HomeMy WebLinkAboutH2021-0210 - Permitsw City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
IIIIIIIIIIIIIIIIIIIIilllllllllllllUllllllll�llll MECHANICAIPermit : H2O21-0210
H 2 8 2 1 9 2 1 9 n-_:_—^ ni_.e4 ''�
Inspection Requelis Pne (949)644-3255
Job Address: 220 NICELN BIdg:1 Floor:2 Suite:211 av � CO1 .•+•
Description of Work: MECH CHANGE OUT HEAT PUMP ON ROOF *TWEtf'PROOF CAP R 0 r `• _+• `
/jy'r� � • + •F•4p0
InspectorArea:2 Code Edit: 20190
Legal Description: TR 8336 LOT 13 UNIT 202 P116JE T AP 423- 11
. .,
TOGETHER �" � kO
Owner: LEONARDO SILVA --Contract r In Workers Comp Insurance +
Address: 220 NICE LN #211 " Addr > slwk rs ;.¢,2 .R E A-313 Carrier: WESCO INS CO _.•, ` ++ ° °
NEWPORT BEACH, 92663 CA 92604 Policy No:WWC3467301
Phone: s� Phort+u 949-387-8117 f� Expire :05117/2021
�,,p� yyi�pp' : .. • °
i On Sie[e"`L"Ic: 9433$ o • • 4 ° o
IssuedDate:03/22/2021 ''cEx ire. 0 8 2�
c Bus Lc 00 5 +
Processed By: xpb
m
nacesBoilers & Compressors
to 100K BTU/hr:
0
$0.00
:r 100K BTU/hr:
0
$0.00
II/Floor Heaters:
0
$0.00
it Pumps & Package
Units
to 100K BTU/hr:
1
$21.00
:r 500K BTU/hr:
0
$0.00
to 1 M BTU/hr:
0
$0.00
to 1.75M BTU/hr:
0
$0.00
;r 1.75M BTU/hr:
0
$0.00
Val
'latio y� e
Up t to 1 0 1 fil th o Fan:
> 5 H tto 3 HP:. 0,$Q,t( tic Fan:n
>30 HP 50 0 16b 0 Down raft Est
>50 HP: 0 $0.00 Resi al Ho,
Air Hand g Units _-/ omm. Hood:
up to 10K M: �0 Repair . It r/A�
Over 10K C I �0 . $0.00 pleawnfat I
VAV Box: 0 $D-0
0 $0.00
0 $Q00
0
Fee
$0.00 Model:
$0.00 Manufacturer:
00� $0.00
0 $0.00
$0.00
$0.00 Investigation:
Plan Check:
GSZ140191AIssuance:
GOODMAN
Zoning PC:
TOTAL: $122.52 TVW- Plan Check Fee : $0.00 Fee Due at Permit Issuance: $122.52
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.
1;;,, , RIMERS PROHIBITED
vI ;,,,aII3Ae t:ov
ON HEAT PUMPS
$0.00
$0.00
$0.00
$18.27
$37.00
$46.25
fNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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)
ction 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencm Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by an le' for a rmit ubjects the applicant to a civil penalty of
more than five hundred dollars ($500).
a
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) f
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property w
rovements are not intended or offered for sale. If, however, the building or improvement is sold wi r
roved for the ptl1 @ of sale).
I, as owner ofZFie property, am exclusively contracting with licensed ContractOW! the project (Se,
If fd4n own4 of pibperty who builds or improves thereon, and who r for the projects with a licensed
I aria exempPfFom` censure under the Contractors' State aw for the following reasert.'
tty,ignature below I acknowledge that, except f ersonal residence in whi rust have resid for at
a structure that I have built as an owns - r If it has not been cons " 6 in its entirety s contr
f6lssiMs Cod`e,.ic available upo st when this applicatiq 's-stl m>� or at th i - W if ttpa
iafdfe of Propefty Qyln uthorized Agent n5
affirm undej
ck
(.lass
FAILURE
hereby affirm under penalty of pet
I have and will maintain a cartfl ie ormance of the work for which t
I have and will maintain workers'
is of Agent
certify that, in the performance
, if I should becorpebubject to
signature of Applicant
)ECLARATION REG H STRUC
hereby affirm under penalty of perjury that t
ender's Name
ly my signature below, I certify to each of th
I am the property owner or authorized to
I have read this application and the infor
I agree to comply with all applicable city
I authorize representatives of this city or
am
AGE IS L
3706 OF
issued by
as required by Section 3700 of the Labor
Policy Number
is a construction
the property
I have orovi(
employ any person in
I of the Labor Code,y
laws relating to building construction.
gi;property for inspection purposes.
ions r and the structure is not in n
g employees' or pb'''&onal effort, builds
of complGfl�on,,tj✓e_Owner-Builder ww ill h th
FNA0?4, Businengr)ereasions Code: The
�ntracR6purp0rlt-tb the Contractors' State c
Ist one year prior m of the improve
toco
ors. I unjMtk -tl a copy of the applicable
3 of the Business and
Contractor
L PENALTIES AND CIVIL FINES UP TOELfIIW3T ITC
pte
pq tri SSI$$ tiontseadIprovida for by
erfov� fop , vwork for which this pe
fin[� o r
r.� Fmirafinn..A e �-
as to
Date
Z
offered for sale (Section 7044,
ves the property, provided that the
n of proving that it was not built or
Law).
this permit is issued (Saction 3097, Civil Code).
Authorized Agent's Name (�a (a (
State License Law does not
Ws permit, I cannot
of the Business and
license is in full force
($10D,000), IN ADDITION TO THE
of the Labor Code, for
2
laws of California, and
22
ACTION
DATE
Y
DECLARATIONOF MPLIANCE WITH CODE OF
FOROFRCEUSEONLIf
FEDERAL REGULATIONSPART51 OFTITLE40AND
AOMD RULE 9403.
❑ISUBMITTEDASBESTOSNOBFICATIONTO:
❑ EPA
❑ AOMD
PERMIT EXPIRED
2 Z
PERMfT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOT1FICAITONISNOTAPPLICABLETO
PROPOSED DEMOLITION.
SIGNATURE:
PERMITFINAL - -
CERTIFICAT€OF
OCCUPANCYISSUED