HomeMy WebLinkAboutH2021-0604 - Permits�t�14 City of Newport Beach - Building Division III III 11111p1111111111111111111111111111111111
MECHANICAL Permit: H2O21-0604
% 100 Civic Center Drive, Newport Beach, CA 92660
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2 1 0 6 0 4 Project No : 1449-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
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Job Address: 9 RONSARD BIdg:1 Floor: Suite:
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Description of Work: MECH/(3) A/C UNITS 49dB, 44dB &39dB (LENNOX; XC21-036, XC21-048;-024)
Inspector Area:6 Code Edit: 2019
Legal Description: N TR 15935 LOT 86
Owner: VASHISTHA KAPIL Contractor:
ECONO AIR
Worker's Comp Insurance -
Address: 9 RONSARD Address:
555 VANGUARD
Carrier: STATE COMP. INS
NEWPORT COAST, CA 92657
BREA, CA 92821
Policy No: 9295874
Phone: 310/412-5294 Phone:
714-695-6661
Expire :0410712022
Con State Lie:
445220
Issued Date:10/2112021 Lie Expire:
02128/2022
Bus Lie:
BT30064026
frr1
Processed By:Lie Exp Date:
08/31/2022
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1
$22.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
2
$78.00
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:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$87.00
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$52.00
TOTAL:
$277.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$277.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Mogy@y -,Friday 7:.00•a.m.to o0180U hand Saturday from 8:00 a.m. to 6:00 p.m.
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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) 1 have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires apermit 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 L) 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).
❑ 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
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).
❑ 1 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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 rote ons Cod my license is in full force
and effect.
License Class License No Dat % Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
fjave 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
rmance of the work for which this permit is issued. Policy No.
have and will In aln workers' ensation insurance, a required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
rants carrier an policy number a_ _a �.
Date
of Agent
I certify that, in the performance the wor Inch 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
that, if I should becom s ject tot works ' c m ensation pro " ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant DateJ _�
DECLARATION REG CO S N LENDING AGENCY -
I hereby affirm under enalty of perjury at there is a construction lending agency for the performance of the work for which this permit is iss� (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, 1 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 pr vided is rrect.
I agree to comply with all applicable city and county ordi ances a laws relating to building construction.
I authorize representatives of this city or county to a ter a e- led or inspection purposes. (q yt/yyLl
Signature of Property Owner or Authorized Agent __ Print PropertyOwner's or Authorized Agent's Na D '� Dat
ACTION
DATF
`BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAI. RIEGLI"TIONtSPART 61 OF TIRE 40 AND
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PERMIT EXPIRED
❑ I SIJ8k1f TIES ASBEST0SX71 1CRTfON fO:
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PERMIT CANCELLED
PERMITEXTENDED
ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO
PROPOSEROEVOLITIQN,
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PERMITFIIVAL
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CERTIFICATEOF
SIGNATURE:. •� • •�
OCCUPANCYISSUED