HomeMy WebLinkAbouth2022-0011 - PermitsCity of Newport Beach -Building Division H2O22-0011
100 Civic Center Drive, Newport Beach, CA 92660
a 'k Permit Counter Phone (949)644-3288
4 g7 ^
i �S
MECHANICAL Permit: H2O22-0011
Project No :
Inspection Requests Phone (949)644-3255
f�
Job Address: 1950 PORT CARDIFF PL BIdg:1 Floor: Suite:
g® e. .••
PeOH18`7
Description of Work: MECH HEAT PUMP & FURNACE C/O *TAMPER PROOF CAP REQ*
D
,• ,°
�����d]/�®••
InspectorArea:4 Code Edit:
2019�
]
Legal Description: N TR 6623 LOT 9
Owner: WESTJUSTIN
Contractor:
DEPENDABLE GRAHAM AC
Worker's Comp Insurance- '""
���•=°
Address: 1966 PORT CHELSEA PL
Address:
2952 CENTURY PLACE
Carrier: SERVICE AMERICAN
• ®Q� °
NEWPORT BEACH, CA 92660
COSTA MESA CA 92626
Policy No: SAMTWC0072800
Phone:
Phone:
714-546-1653
Expire:0710112022
Con State Lie:
472690
:'. ° •
• • • G
Issued Date:01/10/2022
Lie Expire:
0413012022
a ,
Bus Lie:
BT01013104
Processed By:
Lie Exp Date:
12/31/2022
AC Items
FEES
•nacesBoilers & Compressors
Ventilation
Other
to 100K BTU/hr.
1
$22.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0
$0.00
""
$0.00°, _,
ar 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 100K BTU/hr:
1
$22.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investiga?ion:
ar 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 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
VG85A-1000Issuance:
$38.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
AIRTEMP
er 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$52.00
TOTAL: $172.28 Plan Check Fee : $172.28 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.
ton 7MJ. f, Business un�r penally fessions that I amexempt
orlrom the Cont
State m Licit toense Law trust a the roason(s). indipted below by ftla checlanark(s) i have placed nerd to the
{Sed h eby a , munderpen Professions that I Any city or county that
cons
the essi Permit s file Coda signed Statement that he or She Is:licensed pursuant to the P visrons pplicant for
of o Contractors, State License Law (chapter Or
rrepai {commend with
Professions Code)_orthathe or she is exem tmprovense Law chapter repair er`cim, with Se tion Issuance also aP pble aem(s)
not more than five hundred dollars ($500). Pt from licensUm and basis for the alleged'exampoon. Any violation of Section 7031.5 by any appfican fora Section 7gpa) oFD'ms' Division 3 ° the the aBusirxss and
❑ d, as owner,f�fia properly,. or my employees with wages Permit subjects the applicant to a old penalty Business and'Ftro(ecsions Code: The Contractors, as their compensation, will do Penalty of
.Business
ft%ot' State License I, does not apply to an own all Of or U portions of the worn, a1M the structure is not or .wiasoved for intended or offered ffir,sale. If. however, the building or improvement l Ptoper(ywho, through employees' or Offered for sale (Section 7044, El . � Purpose of sale). 9 P vemant is soil within one year of completion, the' Or ersonaler will have s or improves
Men of thepropringo that itwasnotlmiit o e
IJ I. as Owner.of the Property, am exclusively con6a
IIFOP >Y to an ownerof propertywho builds or im thereon, licensed d Contmotors to Construct the project (Section 7044, Business and P
I am exerept from rWer>sure underthe Contracthrs� u and who contracts for the projects wary a licensed Contractor pursuant to the Contractors, Code: The Contractors' Stage License 1BY LgYsign2tdV$b mr l adcnow a License Law for the following reason: Contractors' State License Law).cease law o at
does n
sell a structure that I have 66lllas� that. except !vr my personal reskence in which I must haveresided forat least one p �
ps9iessrona � , owner-0uildarif it has not been consbuded Inds year dor to co nation of the lmpmysmenfs eov
!j,.ig available upon request when this applicffiton issu6m'dhad or ffi ttre fo�oewtyf gytNeb site;http://www,legiMo .ce.9ov/ haalaw.Mml. by this perm«, l cannot legalty
Signature of Property punier or Authorized ggerd copy of the appllceble law, SeCtIon.7044 ofthe Business and
LyCENSED OffNTRACTOR'S DECCgRAT10N
I hbY atfiirq unde<penalty of parju7tryat I amficensetl umfer provisions of Chapter g (cammenctn Date
arrclaitect. • .
aoease Class ' 9 ion 700o).Of Division 3 of the Business d: ions Cod
sIORKER3',C®INd'ENSATION DEC License � -Data —LO —2Z � my license is in full force
rARxWG: LURE To, SURE LARATION Contactor Signature
Aar OF CORPENSATION. •• •' ' COMPENSATIOR COVERAGE MUNLAWFLA, AND SKALL. PaONDED FOR IN SaMM a TSB OF THE LABOR CO SUBJECT AN T -'PENALTIES AND
hereby affirm under penalty of perjury one of the m�TumATTORxers FeEs: coRL Flwm uP To xuN TrrousAuo COLLARS p:t oss w 1 have and will maintain a fogov^ng dedaraiions: ADWMmTHE
certificate of consent to Policy
No. for workers' compensation,. issued by the. Director Of Industrial. Relations: as. provided for 6y Section 3700 of the Labor Code, for fry
en"amce of the wodr 'or which this Permit is issued. Pogcy No.
I have and will and
olworkersnumber compemsation Insurance, as required by Section 3700 of the Labor Code, for the
s nail tamer and policynumberare: Performance of the work for which this pemla is issued.
art er
Rne of Agent Poky Number My workers' compsnsado
U cam try P
erform Exp ration Date
certify at, in theAftheworkforwhichthispertnnisissued Ishall not em i am PhoneaK It, a I should becothe workers'Mature of :m ansatio rovisions of Section 3700 of the Laborr Code, shall forthwith corm to become s
CLARATIOmanners
N RE nt 'PN With tryf
workers' cDmpensativn iRwsofCalifornia. and ogre
ereb affi NSTRUCIONLENDING AGENCYDat�—/OY rm under jury that there my Si Name-----construcbon lendmgagenLyforthe nerds Performance of the work for which this perms is IS
3097,. Civil Code}.
my Signature below, 1 cle %:1 each of the following. Lentler's Address -
I amihe PmpertY owner oraufhorLmd to act on It, . property
i have read this appiicatton and the _ P party owners -behalf..
agree fn ce I Information I have�Provided is Gonad.
mP sentry all ofappthis � �u COi1Y ordinances andstate laws. relatird"MAngto bullding construction,
1 authorize representatives of this city
BY
OCCUPANCYJZUfiD
OEPA - --__.............ai:
❑ AS8ESTOSNOIIRCA710NSNOTAPPEICABLETO
PROPOSEDD MOCtiM
SIGNATURE.