HomeMy WebLinkAbouth2022-0268 - PermitsCity of Newport Beach - Building Division H2O22-0268 MECHANICAL Permit: H2O22-0268
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 Project NO : 0962-2020
#®t x-
^�tau.nya��` L_ Via® 3 Inspection Requests Phone (949)644-3255
kJ
Job Address: 1418 BALBOA BLVD E BIdg:1 Floor: Suite:...
z
Description of Work: MECH: INSTALL (2) ROOF MOUNTED HEAT
PUMPS **TAMPER RESISTANT CAPS REQUIRED;
TIMERS PROHIBITED**
(X2020-1252).
.l®G4
InspectorArea:1 Code Edit: 2019
Legal Description: BALBOA TR EAST.. SIDE ADD LOT 19 BILK 23
AND LOT 20 ELK 23
Owner: NIJJAR SANJEET Contractor:
WILKINSON HEATING & AIR INC
Worker's Comp Insurance -
Address: 2046 SEVILLE AV Address:
6862 GAS LIGHT DR
Carrier: SECURITY NATIONAL INSURANCE GO `.
M A
NEWPORT BEACH, CA 92661
HUNTINGTON BEACH, CA 92647
Policy No: SWC1365201
Phone: Phone:
714-916-8167
Expire :1111012022
"" °
rr�•
Con State Lic:
1046332
M .,,,
Issued Date:05/25/2022 Lic Expire:
Bus Lic:
10/3112022
ST30078821
A,�,;•
i' ;
Processed By: Lic Exp Date:
05/31/2023
Nc items
FEES
•nacesBoilers & Compressors
Ventilation
Other
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
-r 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
]I/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0
$0.00
it Pumps & Package
Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
to 100K BTU/hr:
2
$44.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee:
$0.00
Investigation:
$0.00
�r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$38.28
to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
LMU600HVlssuance:
$38.00
to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
LG
)r 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$52.00
TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $172.28
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.
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 item(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 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 oftyg Property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
I apply to an owner of gLuperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
[a. acpaexempCf;grn ycensure under the Contractors' State License Law for the following reason:
By my siynature+oetow 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 Alive 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
P{ofh%jdns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
SignatLye of ProQBrty Owner or Authorized Agent Date
4CER9ED CONTRACTOR'S DECLARATION
I h erebY affirm un eler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes K. ode, and my license is in full force
and effect. . ..
Ltdbfis`E Class License No Date d-4J ZZ— Contractor Signature
00AIGRS' COMPENSATION DECLARATION
WARNING: FAILURE INP.SECLSRE 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
COST OFOpMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I herei3y affirm ulader-�Ualty of perjury one of the following declarations:
111 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 the
performance of the work forwhich this permit is issued. Policy No.
have 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'
'ante carrier and policy number are:
Policy Number
ie of Agent
Date
It certify that, in the performa a 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 agre
14 if I should become subjec workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applicant Date'' .S '2-S Zr�ZZ—
IECLARATION REGARD ONSTRUCTION LENDING AGENCY
hereby affirm under pe Ity f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.enders Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope wners behalf.
I have read this application and the information I have pr Ide correct.
I agree to comply with all applicable city and county or a and state laws relating to building construction.
I authorize representatives of this city or county to en v-ideniifed property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �IYsH l-'l� NJyN Date .l 'Z"Zz
ACTION
DATE
Iol BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGUL ATIONSPART 87 OF TITLE 40AND
AQMD RULE 1403.
PERMIT EKNRED
❑ / SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
PERMITCANCELLED
P€RMtT€KT€NOED
❑ ASBESTOS N077FICATIOIVIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
'l,
CER77FIC4TE Of
SIGNATURE.
OCCUPANCYISSUED