HomeMy WebLinkAboutH2022-0112 - Permits�w,.,,i. City of Newport Beach - Building Division III III 11111p111111111111111111p111p1111111111 MECHANICAL Permit: H2O22-0112
:._ ,.Ap 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 1 1 2 Project No : 2295-2019
i -_, n:. Permit Counter Phone (949)644-3288
fat ,a Inspection Requests Phone (949)644-3255
iYuR�
Job Address: 1113 KINGS RD Bldg:1 Floor: Suite:
Description of Work: MECH - 6 HEAT PUMPS, 1 CONDENSER (FOR WINE ROOM). TAMPER -RESISTANT CAPS REQ'D. *IN MECHANICAL VAULT*
InspectorArea:3 Code Edit: 2019
Legal Description: N TR 1219 BILK E LOT 31
Owner: REED GREG & CAROLYN
Contractor:
Address: PO BOX 1245
Address:
NEWPORT BEACH, CA 92659
Phone: 949-698-2091
Phone:
Con State Lic:
Issued Date:03/02/2022
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
SEASIDE A/C AND HEAT ING
Worker's Comp Insurance -
32959 CALLE PERFECTO UNIT C
Carrier: INS CO. OF THE WEST
SAN JUAN CAPISTRANO CA 92675
Policy No: WVE504960902
949-496-3639
Expire :07121/2022
736214
08131/2022
BT30018420
01/31/2023 To �
HVAC Items
FEES
Furnaces Boilers & 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 1 o0K 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 1OOK BTU/hr:
6
$132.00
>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:
$133.98
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
SEE PLANSIssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over IOK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AC PRO
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$377.98
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$377.98
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Mg¢day - `:-idav`7:00 a.hto- 6e30 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 (_) 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 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 Professions Co , and m ense is in full force
and effect.
License Class License No Dat Z Z Contractor Signatu
WORKERS' COMPENSATION DECLARATION
WARNING: 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 1E700,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty 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 thI
krformance of the work for which 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'
rance carrier and policy number are:
ie of Agent
certify that, in the performance of the work for
if I should become subject to the work
of
Policy Number
Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and
lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date J 7-_?'2Z
CLARATION REGARDING CONSTRDCTION'LENDING AGENCY I
:reby 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).
Ider's Name Lender's Address
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 s to law atin to building construction.
I authorize representatives of this city or county to en r the abov p for inspection purposes.
nature of Property Owner or Authorized Agent Se A Print Property Owner's or Authorized Agent's Name \ Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULA FOPS PART fit OF TI TLE40 AND
AQMD RULE 14t 1
PERMIT EXPIRED
❑ I SUBMITTED ASBCSTCS IV 1IFICAAON TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOL' ION.
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