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HomeMy WebLinkAboutH2022-0133 - Permits{ City of Newport Beach - Building Division __H2O22-0133 MECHANICAL Permit: H2O22-0133 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Project NO : 0870-2020 ��^^' C' Inspection Requests Phone (949)644-3255 z C Job Address: 1502 BAY FRONT S Bldg:i Floor: Suite: Description of Work: SFR MECH -INSTALL (2) A/C UNITS AT MECH WELL. TAMPER RESISTANT CAPS REQUIRED (X2020-1147) Inspector Area:2 Code Edit: 2019 I E C Legal Description: BALBOA ISLAND SEC 5 BLK 1 LOT 2 C M Owner: VINCENT GINA & GARTH Contractor: SKY HEATING & COOLING INC Worker's Comp Insurance - M Address: 1205 S BAY FRONT Address: 769 N GLASSELL ST Carrier: NORGUARD INSURANCE X 0 NEWPORT BEACH CA 92662 ORANGE CA 92867 Policy No: SKWC350975 M Phone: 310-948-0789 Phone: 714-883-0623 Expire :02/01/2023 z z Con State Lic: 1045281 .. Issued Date:03/14/2022 Lic Expire: 1213112023 -'Q Bus Lic: BT30065983 °,•'m;°•��* Processed By: J Lic Exp Date: 02/28/2023 Cn GV 0 HVAC Items FEES .... ®° •• 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 Q`..'$0.00" . $0.00 ,1- z 4 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $78.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 a ° 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: $67.86 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A4(36&48) Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TEMPSTAR Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $235.86 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $235.86 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. ILDER 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 items) (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 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.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 7000) of Division 3 of the Business and Profession Coe a d Icense is in full force and effect�� E a� License Claslass• • • License No Date `� L Contractor Signature (• f7PKERS' PCWPENSATION DECLARATION WARNING: FAIIMRE•lU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE !{U EO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE �• cOST� OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. 111Areby 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 thf p4n`prnnanceaaf the work for which this permit is issued. Policy No. I Nave and vJili 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' insurance carrier and policy number are: .s Gamier Na ;of Agent' -Z. U✓ certify that, in•thl performance of the hat, if I should become subject tothe vig Signature of Applicant r AW-- Policy Number Date h 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 isation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. �y %'f� /�� Date ly�,D✓Jl r +� 1 VMV CIYVI I hereby affirm under Pena ty o erjury that there 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. agree to comply with all applicableI y an county or 1 authorize representatives of this city or count to ant t e to laws relating to building construction. Ymantes an state n. ie roperty for inspection purposes. n. Signature of Property Owner or Authorized Agent � Print Property Owner's or Authorized Agent's Name X l`�iilt l'� lNf"de /J ACTION DATE BY DECLARATION OF COMPLIANCE'MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF RTLE40AND AQMD RULE 1403: PERMIT EXPIRED ❑ ]SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED I Ad❑ ASBESTOS NOTfFICATIONIS IVOTAPPLICA13LE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE.