HomeMy WebLinkAboutH2019-0558 - Permits,, City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII MECHANICAL Permit: H2O19-0558
q. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 5 8 Project No
y Permit Counter Phone (949)644-3288
. C )
�.�_�yaa Inspection Requests Phone (949)644-3255
Job Address: 422 ORCHID AVE BIdg:1 Floor: Suite:
Description of Work: MECH INSTL A/C UNITS@ THE ROOF DECK & SIDE YARD "TAMPER RESISTANT CAPS REQ" TIMER REQ ON UNIT "A"
Inspector Area:5 Code Edit:
2016
Legal Description: CORONA DEL MAR BILK 442 LOT 16
Owner: REKLAW LLC
Contractor:
Address: 422 ORCHID AVE
Address:
CORONA DEL MAR, CA 92625
Phone:
Phone:
FurnacesBoilers&Compressors
Con State Lic:
Issued Date:09/16/2019
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
RANCHO VIEJO A/C & HEATING
22596 COTTONWOOD CIR
LAKE FOREST CA 92630
949-212-4870
745018
01/31/2020
BT30031040
Worker's Comp Insure STT ICTION NOISE
Carrier: NORGUARD I ! f11,1a/ iV NOISE
Policy No: LAWC000721
Expire :01/0112020
03/31/2020
SUBJECT TOFIELD1NSPF,CTOR'Q
REVIEW ,AND APPROVAL
••••
ON THE WEEKEND,
• oe oeeeoc
° • • • c
• • •
° •
•° °
°ee••• • •
HVAC Items
FEES
°•••
FurnacesBoilers&Compressors
Ventilation
Other °e•°
•°B°°`
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $40.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
••°
Over 100K BTU/hr.
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
° °°
$O.b6 °
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
• ° •
o ° ° ° °
Up to 100K BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee:
$0.00
Investigation:. °
$0.06 ° ° °
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$34.80
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
BRYANTIssuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
124ANS24/126CNA
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$151.30
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$151.30
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.
1WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate�Alow 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, der nbhsh, o. repair any structure, prior to its issuance, also requires the applicant for
ie 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
of more than five hundred dollars ($500).
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).
J 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 of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I 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 legally
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.ht I.
signature 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 -Section 7000) of Division Business and Professio and my license is in full force
nd effect. wit `
icense Class License No to Ct t� I t Contra to Signature
VORKERS' cbmPASATION DECLARATION
WRMIN®61LURE TOvSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT A E LOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
bST OF COMPEN9DJI.0DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
pbpbypffirm undgr penalty of perjury one of the following declarations:
WI e and will maiatain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
r4ce of fhLW lT for which this permit is issued. Policy No.
and willl•meintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrie$andpoiicy number are:
PAlicv Number Expiration Date
gi(y that, in the pd rt mance of the work f w is permit is issued, I shall not employ any person in any manner so as to becomes act to the workers' compensation laws of California, and agre(
1 Should l ab a bject to theworkers' m on provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoser r isions.
ure of Appfice� ate \ ��jtrl j9
:reby 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)
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 orrec'.
I agree to comply with applicable city and county ordinan a d state laws relating to building construction.
I authorize represen tgs of this city or county to enter th b entified property for inspection purposes.
nature of PropeRt
,X
orAuthorized Agent Print Property Owner's orA horize Agent's Name Lvh= Nckn .
ACTON DATE
BY
DECLARATION DF CUIWPL1ANCMpWTHCODEOF
FOR OFFICE USE ONLY
FEDERAL REG ULA TIONS PART& TLE40AND
AQMDRULE1403.
PERMITEXP/RED
❑ I SUBMITTEDASSESTOS NDTtFICATON TOr
❑ EPA
❑ AQMO
PERMITCANCELLED
PERMITEXTENDED
PROPOSED DEMOLITION.RONIS NOT APPLICABLE TO
PERMITFINAL '
CERTIFfCATE OF
SIGNATURE.
OCCUPANCYISSUED
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