HomeMy WebLinkAboutH2020-0454 - Permitsvay City of Newport Beach - Building Div! i H2O20-0454
o't 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 19 MAINSAIL DR BIdg:1 Floor: Suite:
Description of Work: MECH REPLACE AIC UNIT @ THE SIDE YARD "TAMPER RESISTANT CAP REQ", REPLACE FURNACE
InspectorArea:4 Code Edit: 2019
Legal Description: N TR 8425 LOT 66
Owner: GORDON ELLORY & RIKKI
Contractor:
Address: 19 MAINSAIL DR
Address:
CORONA DEL MAR, CA 92625
FEES
Phone: 310-871-2125
Phone:
Con State Lic:
Issued Date:08/17 02
Lic Expire:
Ventilation
Bus Lic:
Processed By:Lic
00
Exp Date:
MECHANICAL Permit: H2O20-0454
Project No: 1211-2020
Inspection Requests Phone (949)644-3255
INSPECTOR
ALISO AIR INC Worker's Comp Insurance -
29736 AVE DE LAS BANDERAS Carrier: LIBERTY MUTUAL
RSM CA 92688 Policy No: WC2Z61036218090
949-589-2021 Expire :07/01/2021 420 30n WIDE 1C 36" DEPTH
0363112022 JU3JECI'TOPIELDINSPECTOR',.
BT30019236 tu:VIEWANDAPPIZO"L REQUIRED FOR
02126/2021 A/C DISCONNECTS
HVAC Items
FEES
Furnaces Boilers&Compressors
Ventilation
Other
Up to 100K BTU/hr:
1
$21.00
Up to 3HP:
1 $21.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
°°°.
° ° o ° ° °
$0.00
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
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:
$18.27
Investigation: <
$0.00° ` E'
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Chock' ° ° °
$0.00°
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
24AP864BAlssuance: ... ° $37.00°
Up to 1.75M BTU/hr:
0
$0.00
Over 1 O CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC: .
$46.29"
TOTAL:
$143.52
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$143.52
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.
[OWNER BIIILUhR lel Ct ARAIRIN e
I 1 P ph) po, vnori vl peliiov trial 1 sell "Pleol frolll it's CDHIfACI(1fA' Slain I.Irransn LAY/ for Ilia rAA4nn(ij InrliCAtert hnlow IN 1110. rh4hlenlgrfeW 1110114 pfgcpd ocrf )n ti,- mV? r,Ar1- I.,( it
(Fwt3i, ^ T031 r, ' "Fe,"+ "I (wry Iq Rams Ccdp. Ant' city or ['011111j'that falln"o a pormil In conRlrHcf, aifut impfOve, (lornClmh nr rnp Plr In,/ af`110iln Pdr•r'n I 1n4Angp 'k, =n1Pry � t a 1f911^d/'< `nr
ro.p pet nit IC file , %.y eJ e;PtPlr`Pnl Thai lee or She iF bc.pn Spll I'll(RUAel u) 1114 prllviAlOnR rit It's Comfort'" thele LlgenAA LAW fc?"10fer a Iggmm nrinq "tf 31n r -0c1 q 1 •'.ipP i of 1 3 +'-P':D tori
Prn!eF - n5 C oov OI Ihbt hP tel Rhe 'k Pro mpt hDHI 1,ceog Ura and the basis for the alleged exernpilow Any violation of Section 103J 5 b'y any 4VOHrgrt rOf a Pnmtf ;1#HMCie (tin 1ODLCEnt to a !Pnl P?n4WI nr
ncl mare pssn IVY t.pndled dNlals tS600).
❑ I, aF cpcve'. e' 1e M,PPrt\'. w my employees will, waves as IIIAll Role compa,1900011, will do (-.) all of or (.1 poriiohe of the islork, and the strucuins- In not mianded or oTrp•wr fqe 'Alp'Smynr• /r44
hvFrne . a..! Pm',>- FS, i?"OF I'he. Contractors Slate Li, ease Law does Hol Apply In an owner of properly Villas, through employee; nr oer;nnat ntinn, hllild: nr - ,rmrev 'F prbo-mfr 'r,
•1p�IF a:-T..j rnende:i Or offered tot sale. If, hcjwaver, file building or improvement IS Sold wilhin one year of completion, the Uxner4luilder will have the burinn of 01o" r n 'Lot d Nes ,n4 b!nit a
h: • the : +wit e A SAW
❑ I. aF ae-+e, or IF Pieced).
