HomeMy WebLinkAboutH2022-0335 - Permitsµir,<.r City of Newport Beach - Building Division III III IIIIIp111111111111111111111111111111111111 MECHANICAL Permit: H2O22-0335
c �� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 3 3 5 Project No : 1303-2021
H n Permit Counter Phone (949)644-3288
ryi.. yt unz Inspection Requests Phone (949)644-3255
Job Address: 1037 GRANVILLE DR BIdg:1 Floor: Suite:
Description of Work: MECH -INSTALL HEAT PUMP & AIR HANDLING UNIT. TAMPER -RESISTANT CAP REQUIRED
InspectorArea:4 Code Edit: 2019
Legal Description: TRACT 14839 LOT 2 OF PROJECT 939-63 LOCATED ON AP 442-421-13
Owner: FRENCH ROBERT E Contractor:
Address: 1037 GRANVILLE DR Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lie:
Issued Date:06/30/2022
Lie Expire:
Bus Lie:
Processed By: CA
Lie Exp Date:
CONTEMPORARY AIR CONTROL INC
1599 SUPERIOR AVE B1
COSTA MESA CA 92627
949-877-0411
575613
10/3112022
BT30036259
07/31/2022
Worker's Comp Insurance -
Carrier : SIRIUS AMERICA INS
Policy No: WC75866
Expire:06/01/2023
NSA LCTo!':'
4C Items
FEES
nacesBoilers & Compressors
Ventilation
Other
to 100K BTU/hr:
0
$0.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
)r 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
It Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
it Pumps & Package
Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
to 100K BTU/hr:
1
$22.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$0.00
;r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$19.14
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
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
AC PRO
?r 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: $131.14
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and,$aturday from 8:00 a.m. to 6:00 p.m.
u G Lai 4L .ilY
LDER 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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
pply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal
ell 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 ection 7044 of the Business and
'rofessions 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 ate
.ICENSED CONTRACTOR'S DECLARATION
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 Pro essio e, and my license is in full force
nd effect. }}�� `
icense Class License No Date`aJt/�dl Contractor Signatur
VORKERS' COMPENSATION DECLARATION
ING: 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
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 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
Ice of the work for which this permit is issued. Policy No.
and 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 workers' compensa
carrier and policy number are:
ne of Agent
certify that, in the
. if 1 should bacon
of Applicant
Policy Number
Date
ip 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 agree
lkers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Dated
.._..... 6
........_.-...._. .RUCTION LENDING AGENCY u�
I hereby affirm under penalty oterjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
Lender's Name Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pro rty owner's behalf.
I have read this application and the information I have rov ded is correct.
I agree to comply with all applicable city and county o i nce and state laws relating to building construction.
authorize representatives of this city or county to en the ova -identified property for inspection purposes.
Signature of Property Owner or Authorized Age, Print Property Owner's or Authorized Agent's Name -ade1 il— Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITL.E40 AND
AOMD ROL E 140.3.
PERMIT EXPIRED
'7 I SUe3M TIED ASBESTOS NOTIFICATION TO:
❑ L-PA
❑ AI' M6
PERMITCANCELLED
PERMITEXTENDEO
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SiGNAT1;IRL':
OCCUPANCYISSUED