HomeMy WebLinkAboutH2021-0406 - Permits (3)e�/c,t;T City of Newport Beach - Building Division H2O21-0406 MECHANICAL Permit: H2O21-0406
a '��.. 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2388-2020
F, ,. Permit Counter Phone (949)644-3288
r�'<IrJ�u+'' Inspection Requests Phone (949)644-3255
Job Address: 12 DRAKES BAY DR Bldg:1 Floor: Suite: / ' �
Description of Work: MECH - INSTL NEW A/C CONDENSER. TAMPER -RESISTANT CAP & TIMER REQUIRED. R/R FAU & DUCTWORK
Inspector Area:6 Code Edit:
2019
Legal Description: N TR 7844 LOT 90
Owner: TAGHDIRI KAMRAN
Contractor:
P R HEATING & COOLING
Worker's Comp Insurance -
Address: 12 DRAKES BAY DR
Address:
12082 9TH ST
Carrier: EXEMPT
CORONA DEL MAR, CA 92625
GARDEN GROVE CA 92840
Policy No: NO EMPLOYEES
Phone: 949-290-9330
Phone:
714-488-8528
Expire:
Con State Lic:
1007628
Issued Date:07/06/2021
Lic Expire:
0913012021
Bus Lic:
BT30075801
Processed By:
Lic Exp Date:
07/30/2022
HVAC Items
FEES
iL
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
1
$22.00
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:
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:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$38.28
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
4A7A6061J1000B
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
AMERICAN STND
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$52.00
TOTAL :
$172.28
Plan Check Fee
: $131.14
Fee Due at Permit Issuance :
$41.14
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.
IWNER-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
ie 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
'rofessions Code) or that he or she is exempt from Iicensure 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
of 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
pply 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).
7 1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
ly 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw. html.
;ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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 Professions Code, and my l
5affse is in full force
icense nd effect.
ff Class License No Da t - 7 �� Contractor Signature c
VORKERS' COMPENSATION DECLARATION
'ARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
hereby affirm under penalty of perjury one of the following declarations:
lkhave 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 th,
Trance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
]I certify that, in the performance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree
lot, if I should become subje t to the workers' compensation p.,rovlslons f Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant 1i��-C c—P� 4 �LZ 7 Z /
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
y 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 state laws relating to building construction.
I authorize representatives of this city or county to ante e a ve-identifi property for inspection purposes. /� 0 ,f y
ignature of Property Owner or Authorized Agent V Print Property Owner's or Authorized Agent's Name IN//Cj" at , G 2tPi✓G Date
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE KITNCODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
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_ _ _
❑ 1 SUBMITTED ASBESTOS N077FICATION TO:
_
PERVlT-AfIC.LLED
❑ EPA
❑ AQMD'
PERMITEXTENDED
ASBESTODE OLIR IT ON RON 15 NOT APPLICABLE TO
PROPOSED
PERMIT FINAL
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_
CERTI FfCATd OF
SIGNATURE:
OCCUPANC(ISSUED '