HomeMy WebLinkAboutH2021-0573 - Permits (3)City of Newport Beach - Building Division 1111111111111111111111111111111111111 EII IppIII
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 7 3
Permit Counter Phone (949)644-3288
Job Address: 2372 AZURE AVE BIdg:1 Floor: Suite:
Description of Work: MECH/INSTALL A/C 42dB (GREE; MULT136HP230VICO)
InspectorArea:3 Code Edit:
2019
Legal Description: N TR 1501 LOT 38
Owner: GORING WILLIAM
Contractor:
ECONO AIR
Address: 2372 AZURE AVE
Address:
555 VANGUARD
NEWPORT BEACH, CA 92660
BREA, CA 92821
Phone:
Phone:
714-695-6661
Con State Lic:
445220
Issued Date:1010412021
Lic Expire:
02/2812022
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Bus Lic:
BT30064026
Processed By:
Lic Exp Date:
0813112022
MECHANICAL Permit: H2O21-0573
Project No :
Inspection Requests Phone (949)644-3255
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Worker's Comp Insurance -
Carrier: STATE COMP. INS
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Policy No: 9295874
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Expire :04/07/2022
8
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to IOOK BTU/hr:
0
$0.00
Up to 3HP:
1 $22.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over I OOK 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:
$19.14
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
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 - Fridi.y 7:OC a.m.to..6:30 g.m.and Saturday from 8:00 a.m. to 6:00 p.m.
WILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 hem(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
:he 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).
❑ 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 following Web site:http://w .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 700 ) of Division 3 of the Business and P fessi s o e, and my license is in full force
and effect.
License Class License No DaContractor Signatu
WORKERS' COMPENSATION DECLARATION
NARNING: 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
COST 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:
❑ 1 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
oerformance of the work for which this permit is issued. Policy No.
Ul have and I yyaintain workers' c mpensation rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio
insurance carrier nd 2olicy n ex :
Carrier icy Number Expiration Date
Name of Agent _ Phone #
I certify that, in the performan4 of thevpjkTcrNhtch this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agreiI
that, if I should becombject t thew s' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signatureof Applicant Datesi(\
DECLARATION REGARDING ENDING AGENCY -
I hereby affirm under penalty of perjury tharTere is a construction lending agency for the performance of the work for which this permit is issued (Section 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.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county crilinances ate laws relating to building construction.
1 authorize representatives of this city or count o e the -id tified property for inspection purposes. t�
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam P fwl'F 1a O ,
ACTION
DATE
BY
DECLARATION OF COMPLIANCE IMTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART b1 OF T;TLE40AND
AOMD RULE 1403, -'
PERPAITEXPIRED
❑ ISUBVTTEL`A5BESTOS NO-7FICATIONTO:
❑ EPA
PERMIT CANCELLED
L] AQN)D
PER>EXTENDED
❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTf 9'CATE OF
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