 �-i- . 1 am aware the noise will
Print neighbor's address with AC unit(s) which exceed 55 db (neighbor's address)
exceed 55 db (decibels) to a maximum rating of 65 db with a timer installed on the equipment
to shut off between 10 PM and 7 AM. I give my authorization to install the unit(s) not to exceed
65 db per the Newport Beach Municipal Code Section 10.26.045.
Thankyou,
T, (,e. -C aAP
(Signature of affected property owner) Under penalty of perjury 1 attest that I am the current
affected property owner. 1
�J, 611.1 1 -S 0 //, 4 -
(Print Name of affected property owner)
a �3 � 33� SVinee-1-4
(Property Address)
Forms\CNB NoiseLeve ftreement 05/24/2017
CITY OF NEWPORT BEACH
ak ;f m
COMMUNITY DEVELOPMENT DEPARTMENT
u x BUILDING DIVISION
100 Civic Center Drive I RO, Box 1768 1 Newport Beach, CA 92658-8915
ca61 FORN�P www.newoortbeachca oov 1 (949) 644-3200
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
We are providing you with an Owner -Builder Acknowledgment and Information Verification 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.
I understand a frequent practice of unlicensed persons is to have the property owner obtain an
" wner-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
Ty property.
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.
gip,\..,3. 1 understand as an "Owner-Bullder" I am the responsible party of record on the permit. I
derstand 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.
I understand Contractors are required by law to be licensed and bonded In California and to list
heir license numbers on permits and contracts.
I 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,
8. 1 understand If I am considered an "employer" under state and federal law, I must register with the
s ate 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.
z 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 understand as an Owner -Builder if I sell the property for which this permit Is Issued, I may be
h d liable for any financial or personal Injuries sustained by any subsequent owner(s) that result from any
latent construction defects in the workmanship or materlais.
runnslo+vner_buiider_verif.duc 08/12/16 1 oft
L9. I understand I may obtain more information regarding my obligations as an "employer" from the
e—mll Revenue Service, 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 1-600.321-CSLB (2752) or www,cslb.ca.gov for
-7re Information about licensed contractors.
10. I 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
Tfo owfo owing address,
11. 1 agree that, as the party legally and financially responsible for this proposed construction
activity, I will abide by all applicable laws and requirements that govern Owner-Bullders as well as
e loyers,
12. 1 agree to notify the issuer of this form immedlatety 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 hold 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 permlt 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
Property Owner's Sign
Date: ifJ
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 AOT 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.
Scope of Construction Project (or Description of Work):
Project Location or Address: 22-3
Name of Authorized
Address of Authorized Agent:
Tel No '-T ) Lf—?) 4q-8PG2
I declare under penalty of perjury that I am the property owner for the address listed above and I
personally filled out the above Information and certify Its accuracy. Note: A copy of the owner's drive✓s
license, form notarization, or other verification acceptable to the agency is required to be presented when
the permit is issued to verify the property owner° fg at u
Property Owner's Signature: Date: 131 I I
Nate: A copy of the owner's driver's license o for notarization Is required to be presented when the
permit Is Issued to verify the property owner's signature.
Ponnslowner buildcr vorif.doc 08112/16 2 of 2
Q2z4o
a
w
<
ro
n
z
N
°
N N
zz �%
v v,
ro m
n
n
Y
0
� 3
�
o
a
0
ry
r
r
�
H 3
O
r
v H
w
N », n
o
O
ro n
r �
Y
D 3
ro
'm
m
v
O 3
�
�p O
a 3
s c
n
N 6
a s
�•
N D.
ro
m N
n
O n0
w
m
•J
A
°_-
n
ro
N
�
N
n
O
i N
m
d
'D 3
ro
�
3
N N
n
n
m 3
ro
N
o �
3
d
n D �
M
•J O
a ro
c � _
N (p •I
s
v
N ro
n �
N
O
N N
O
O
ro
o
m
m
a
m
a
•J G
n
°
ro
ro
'w
O
o ro
ro
n.
