HomeMy WebLinkAboutH2021-0334 - Permitsw , City of Newport Beach - Building Division H2O21-0334 MECHANICAL Permit: H2O21-0334
t d 100 Civic Center Drive, Newport Beach, CA 92660
i. Permit Counter Phone (949)644-3288 Project No
TIMER REQUIRED ON EQUIPMENT
-�"rcxrnN�''s Inspection Requests Phone (949)644-3255
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
Job Address: 7404 OCEAN FRONT W Bldg:1 Floor: Suite:
Description of Work: MECH *STOP WORK* INSTL 2 A/C CONDENSERS @ THE SIDE YARD "TIMER REQ ON UNIT #2" TAMPER RESISTANT CAPS REQ ON BOTH UNITS
121-1407
Inspector Area:1 Code Edit: 2019
Legal Description: SEASHORE COLONY TR LOT 3 BILK N ALL -INC POR ABAN ST ADJ- -EX
ALLEY -
Owner: ZIAI MANDANA Contractor:
Address: 6 VIOLA Address:
IRVINE CA 92620
Phone: 310-936-9405 Phone:
Con State Lic:
Issued Date:05/24/2021 Lic Expire:
Bus Lic:
Processed By: Lic Exp Date:
POSITIVE PLUMBING HEATING AIR INC
14271 JEFFERY RD #206
IRIVNE CA 92620
949-933-5036
979470
09/30/2022
BT30066473
03/31/2022
SUBJECT TO FIELD INSPECTOR'S
REVIEW ANDAPPRQVAL
Worker's Comp Insurance- "f°
Carrier: EXEMPT
rn
HVAC Items
Policy No: no employees
Expire
o+ °
• °
o 0
r9�i
INSPICTOa®me
f.J f:.l
FurnacesBoilers & Compressors
Oen
Ventilation
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.
AS BUILT PERMIT
EXPOSE ALL STRUCTUR,'�,
ELECTRICAL PLUMBI G
%ECHANPCAL CO�,
rn
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $42.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$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
$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:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$42.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$36.54
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
4AC16118P-501ssuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AIC PRO
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$203.79
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$203.79
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.
AS BUILT PERMIT
EXPOSE ALL STRUCTUR,'�,
ELECTRICAL PLUMBI G
%ECHANPCAL CO�,
OWNER -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 iterq(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 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
not 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 (_) 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).
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
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).
I am exempt from licensure 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 C41,4s-a vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
§ignature of PropeRy,IDwner or Authorized Agent Date
l;143NSED CQ"TRACTOR'S DECLARATION
I hereby affirm linden 99nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business and P ofessions Ca e, an my license is in full force
Od efi'ept.
L`icer%t Class License No Date 12 Contractor Signature
AfQRKFRS' G_6VPPF*NSATION DECLARATION
kARAIIA.: FAILUR j'Q ySNECURE , DAMAGES AS WORKERS' COMPENSATION
FOR IN SECTIOCOVERAGE706 OF NLAWFULR CODE, INTEREST, AND ATTORNEY'S FEES.
IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$700,000), IN ADDITION TO THE
COST#OF COMPEN Ail(1THE
'lla y affirm undelp8nalty of perjury one of the following declarations:
;•;I*ne andvgill 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,
hPrformence ofE wo& for which this permit is issued. Policy No.
iRIxib and wi{I maiptain 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
ialifaTce carrierand•uulicv number are:
Carrier "' Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the perform ce 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' c sation laws of California, and agre
that, if I should become subje to th rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro i ions.
Signature of Applicant Dat
DECLARATION REGAR G C UCTION G AGENCY
I hereby affirm under pentilty of perjury a re Is a construction lending agency for the performance of the work for which this permit is issued (S tion 30 ode).
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 ordinances and s e laws relating to building construction.
I authorize representatives of this city or county to a rile a v ant ied property for inspection purposes. 1�C S 2�
Signature of Property Owner or Authorized Agent i� 4. Print Property Owner's or Authorized Agent's Name D e
ACTION DATE RY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONL
FEDERAL REGULATIONSPART61 OF TITLE40AND
AQMD RULE 4403.
PERMTT.EXPIRED
❑ L SUBMITTED ASBESTOS N017FICATIONTO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS M077RCA7701VIS NOT APPLICABLE TO
PROPOSEODEMOLUION.
PERMIT FINAL (p -
CERFiFfCATEOF
-
SIGNATURE:.
OCCUPANCYISSUED
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