HomeMy WebLinkAboutH2021-0456 - Permits(9)
City of Newport Beach - Building Division 111111111111p11111p111111111111111111p111111111 MECHANICAL Permit: H2O21-0456
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 4 5 6 Project No : 0291-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 3423 QUIET COVE BIdg:1 Floor: Suite:
Description of Work: MECH - R/R 1 CONDENSER, INSTL 1NEW.
{TAMPER -RESISTANT CAPS REQUIRED
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Inspector Area:6 Code Edit: 2019 ' •�-'
Legal Description: N TR 6228 LOT 47
Owner: GRANDE PETER & WENDY
Address: 3423 QUIET COVE
NEWPORT BEACH, CA 92660
Contractor:
Address:
Phone: Phone:
Con State Lic:
Issued Date:08/05/2021 Lic Expire:
Bus Lic:
Processed By: Lic Exp Date:
P1Irt 1Pr)
TIMERS MRC>
SKY HEATING AND COCy fl �C AT �+ IS Insurance -
769 N GLASSELL ST �N EAL Carrier : NORGUARD INSURANCE
ORANGE CA 92867 Policy No: SKWC222780
714-883-0623 Expire :02101 /2022
1045281
12/31/2021
BT30065983 �+ a
02/28I2022 t ®•
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
0 $0.00
Other
$0.00
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $22.00
Bathroom Fan:
0 $0.00
Fire Dampers:
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 0.
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
$0.00
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 100K BTU/hr:
1
$22.00
>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:
$38.28
Up to 1M BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
NH4a4/GSHlssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TEMPSTAR/ACPRO
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$172.28
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$172.28
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday- FridHy 7.CC a.m.tn 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
ER -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 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
the 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
Professions Code) or that he or she is exempt from Iicensure 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
improved 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 who 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 Iicensure 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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7 00) of Division 3 of the Business and Profess" de, and my license is in full force
and effect. �)� 7
License Class License No Da D 5 G� Contractor Signatu e
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO ORE, THOUSAND DOLLARS ($100,0001,. IN ADDITION To THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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
Trence of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of thew k 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,
t, if I should become subje a s' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicand
CLARATION RE CONSTRUCTION LENDING AGENCY
�reby affirm under pe I 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).
Ider'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 ordinancesAnd state laws relating to building construction.
I authorize representatives of this city or county to de ified property for inspection purposes. +�' ,� 9
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name i Y✓1� lJ���T / 0 Date Q G
ACTION
DATE
BY
DECLARATIONOF COMPLIANCE t44TH CODE OF
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMDRULL IdG3.
CI I S'/DMfTEDASPESTOS NOTIFICATION TO:
D =p,l.
0 AQW)
L7 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGMA, URE:.
FOR OFFICE USE ONLY
PERM/TEXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
7.=, L
Q/�.
CERTIFICATE OF
OCCUPANCYISSUED