w
p
0 m
D>
>
>
T
c
ro �
ry DD
W
�
N
ro
N
C
(p
'G
nny
N N
zz �%
v v,
N
n
9
ro
ry
r
H 3
o
O
ro n
r �
ro
O 3
�p O
a 3
s c
a s
m N
fr
A
°_-
ro
N
�
rT
n
O
S
d
3
ro
�
3
n
RO
ro
N
3
n
O
M
v
a.
s
v
N
O
O
O
O
ro
o
m
m
a
N
a
°
a 3
o ro
ro
n.
w
p
0 m
D>
>
>
T
c
ro �
ry DD
W
�
ro
C
C
'G
d
3
ro
m
O
n
pq
Y
C
n
S
N
N
ro
N
�
a
n
m
O
n
3
ro
n.
m
O
ro
n
V
N
U)
N
— n
W D
ONnb
o(0
_+
[?
—�fD
wON DnN.
0N n
o
O
Nn
<
'
o
O
'
0
O 3a
O oc
10
NNi
a,O
VI A W N F• .
'=vO°i
N 3
n
N
VI
N
(D
N
yy
rt
N
'#
ID
t
m
n
o_
n
o
m
�
�� m m v
�
c
o
5
v
�
❑
a' 3 c
❑
.�
°
O
N
SD
ti OO N, y � � -GO, � �
^
Y�
N
o
a o
j. �j
m
c
m
O
p w
o
.
o vi o
@
r
N
n
v
n
.r
V -
o
c
60 1°
N
oC. > w
m !D
o x
J. c
m
m
r w
>
.moi
ID
IDj
O
W
Y � _
n a 3 n
v
-0 O. � i'•' S
N
Z
0 o
m'
N
t O O
N
O S
On
n m w—
M N
O 3 o V H
o
m
N O
Project Status Report CaICERTS, Incl
Effective: 02/07/2018 07:12 1 of 1
GENERAL INFORMATION
Energy Standards Code Year:
2016
Project Name:
Halcovich Residence
SM-M
Is
Project Type:
Alterations SFR
Address:
223 33rd St
City / State / Zip:
Newport Beach / CA / 92663
a
Enforcement Agency:
City of Newport Beach
Easy to Verify @ calcerts.com
Permit Number/ Date:
H2O18-0080 / 1/31/2018
HERS VERIFIABLECOMPLETE
MEASURES:
OVERALL STATUS:
ICOMPLETE
GFSR.INFORMATION = Certificate of Compliance(Lists Required Energy Features) T
Certificate Type:
Compliance
Registered Form:
CF1R-ALT-02
Registered Date:
12/21/2017 09:21
Registration
Number:
217-A02653095OA-000-000-0000000-0000
GF2R INFORMATION sCertificates of Installation {Documents the -'prover installation of required
;energy features)
44
,T� i .: .
�. .
Systdm
Form
Regisd
tereDate
Reyi,stratign Number,
CF2R-MCH-01-E
01/31/2018
217-AO2653095OA-000-001-MO1001A-0000
(Space Conditioning
17.09
FRANK HALCOVICH
Systems, Ducts and Fans)
(Homeowner - Installer)
CF2R-MCH-20-H
01/31/2018
217-AO2653095OA-000-001-M20001A-0000
System 1
(Duct Leakage)
17:09
FRANK HALCOVICH(Homeowner
- Installer)
rrF3R INFORMATION = Certific'ates &f Verif
tionI'Documents
the verification of HERR asures} "
System Form
Registered
Date
Registration Number
CF3R-MCH-20-H
01/31/2018
17 A026ne095OA-000-001-M20001A-M20A
Jam
System 1
(Duct Leakage)
16:10
el
()ones Energy Solutions)
HFRC P,,, l r- fair FRTC Tnr