HomeMy WebLinkAboutH2022-0077 - PermitsCity of Newport Beach - Building Division III 111111111111111111111111111111111111111111111
�- 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 7 7
!: Permit Counter Phone (949)644-3288
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Job Address: 411 IRVINE AVE Bldg:1 Floor: Suite:
Description of Work: MECH/INSTALL NEW A/C UNIT 45clB (MITSUBISHI; MUZ-GL18NAH-U1)
Inspector Area:3 Code Edit:
2019
Legal Description: FIRST ADD TO NEWPORT
HEIGHTS BILK 29
LOT 22
Owner: MANAVI BEHNAM & JENNIFER
Contractor:
A A P W CORP
Address: 411 IRVINE AVE
Address:
14741 FRANKLIN AVE # A
NEWPORT BEACH, CA 92663
TUSTIN CA 92780
Phone: 949-413-0779
Phone:
714-505-3013
Con State Lic:
803206
Issued Date:02/15/2022
Lic Expire:
02/28/2024
Bus Lic:
BT30046582
Processed By:
Lic Exp Date:
03/31/2022
MECHANICAL Permit: H2O22-0077
Project No : 2094-2020
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier : ACE AMERICAN INS
Policy No: C68651281
Expire :04/01/2022
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $22.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$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
$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 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK 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: MondQjp; F„Po•ay 7:tV'S.q?t•o 6:;J6 )5.r t•And Saturday from 8:00 a.m. to 6:00 p.m.
6 ®BO 39
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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)
(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 U 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-Buiider will have the burden of proving that it was not built or
improved for the purpose of sale).
L-1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, t
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
❑ 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 yf
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unc
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginf,
Signature of Property Owner or Authorized Agent
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
and effect.
License Class License No Dateythsfz2
COMPENSATION DECLARATION
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Icalaw.html.
Date
3n 3 of the Business and Professions Code, and my license is in full force
e
Contractor Signanj
IARNING: 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
:DST 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:
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 th[
er➢.Irmance of the work for which this permit is issued. Policy No.
have and
of Agent
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
certify that, in the performance of the work for 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
, if I should become 95bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signa of Applican 2Z
DECL N RE ARDING C
I hereby affirm under ury 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.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or countX to nter the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Print Property Owner's or Auth
AC77ON
X TE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOROFFICEUSEONLY
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PERMIT EXPIRE
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PERMIT CANCELLED
PERMITEXTENDED
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PERMIT FINAL
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CERTIFICATEOF
OCCUPANCYISSUED
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