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• • • • • • • • • •
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AUTHORIZATION TO SIGN PERMITS FOR CONTRACTOR
Date: May 19, 2021
I hereby authorize the following person(s) to act on my behalf in obtaining and signing
the approved and or necessary document (s) issued by the Department for Permit (s)
and or plans. I am properly licensed as required by the State of California.
I assume full responsibility under the law for permits taken by persons authorized to act
on my behalf.
I understand authorization is required and is included.
PERSONS AUTHORIZED TO SIGN PERMITS AND THEIR SIGNATURES
1. Joseph Peralta
2. 613 Carnation Ave.
Corona Del Mar CA 92625
Israel Battres
BC Home Builders
3202 W. Warner Ave., Santa Ana 92704 Office: 714 754 0709 Fax: 714 540 2602
PROJECT SUMMARY
Project Name:
Address:
City, State, Zip:
Building Department:
Permit Number:
Building Energy Code:
G21-1722RRR
613 CARNATION AVE.
CORONA DEL MAR, CA 92625
Newport Beach, City of
1247-2020
2019 Standards
HERS VERIFIABLE
MEASURES
ENERGY CODE
COMPLIANCE
Scan to Validate
COMPLETE O
COMPLETE O]
CERTIFICATE OF COMPLIANCE (CF1 R)
DATE DOCUMENT TITLE
REGISTRATION NUMBER
STATUS
09/16/2021 CF1R-PRF-01-E Performance Compliance
421-P010136955A-000-000-0000000-0000
O
CERTIFICATE OF INSTALLATION
(CF2R)
DATE DOCUMENT TITLE
REGISTRATION NUMBER
STATUS
10/28/2021 CF2R-ENV-01-E Fenestration
421-P010136955A-000-001-E01013A-0000
O
10/28/2021 CF2R-ENV-03-E Insulation Installation
421-P010136955A-000-001-E03014A-0000
O
10/28/2021 CF2R-LTG-01-E Lighting
421-P010136955A-000-001-L01012A-0000
O
10/28/2021 CF2R-MCH-01d-E HVAC, Ducts and Fans
421-P010136955A-000-001-M01015A-0000
O
D05 changed from "NoCooling" to "CentralSplitAC"
Entire House
10/28/2021 CF2R-MCH-20a-H DuctLeakage
421-P010136955A-000-001-M20016A-0000
O
10/28/2021 CF2R-MCH-22a-H Fan Efficacy
421-P010136955A-000-001-M22018A-0000
O
10/28/2021 CF2R-MCH-23a-H Airflow Rate
421-P010136955A-000-001-M23017A-0000
O
CERTIFICATE OF VERIFICATION
(CF3R)
DATE DOCUMENT TITLE
REGISTRATION NUMBER
STATUS
Entire House
10/28/2021 CF3R-MCH-20a-H Duct Leakage
421-P010136955A-000-001-M20016A-
O
M20A
- continued on
next page -
NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using
0-11101
CHEERinformation 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 1 of 2
information contained in this certificate.
CERTIFICATE OF VERIFICATION (CF3R)
DATE DOCUMENT TITLE
10/28/2021 CF3R-MCH-22a-H Fan Efficacy
10/28/2021 CF3R-MCH-23a-H Airflow Rate
REGISTRATION NUMBER
421-P010136955A-000-001-M22018A-
M22A
421 -PO 10136955A-000-001-M23017A-
M23A
Scan to Validate
STATUS
HJ
1r'r'-CHEERS
� NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using
SII �� H E E RS 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.