HomeMy WebLinkAboutX2022-0253 - PermitsUG",il
1101A -City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
CCombination Type - SFP ELEC MECH PLUM
Illlllllllllllllllllllllllllllllllllllllllllu II COMB Permit: X2022-0253
x 2 0 2 2 0 2 5 3Y Project No : 2836-2021
Issued Date : 02/08/2022
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/08/2025 OR PERMIT WILL BE INVALID
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. No work on Sundays or -Holidays
Job Address: 254 DRIFTWOOD RD NB
Description: DELTA 1 -NEW HEADER & PATIO DOOR, NEW HEADER & GAR DOOR. 2 NEW BEAMS & POST IN KIT. BATH ALTERATION
Legal Desc.: N TR 1116 LOT 25
Owner: HAUSER E WILLIAM
Contractor:
E H MASONRY
Architect:
WITTEVEEN RONALD GARY
Address: 128 KINGS PL
Address:
14212 AGAVE ST
Address:
20032 SANTIAGO CANYON RD
NEWPORT BEACH CA 92663
MORENO VALLEY
CA 92553
ORANGE CA 92869
Phone:
Phone:
951-534-8184
Phone:
714-642-3248 State Lic:C030197
Applicant: HUERTA-RODRIGUEZ EUFEMIO
Con State Lie:
1045754
Engineer:
Address:
Lie Expire:
10/31/2022
Address:
Bus Lie:
BT30075571
Phone:
Lie Exp Date:
06/30/2022
Phone:
State Lie:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
NORGUARD INS CO
Address:
Occupancy Group: R3/U
Policy No:
EUWC238886
Added /New sq.ft. Bldg: 0
Expire:
02/25/2022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: I
Front: I
Special Conditions:
dfn
No of Units: 1
Bldg Height: 0
Left: /�""`
Bldg Sprinklers:
Right: /
Flood Zane:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $1,700.00
Building Permit Fee: $110.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PNV Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$7.70
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$4.40
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$9.90
$0.00
TOTAL FEE : $133.00
Plan Check Fee :
$133.00
Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
r:UBLIC WORKS APPROVAL:
PLAN CHECK BY: X JL�
APP^OVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a reasons) 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
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
'rofessions 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
iot more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
n roved for the purpose of sale).
I, 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
Ipply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 Iegall�
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
tignature of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, anrj my license is in full force
ind effect. License Class License No Dat� t6ontractor Signature I e
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'GST GF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will 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 th
Wormance of the work for which this permit is issued. Policy No.
have 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'
-ance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
re of
Date
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
;der'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 provided is correct.^
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter thegabove-ide tified property for inspection purposes.
nature of Property Owner or Authorized ADent Y l'� Print Prooertv Owner's or Authorized Agent's Name F7�� __ _ Date
ACTION DATE BY REGULATIONS PART 610 TCOMPLIAIITE40AND AQMD RULECE WITH CODE OF
FOR OFFICE USE ONLY
PERMITEXPIRED
LJ I SUBMITTED A3BE3TIJS NOTIFYAT!Or�TO �
PERMIT CANCELLED
EIEPA
PERMITEXTENDED
qMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITIORI.
SIGNATURE: n/
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification to
CEC-CF2R-ALT-05-E (Revised 01/19) CALIFORNIA ENERGY
COMMISSION
CERTIFICATE OF INSTALLATION CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 9 of 9)
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Eef—run itt Ageo": OW of N[yw ort 5eolch-50114in V191(Itl
PermB Npmhe[ Zo22- 025i
)welliry Add,.: i54 flit ibopt U.
city corom 1rl AI
Zip Code 12toZ15
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: kluerFa
EuFtwlio
Documentation Author Signature:
Documentation Author Company Naasanr I.LC,
Date Signed: u115(EftL
Address:
MA 2. mue R.
CEAMERS Certification Identification (If applicable):
City/state/Zip:
Phone:
Marino all [ 42-553
51)53H -1 8
RESPONSIBLE P RSON'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 Installation is true and correct.
2. 1 am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design,
construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations
in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and
regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4. 1 will ensure that a registered copy of this Certificate of Installation shall be posted or 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 Installation is required to be included with the documentation the builder
provides to the building owner at occupancy.
Responsible Builder/installer Name: Eur�j'eymo HverK
Responsible Builder/installer Signature:
Company Name: (installing Subcontgror GenqctorC[9,pilder/Owner)
Position With Company)Title): OW of
ill
Address: 14112 491ae St.
CSLBHcense: 1o45'154
City/State/Zip:
Marmo Valleyrk 4LCJ53
Phone
1q5 491- 011v
Date Signed:
b l5 I Zoo z
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification to
CEC-CF2R-ALT-05-E (Revised 01119) CALIFORNIA ENERGY
COMMISSION
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential AlterationsThat Do Not Require HERS Field Verification
(Page 6 off 9)
Project Na.,: Uf if tocod -tt0.2M NA�oltielf
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ce Enforment Agenry{e tll. lVew Uri 6eiich - 13vil4irl
lliyillurl
Perml[Number: 2Q2Z� OZSJ
Owelline Address: ts4 1141wood ea.
