HomeMy WebLinkAboutH2019-0343 - PermitsCity of Newport Beach - Building Division H2O19-0343 MECHANICAL Permit: H2O19-0343
D' 100 Civic Center Drive, Newport Beach, CA 92660 Project No
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 227 OPALAVE BIdg:1 Floor: Suite:
"TAMPER
Description of Work: MECH/ MINI -SPLIT W/HEAT PUMP
RESISTANT CAP REQ"
ti r I n 4
InspectorArea:2 Code Edit: 2019
Legal Descriptions BALBOA ISLAND RESUB SEC 1 BLK 10 LOT 11
Owner: SCHUMACHER ROBERT E Contractor:
COMMAND AIR CORP
Worker's Comp Insurance -
Address: 6 IST CAMPO RD NE Address:
4431 CORPORATE CENTER DR #115
Carrier: NORGUARD INS CO.
ALBUQUE UE, NM 87109
LOS ALAMITOS CA 90720
Policy No: COWC013618
oe•e
° • m
e e o
Phone: 505-301-58 2 Phone:
714-952-3900
Expire :0610412020
omoo
Con State Lic: 942279
Issue Date:06/07/201 Lic Expire:
01/31/2020
° • ° ° ®° ° °
5L)B7ECT TO FIELD 2NSPF.C'F(eld�'i�+
Bus Lic:
BT30055939
REVIEW
o
Proces d By: Lic Exp Date:
06/30/2019
0
HVAC Items
FEES
FUrnacesBoIl s & Compressors Ventilation
Other
Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0
$0.00 Bathroom Fan:
0
$0.00
Fire Dampers: 0 $0.00
$0,00
Over 100K BTU/hr: 0 $0.00 > 3 HP to 16 HP: 0
$0.00 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 1OOK BTU/hr. 1 $19.00 >50 HP: 0
$0.00 Residential Hood:
0
$0.00
Additional Fee: $0.00
Investigation: $0.00
Over 560K BTU/hr: 0 $0.00 Air Handling Units
Comm. Hood'
0
$0.00
Plan Check: $16.53
Up to 1M BTU/hr. 0 $0.00 up to 1 O CFM: 0
$0.00 Repair/Alter/Add:
0
$0.00
Model: MXZ-3C24NA2
Issuance: $35.00
Up to 1.75M BTU/hr. 0 $0.00 Over 1OK CFM: 0
$0.00 Supplemental Fee:
$0.00
Manufacturer: MITSUBISHI
Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0
$0.00
Zoning PC: $40.00
TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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.
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable item (a)
lection 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
is permit to file a signed statement that he or she is licensed pursuant t0 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 penalpy of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 Ill
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
pply to an owner.of44operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I ani exempt Inin gicensure under the Contractors' State License Law for the following reason:
�y mV,P gnature 4glQx% 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 legall)
III a stlUctureIpra?l gave 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
'IO�esaions Codde, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Date
ICENSED CQVMCTOR'S DECLARATION
hel%Vaffirm uft? penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes,Si ns Code, and m licen, is in fuVorce
gq,gfject.
icense.Class :. • C 10 License No -1 �227� Date Contractor Signature
KgWVRS' COMPENSATION DECLARATION
'ARNINO! FAILURE WO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
OST OFCOMPENSQ-M",, fAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORN S FEES.
WlIZ'affirm urlger penalty of perjury one of the following declarations:
Mohave andiailt inamtain 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
ei o imance of the work for which this permit is issued. Policy No.
h e 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' compensatio
insur nce carrier and policy number are:
enter Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the performance of the work for w1iich 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
that, if I should become ss7�ut///¢ppje/r�/(�o the workers' c pensati rovi ' ns GPSection 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of ApplicantJ�/tel --^� DateX
DECLARATION RE ARD CONS UCTION CENDING AGENCY
I hereby affirm unde 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).
Lender's Name Lender's Address
By 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 onjorjances and statejaws r ting to building construction. 61_7..
I authorize representatives of this city or coun r he abov -id ed pe for inspection purposes. .�eR D L1 -1f C.4,
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A enfs Name
AC77ON DATE BY DECLARATION OF COMPLIANCEVWTNCODEOF FOR OFFICE USEONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
PERMITEXPIRED AQMDRULE1403.
❑ 1SUBMITTED ASBESTOS NOTLFICATIONTO.,
PERMITCANCELLEO ❑ EPA
PERMIT EXTENDED [3AQMD
PERMITFINAL �1 1 Y PROPOSED DEMOLITI0 ASBESTOS TLONI5 NOT APPLICABLE
CERTIRCATEOF
OCCUPANCYLSSUED SIGNATURE:
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