HomeMy WebLinkAboutH2021-0225 - Permitsw City of Newport Beach - Building Division 111111111111 IIIIIIIIIIIIIIIIIII 11111111111111 MECHANICAL Permit: H2O21-0225
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 2 2 5
s Project No
Permit Counter Phone (949)644-3288
4ar,�,yrsi"' Inspection Requests Phone (949)644-3255
Job Address: 7 WINDSOR BIdg:1 Floor: Suite:
Description of Work: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* (RELOCATE)
Inspector Area:6 Code Edit: 2019
Legal. Description: N TR 10151 LOT 5
Owner: HYANGRAN KIM Contractor:
Address: 7 WINDSOR Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:05104/2021 Lic Expire:
Bus Lic:
Processed By: N -h Lic Exp Date:
GUARANTEED QUALITY HEATING AIR
3001 REDHILL AVENUE #6-107
COSTA MESA, CA 92626
714-389.3925
991810
04/30/2022
BT30073094
10131/2021
Worker's Comp Insurance -
Carrier: BENCHMARK INS
Policy No: CST5020210
Expire :09/30/2021
AC Items
FEES
/
rnacesSoilers & Compressors
Ventilation
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�+
Other
to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $21.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
or 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
$0.00
ill/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
at Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
to IOOK BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$0.00
or 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$18.27
to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
AUD60W/A-D(U)
Issuance:
$37.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AC PRO
or 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$122.52
Plan Check Fee
: $122.52
Fee Due at Permit Issuance:
$0.00
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.
0
0
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IWNER-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)
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
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 Cade) 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).
1, 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
nproved 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
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).
7 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 legal)
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.htmi.
',ignature 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, and m license is in full force
nd effect. LJ /��r ////,,.,.��
icense Class License NO Date 5 I - Contractor Signatura� (�Ii�Wlc .Pra�
PORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 IN
1o ance of the work for which this permit is issued. Policy No.
ha 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' compensatior
Isurance carrier and policy number are:
Policy Number
Date
lame of Agent Fr one v
3 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 agref
eat, if I should become subject to the rk s' compens/ati pproovvi ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J 9
ignature of Applicant - I mz-t " Date
,ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
Ender's Name Lender's Address
y 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 9ount�t tgente e a ve-idrrntified property for inspection purposes.
ignature of Property Owner or Authorized Agent . Print Property Owner's or Authorized Agent's Nam /' IGiGc.�"1 =tet^ F""`�t Date
ACTION DATE BY
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