uty cotom Lir I
tr1
Zip Code �2,tol-6
I
Fenestration
L. Fenestration/Glazing
01
02
03
04
05
06
07
08
09
10
11
12
Tag/ID
Manufacturer/
Brand
Fenestratio
n Area (W)
Crientatio
n
Chromogenic
U-factor
U-factor
Source
SHGC
SHGC
Source
Fenestration
Type
Exterior Shading
Devices
(Describe)
Comments/Special Features
Window
Ply Gem
12
East
o
0.30
NFCR
0.22
NFCR
vinno coating
None
no grid design
Window - A
Ply Gem
12
East
No
0.30
NFCR
0.22
NFCR
vinyl coerable,
None
no grid design
Door-5
Masonite
53.333
South
No
0.29
NFCR
0.12
NFCR
'"good, operable
low-e coatis
None
duel pane, french patio door
Door-5
Masonite
33.333
South
Na
0.29
NFCR
0.12
NFCR
wood, operable
low-e coatings
None
dual pane, french patio door
M. Fenestration/Glazing—Additional Requirements
01
For existing buildings the U-factor and SHGC values should be the same or better than the required Energy Commission prescriptive requirements.
02
Temporary labels should not be removed until verified by the building inspector.
03
The fenestration product manufacturer's installation specifications shall be followed when installing these products. The space between the fenestration product and
rough opening shall be completely filled with insulation. If batt insulation is used, it is cut to size and placed properly around the fenestration product.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019
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STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification 10
CEC-CF2R-ALT-05-E (Revised 01/19) CALIFORNIA ENERGY
COMMISSION
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 4 of 9)
Project Name: orifiwood-ttatem i#ad�aif
Enforcement Agency: [N OF lVi Ort Bcuch - 8vildin
livilivy]
Pernit N..n , 2o22— 0255
owemng Address: 154 1101Wo0A U
city Carom 1e1 µair
zip cnae 111015
Roofing and Radiant Barrier
G. Radiant Barrier /u
01
Brand Name and Product Number
02
Installation Type
03
Total Attic Area (ft')
H..Required Vent Area yl,/U
01
Combined NFA of installed upper and lower vents (in')
02
Minimum required combined NFA of upper and lower vents (ins)
03
NFA of installed uppervents (in')
04
Minimum required NFA of upper vents [W)
I. Roofing Products (Cool Roof) Installation Information
01
02
03
04
05
06
07
08
Roof Pitch
CRRC Product to
Number
Product Type
CRRC Listed Aged
Solar Reflectance
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal Emittance
SRI
CA Building Energy Efficiency Standards- 2019 Residential Compliance January 2019
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STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-ALT-05-E (Revised 01/19)
COMMISSION
CALIFORNIA ENERGY
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 2 of 9)
PmjeC`Name: ptifill —1td lm HadAad
rnmreememrAgemvt OF IV art i' '01 - OvilillihO VIV114911
vermttNumuer:2QZ2 02-55
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Insulation
The altered components shall comply with all applicable requirements in The Energy Efficiency Standards Sections 110.7, 110.8, 150.0; All Joints, penetrations and other openings in the building
envelope that are potential sources of air leakage shall be caulked, oasketed, weather stripped, or otherwise sealed to limit infiltration and exhilaration.
B. Roof/Ceiling Insulation
O1
02
03
04
05
06
07
08
09
I.D.
Manufacturer &
Brand
Framing Material
Framing Size &
Spacing
Insulation Type
ESR Number
Cavity Insulation
R-value
Insulation Depth
(inches)
Below Deck
Insulation
R-value
p
IV
C. Wall insulation
O1
02
03
04
05
06
07
OS
09
10
I.D.
Manufacturer& Brand
Framing
Material
Framing Size&
Spacing
Insulation
Type
ESR Number
Cavity
Insulation
R-value
Insulation
Depth
(inches)
Exterior Wall
Insulation
R-value
Interior Wall
Insulation
R-value
n/a
CA Building Energy Efficiency Standards- 2019 Residential Compliance January 2019
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Prescriptive Residential Alterations That Do Not Require HERS Field Verification 10
CEC-CF2R-ALT-05-E (Revised 01/19) CALIFORNIA ENERGY
COMMISSION
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 7 of 9)
P,o dName: � —Vt0.2CM „
o it
Enforcement Agency :
tecich — Ni QI rition
Permtt Number
o 2- 0253
ewemng Address:
t54 ►riP
aty
t
zip Code
ZW2�i
Mechanical and Plumbing
N. Space Conditioning (SC) Systems — Heating/Cooling (Section 150.2(b))
Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CFIR-ALT-05 and CF2R- ALT-05 Compliance Documents. If new
space conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF1R-ALT-02 shall be completed and registered with a HERS Provider
Data Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance:
99 a: space conditioning system was not altered;
❑ b: less than 40 ft of ducts were added or replaced;
❑ c: (exempt from duct leakage testing) if: the existing duct system was insulated with asbestos;
❑ d: (exempt from duct leakage testing) if: the existing duct system was previously tested and passed by a HERS Rater.
01
02
03
04
Dwelling Unit Name
SC System Identification or Name
SC System Location or Area Served
Exemption from HERS Verification
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b El ❑d
❑a El ❑c ❑d
El ❑b ❑c ❑d
❑a ❑b ❑c El
❑a ❑b ❑c ❑d
El ❑b ❑C ❑d
El ❑b ❑c ❑d
❑a ❑b ❑c ❑d
El ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019
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