, an, exclusMely "Wractinp wllh licensed Conhaclors to construct the project (Section 7044. Business and Professions Cods The ` crtrgctnrA' 3tata l,;narrse taw does nor
an mine �f plopelly who L+odds or improves theleun. and who contracts for the projects with a licensed Contractor pursuant In the ContrartorsStata Llranse -ArMf
a- ear^opt !' xn licensure under the Contractors' Sunk, License Low for the follmving reason:
of 11 n;:naturr 1, iow I Acap0nfedge that. except (or my personal residence in which I must have resiled for at least one year prior to completion of the lmomvompnte-nvyrgr, ov 'ht Tor^+r. „ e^nt '11101
sc - a • ,. c. -,;re m:,1 I have built as an owner -builder if it hos not been constructed in its entirety by licensed contractors. I understand that a copy cf the Applicabla :raw. Ser,t:nr; r0°ut r ,_e 31JsZ-.AA arta
P-ceeFslons Coce is available upon request ellen this application Is submilted or at the following VVebsile:h(lp://www.leginto.ca.goi/caiaN.html.
-a .r t P-nrr '-,y Omer or Authorized Agent >�\ _ Date
LICENSED COt:TRACTOR'S DECLARATION ' r
"reY affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with 5 i 700 of Division 3 of the Business and Pfnfes bns Code. and ray license asr 9HI °rrce
r, eye._ __XE !' �'
1'x^se Crass - License No ate 1 7 �` C [, clot Si nalur� a e, WORKERS'COMPENSATION DECLARATION
,NARK G. FAILURE T'.) SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR[MINAL PENALTIES AND CML FINES UP TO ONE HUNDREO'fHOUSAND DOLIJRS I3190.MOI, IN ACCr10N 10 'rite
cps; OP MMPENS=SON. DAMAGE- AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Hereby affirm Deer penalty of perjury one of the following declarations:
❑ j- , �e and wimaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of flit Tabor ':ode. ?or --n�
h•ic,ipance of the work for which this permit is issued. Policy No.
*ryv•epd 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 vorkars' cr rneensaec
aSu.Ence, calfrier aid policy numberare:
• • wrier Policy Number Expiration Date
�' • i 'dame oFAr Q9hf _ Phone #
• • I certify that in :-1e performance of a work for which this permit is issued, I shall not employ any person in any manner so as to become subjpect to the Mia ,r•, camp salien laws of California, and ogre
• • • -RSL If ah -oma act tp the ors' com ens ovi - n 3700 of the Labor Code, I shall forthwith comply with those or visions.(y—,�-
• • SibirAire { ppficsnt a rYt3`9jie�
•••• DECLARAAgN REr NGCONSS8U8i NLENDING AGENCY
I here:; afilrr9-�'��� r penalty of per u that there is a construction lendinga enc for the performance of the work for which this permit is issued Section 3097, Civil Cade
•••• i�ndEt'S Nam' a t ry g y Lender's Address f )
8y my signature 6Eiow, I certify to each of the following:
• ;' • ; I ata thepsope:ry owner or authorized to act on the pre owner's behalf.
• • t I%ytI%a8 Ihk application and the information I ha PE
is correct f
: • • • • I agwpJi com; ty with all applicable city and coon _,erdtnances and state laws relating to building construction. /1 /
• • • • I autnor¢ereprsentatives of this city or c nt4to a{,to entified. 6 6 tins eclion purposes.
y �I /% �/ a� 1 , f
Siana(vro of Coery Owner or Authorized "' fth ahnvp_I p Print Prooertv Owner's or Authorized AoanfY Name �" 1.' ` L �U— Kr=�— ..
AC77CN j OA YE
PERfvVT 61-rEtVL EO
$y Ut LLARAIIUN Ur LUMVLIANLtJnn IH L.UL)t Ur
FEDERAL REGULATIONSPART b1 OF TI7LE40AND
—' AQMD RULE 1403.
❑ 1 SUBMITTEDASBESTOS NOTIFICATION Tri•
❑ EPA
❑ AQMD
❑ ASBESIDS NORFICATION/S NOT APPLICABLE TO
PROPOSEDDEMOUTION,
OCCUPANCYISLUED I I II SIGNATURE: