HomeMy WebLinkAboutH2020-0137 - Permits, � .* City of Newport Beach - Building Division III 11111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O20-0137
', 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 3 7 Project No
H W Permit Counter Phone (949)644-3288
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r<,r` �s Inspection Requests Phone (949)644-3255
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Job Address: 325 CORAL AVE BIdg:1 Floor: Suite:
Description of Work: MECH/ NEW A/C ON ROOF "TAMPER RESISTANT CAP REQ"
InspectorArea:2
Code Edit: 2019
Legal Description:
BALBOA ISLAND SEC 3 BLK 15 LOT 23
Owner: MORRIS
STEVEN W
Contractor:
SKY HEATING AND COOLING
Worker's Comp Insurance -
....
Address: 325 COAddress:
769 N GLASSELL ST
Carrier: NORGUARD INSURANCE
NEW
T BEACH, A 92662
ORANGE CA 92867
Policy No: SKWC149863
Phone:
Phone:
714-883.0623
Expire :02/01/2021
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Con State
Lie: 1045281
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Issued Date:2/21/2020
Lie Expire:
12/31/2021
Bus LIC:
BT30066983
REQUIFiE[�FOR
Processed By:
Lie Exp Date: 02/28/2021
s .....
AJC
DISC0M%E� ° ..°o°
°
HVAC Items
FEES
FurnacesBoilers &Compressors
Ventilation
Other .... 0.°°.
Up to 100K BTU/hr:
0 $0.00
Up to 3HP: 1
$20.00 Bathroom Fan:
0 $0.00
Fire Dampers: 0
$0.00
0 ° ° ° °. $0.06000
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:
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: $17.40
Up to 1M BTU/hr:
0 $0.00
up to 1 OK CFM: 0
$0.00 Repair/Alter/Add:
0 $0.00
Model: 4MXS36RMVJU
Issuance: $35.00
Up to 1.75M BTU/hr:
0 $0.00
Over 1 OK CFM: 0
$0.00 Supplemental Fee:
$0.00
Manufacturer: DAIKIN
Over 1.75M BTU/hr:
0 $0.00
VAV Bax: 0
$0.00
Zoning PC: $41.50
TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $113.90
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.
NO CONSTRUCTION NOISE
OWNER -BUILDER DECLARATION I
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 L) all of or L) 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 Codp,.is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of ProQe�rLV.Owner or Authorized Agent Date
LICENCED CONTRACTOR'S DECLARATION
i Re49;affirm win
de( penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions o ¢and ny license is in full force
agd ef{ect. -
ticErjsrClass • License No Date 2C OZ 11 N Contractor Signature
APRKERS' GOMMNSATION,DECLARATION
�AMW?FAILURE M SECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UN ED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 37000F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IVere�by aff I'm untler' penalty of perjury one of the fallowing declarations:
'i 1 ri3Ye 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 thf
3e rm Vince of she %%Crit for which this permit is issued. Policy No.
jvoi and wiNiaintain 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
A came; Mftd Owicy number are:
-arrier .... Policy Number Expiration Date
Vame of Agent Phone #
:1I certify that, in the performance of the wor or 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 agrer
:hat, if I should become sub 'act to tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi %
Signature of Applican at �"f /10
DECLARATION
DECLARATION REG DIN NSTRUCTION LENDING AGENCY
hereby affirm under p natty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y 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 stat laws relating to building construction.
I authorize representatives of this city or county r �tl:; � operty for inspection purposes. /-� (/ 7�
Signature of Property Owner or Authorized Agent ' /� Print Property Owner's or Authorized Agent's Name,- l J%iG fad i�1Q Date D G
ACTION DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TIRE 40 AND
AQMO RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS IV071FICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS N077RCA710MIS NOT APPLICABLE TO
PERA47TFINAt i011W
PROPOSED DEMOLITION.
CERTIFICATE OF
--
SIGNATURE:
OCCUPANCYISSUED