HomeMy WebLinkAboutH2021-0156 - PermitsCity of Newport Beach - Building Division III MECHANICAL Permit: H2O21-0156
,a'�" 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 1 5 6
r� ,� A Pe•mit Counter Phone (949)644-3288
- Project No:
9�9ianv. Inspection Requests Phone (949)644-3255
Job Address: 126 BALBOA BLVD E BIdg:1 Floor: Suite:
I 'FONSTRUCTION NOISE
Description of Work: MECH (3) NEW HEAT PUMPS ON ROOF *TAMPER PROOF CAP REQ* 120-3616
Inspector Area:1 Code Edit: 2019
Legal Description: EAST NEWPORT BLK 1 LOT 20
Owner: PARISI MATTHEW
Contractor:
Address: 126 BALBOA BLVD E
Address:
NEWPORT BEACH, CA 92661
Phone: 908-892-9210
Phone:
Con State Lic:
Issued Date:02/23/2021
Lic Expire:
�/�/�
Bus Lic:
Processed By: - _L_Lic
(
Exp Date:
N
SATURDAYS
OWNER/BLDR
Worker's Comp Insurance -
....
Carrier:
.... •
Policy No:
m• •
e•e000
Expire
e.°
IPLC"TV
o mm
o e o
e °
e• o
o e m
mm ;om
000co
m
mm000
0o
mom000
HVAC Items
FEES
mm
FurnacesBoilers & Compressors
Ventilation
Other • °
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
mmme%
•
•oo
$0.Od
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:
3
$63.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee:
$0.00
Investigation:
$63.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$54.81
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:
$37.00
Up to 1.75M BTU/hr.
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
COOPER & HUNTER
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$46.25
TOTAL:
$264.06
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$264.06
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Mon % 1Srid Lyr ., ffl 1 f30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
EXPOSE ALL STRUCTURAL ,3rI lERS PROHIBITED
ELECTRICAL PLUMBING, AND N HEAT PUMPS
MECHANICAL COMPONENTS
DWNER-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) T
(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 regi1ires 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 thd•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 ore than five hundred dollars ($500).
�PklI, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
BusirteAs 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
im 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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 tl
a structure that I have built as an owner -builder if't has not been con cted in its entirety by licensed contractors. 1 understand that a copy of the
ifessions Code, ieavailable upon request whe t s app' s itted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi.
nature of Ptgpglty bwner or Authorized Agent
USED CQNTOACTOR'S DECLARATI N
)reby sffirm-Vr Or density of perjury that I a Picensed under 15rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions
law, Sectiop/7044 of the Business and
and my license is in full force
V4.
Class License No Date Contractor Signature
ERS' 6bMANSATION DECLARATION
FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
COMPEWSA=IOR, I)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm enderpenally of perjury one of the following declarations:
and wig maintain a certificate of consent to self -insure for workers' compensation, issued by the
ice ofJMe V154C for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,
carri%r:w6lpolicy number are:
Policy Number
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
for the performance of the work for which this permit is issued. My workers'
Date
ne of Agent ' "'"" "
certify that, in the performance of the r r w ' 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
1, if I should becomeebjectto= C ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro i fons.
nature of Applicant Date
CLARATION REG D CONS ION LENDING AGENCY
:reby affirm under penalty o erj ry that there is a construction lending agency for the performance of the work for which this permit is issued (SEC -on 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 a laws relating to building construction.
I authorize representatives of this city or county I enter th ntifi property for inspection purposes. ^�
nature of Property Owner or Authorized Agent �( Print Property Owner's or Authorized Agent's Na�tv�u-+ Cat
ACTION I DATE
PERM{TEXT€LADED
PERMIT FINAL
OCCUPANCYISSUED
FEDERAL
61 OF TITLE40AND
❑ 1SUSMITTEDASBESTOS:NOTIFICATION TO.,
❑ _ EPA
AOMD
ASBESTOSN071FICATIONIS NOT APPLICABLE -TO
PROPOSEDDEMOLITION
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