HomeMy WebLinkAboutH2022-0155 - PermitsCity of Newport Beach - Building Division III 111111111111111111111111111111111111111111111
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100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 1 5 5
Permit Counter Phone (949)644-3288
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Job Address: 1941 COMMODORERD Bldg:1Floor: Suite:
Description of Work: MECH CHANGE OUT HEAT PUMP *TAMPER PROOF CAP REQ*
InspectorArea:3 Code Edit:
2019
Legal Description: N TR 3082 LOT 39
Owner: GIAMBATTISTA MARTANO
Contractor:
B & P SERVICES INC
Address: 1941 COMMODORE RD
Address:
771 NEWTON WAY
NEWPORT BEACH, CA 92660
COSTA MESA CA 92627
Phone: 917-412-1427
Phone:
949.833-1041
Con State Lic:
594563
Issued Date:03/21/2022
Lic Expire:
05/3112022
ic:
BT30045433
Processed By:
Lic Exp Date:
11/3012022
MECHANICAL Permit: H2O22-0155
Project No : 1892-2021
Inspection Requests Phone (949)644-3255
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40
Worker's Comp Insurance -
Carrier: NORGUARD INS /�%h ag
Policy No: BPWC321721 N - _
Expire :01/01/2023 -
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HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up 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
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:
1
$22.00
>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:
$19.14
Up to I BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
NXH6lssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
DAY & NIGHT
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$131.14
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$131.14
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.
DWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 Divison 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 (_) 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 numose of sale).
I, 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
akpl,, 'o 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).
I 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 fallowing Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LI^_ ENSED GONTRACTOR'S DECLARATION
I hereby affirm uncle. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing W �th S ction 7000) of Division 3 of the Business a d rofessions d my license is in full force
and effect.
A-icel.se Clas= License No Date Contractor Signature
WORKERS' GbIPPENSATION DECLARATION
WARNING: FAILI'RE 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 COMPENSATON, 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:
I 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 for which this permit is issued. Policy No.
I 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' compensation
h9bonce carrier and poliXnumber are:
Carrier -5;T/a \ C f:A f nJ,r1 Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the performance of the rk 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
that, if I should beco s bjec ens' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi i ns.
Signature of App Date
DECLARATION REGA D G CONSTRUCTION LENDING AGENCY
'I hereby affirm under p rally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( echo 3097, Civil Code).
Lender's Name Lender's Address
By 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. J,V:LGve�
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 couN tP en ve-identified property for inspection purposes.
Signature of Property Owner or Authorized Agen -- Print Property Owner's or Authorized Agent's Name -Dot
BY
DECLARATION OFCOMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
ACTION
DATE
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AOMD RULE 1403-
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMO
P€RMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS N0770CA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED