HomeMy WebLinkAboutH2021-0471 - PermitsCity of Newport Beach - Building Division H2O21-0471
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 2201 BAYSIDE DR BIdg:1 Floor: Suite:
Description of Work: MECH (4) NEW A/C UNITS *TAMPER PROOF CAP REQ*
Inspector Are� Code Edit: 2019
Legal Descri on:
Owner: 2209 BAYSIDE LP
Contractor:
SOLSTICE HEATING & A/C
Address: 6641 ESPIONAGE
Address:
310 W AVENIDA GAVIOTA
PLAYA DEL REY, CA 9093
SAN CLEMENTE, CA 92672
Phone: 310-702-5252
Phone:
949-573-3607
Con State Lic:
938888
Issued Date:08/1112021
Lic Expire:
10/31/2021
Bus Lic:
BT30041721
Processed By:
Lic Exp Date:
02/28/2022
MECHANICAL Permit: H2O21
Project No: 0493-2016
Inspection Requests Phone (949)644-3255
Worker's -Comp Insurance - ,
Carrier: SECURITY NATIONAL INS CO
Policy No: SWC1328473
Expire :03/19/2022
AC Items
FEES
•nacesBoilers & Compressors
Ventilation
to 100K BTU/hr:
0
$0.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
:r 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
4
$156.00
Exhaust Fan:
0 $0.00
Gas Line:
II/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
Metal Fireplace:
it Pumps & Package Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
to 100K BTU/hr:
0
$0.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee
:r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
:r 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Other
0 $0.00
0 $0.00
0 $0.00
$0.00
$0.00 Investigation:
Plan Check:
AULD60W21ssuance:
AC PRO
Zoning PC:
TOTAL: $381.72 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $381.72
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.
$0.00
$0.00
$0.00
$135.72
$38.00
)WNER-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, priorto 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 L) all of or U 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).
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
poly to an owne--lf 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 .rj;n Iicensure under the Contractors' State License Law for the following reason:
ly my s'gnature hel,v, 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 st, ucture Wal 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
'lofes.:ions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
;ign, t ire of Property Owner or Authorized Agent Date
.ICENSED Ct7:14TPC.CTOR'S DECLARATION
herPt,y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7 00) of Division 3 of the Business and Pro as i de, and my license is in full force
nd effect.
icense Class License No Cat 1I ZT Contractor Signature
CORKERS' COTAPENSATION DECLARATION
ARJING'. FAILURE ".O SE_JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF QOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV's FEES.
ne,eoy. 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 thl
etfgRance 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'
brance carrier and policy number are:
me of Agent
Policy Number Expiration Date
Phone #
I certify that, in the performa a of work 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 agree
iat, if I should becom su 'ec t t r rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov sI nsp
ignatureof Applicant - Date (y/ll 2 1
IECLARATION REG DIN ONSTRUCTION LENDING AGENCY
hereby affirm under penalt perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
Iy 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 provided is correct.
I agree to comply with all applicable city and county or inap eq s and state laws relating to building construction.
I authorize representatives of this city or county tQ e t b -identified property for inspection purposes.
ACTION DATE ✓ 8Y UoULAl Irury Ur Lvm PUANLC vn I n wut Ur 1 UR UI-HLE USE (JNLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
PERMIT EXPIRED AQMD RULE 1403,
❑ I SUBMITTED ASBESTOS N077FICATIOIV TO:
PERMITCANCELLED ❑ EPA
PERMIT EXTENDED ❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMIT FINAL PROPOSED DEMOLITION.
CERTIRCATEOF
OCCUPANCYISSUED SIGNATURE:
l/