HomeMy WebLinkAboutX2015-0032 - PermitsCITY OF NEWPORT BEACH
BUILDING DEPARTMENT
PO Box 1768 Newport Beach, CA 92658-8915
Inspection Request- (949) 644-3255
Permit Number :X2015-0032
Address : 3430 IRVINE AVE NB Date : 03-26-2015
Type : COMB
Inspector : JSLOUKA JS
Inspection Item: 2620 FINAL BUILDING
Disposition : CO Inspector Signature:
MAKE ALL CORRECTIONS PRIOR TO REINSPECTION
ALL WORK SHALL BE SUBJECT TO INSPECTION AND SHALL REMAIN ACCESSIBLE AND EXPOSED UNTIL INSPECTED AND
APPROVED.
CALL FOR REINSPECTION : (949) 644-3255
Inspector's A.M. office hours are : 07:00 A.M. To 08:00 A.M.
Inspector's P.M. office hours are : 03:30 P.M. To 04:30 P.M.
Correction Required -
VARIFICATION OF INSTALLATION FOR ALL REQUIRED SMOKE AND
CARBON MONOXIDE DETECTORS IS REQUIRED PRIOR TO FINAL
APPROVAL
City of Newport Beach - Building Division H2O19-0128
k1>" ill 100 Civic Center Drive, Newport Beach, CA 92660
� n
Permit Counter Phone (949)644-3288
stir; ix*
Job Address: 631 IRVINE AVE BIdg:1 Floor: Suite:
Description of Work: MECH/ A/C/HEAT PUMPS (2) "TAMPER RESISTANT CAP REQ"
Inspector Area:8 Code Edit:
2016
Legal Description: N TR 4892 LOT 63
Owner: CURRY ERIN LYNNAE
Contractor:
AIR MAX
Address: 631 IRVINE AVE
Address:
27260 LOS ALTOS
MISSION VIEJO CA 92691
NEWPORT BEACH, CA 92662
Phone:
626-255-2299
Phone:
Con State Lic:
1015725
Issued Date: 3/01/2019
Lic Expire:
07/31/2020
Bus Lic:
BT30065145
Processed By:
Lic Exp Date:
11/30/2019
VAC Items
FEES
irnacesBoilers & Compressors
Ventilation
p to 100K BTU/hr:
0
$0.00
Up to 3HP:
0 $0.00
Bathroom Fan: 0
ver 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan: 0
fall/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan: 0
eat Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan: 0
p to 100K BTU/hr:
2
$38.00
>50 HP:
0 $0.00
Residential Hood: 0
ver 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood: 0
p to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add: 0
p to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
ver 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
TOTAL: $146.06
Plan Check Fee :
MECHANICAL Permit: H2O19-01
Project No : 2718-2018
Inspection Requests Phone (949)644-3255
Workers Comp Insurance -
Carrier : STATE COMP.INS
Policy No: 9170882
Expire :12/0812019
SEE ALSOTH THE
SHOUDED EET(S) CiNS
Other
$0.00
Fire Dampers:
0 $0.00
$0.03
$0.00
Gas Line:
0 $0.00
$0.33
$0.00
Metal Fireplace:
0 $0.00
$0.00
Record Mgt Fee:
$0.00
$0.00
Additional Fee :
$0.00
Investigation:
$0.03
$0.00
Plan Check:
$33.06
$0.00
Model:
38VMA048HDS3.1
Issuance:
$35.00
$0.00
Manufacturer:
CARRIER
Zoning PC:
$40.0
$0.00
Fee Due at Permit Issuance:
$146.06
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.
UtCLAKAI ION
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 (_) 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-Builderwill have the burden of proving that it was not built or
brim roved 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 builtas 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://w .leginfo.ca.gov/calaw.htmi.
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 Code, and my license is in full force
and effect.
License Class _(-2Q License No Date G — 0\ Contractor Signature
WORKERS' CJMPF.NSATION DECLARATION J
PIARNINP:' FAILURE, TO SErURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES.
hrreb•; 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 IN
DeF` once of hoe work for which this permit is issued. Policy No.
I havk 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' compensatior
rtsdrap;e carrier and policy number are:
Policy Number
me of?Agent
Date
I certifv that, in the performance of the 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 agre
t, if I should be-cme ; "ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(ram
(nature of Applica4n Date 6 -3._ Ci
CLARATION REG RDING CONSTRUCTION LENDING AGENCY
fireby affirm under natty 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 state laws relating to building construction.
I authorize representatives of this city or county to a the bove= a ifie ro rty for inspection purposes. %�,�I /� ,v
nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's N,,M�Q' 1g= ,X, � h C afit4�i
ACTION
DATE
BY
DECLARATION OF COMPLIANCE tMTHCODEOF
FEDERAL REGULATIONS PART 61OFTITLE40AND
AOMD RULE 1403.
❑ I SUBMITTED ASBESTOS NO HFICATION TO:
❑ EPA
❑ AOMD
❑ ASBESTOS NORFICATIONIS NOTAPPLICABLE TO
PROPOSED DEMOLITION,
SIGNATURE:
FOR OFFICEUSE ONLY
PERMIT EXPI RED
PERMIT CANCELED
PERMIT EXTENDED
PERMITFINAL
15 ` M
a
CERTIFICATEOF
OCCUPANCYISSIfED