HomeMy WebLinkAboutH2021-0644 - Permitswr•�, City of Newport Beach - Building Division H2O21-0644
a• - _ 100 Civic Center Drive, Newport Beach, CA 92660
` b Permit Counter Phone (949)644-3288
ss
Job Address: 1507 MARINERS DR Bldg:1 Floor: Suite:
Description of Work: MECH CHANGE OUT AIC UNIT *TAMPER PROOF CAP REQ*
InspectorArea:3 Code Edit:
2019
Legal Description: N TR 3004 LOT 39
Owner: KAHN MADISON & ALEX
Contractor:
GUARANTEED AIR
Address: 1507 MARINERS DR
Address:
1250 N LAKEVIEW AVE STE C
NEWPORT BEACH, CA 92660
ANAHEIM CA 92807
Phone:
Phone:
714-777-6600
Con State Lic:
997377
Issued Date:11/12/2021
Lic Expire:
10/31/2022
Bus Lic: ST30053897
Processed By:- S4_Xz____ Lic Exp Date: 02128/2022
MECHANICAL Permit: H2O21-0644
Project No : 0924-2021
Inspection Requests Phone (949)644-3255
T.
i1 v3 L-�
Worker's Comp Insurance -
Carrier: MID-CENTURY INS
Policy No: A09484276
Expire :03/05/2022
HVAC Items
FEES
FurnacesBoilers & 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
-' " ° °
$0.61;
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 I BTU/hr:
0
$0.00
up to 1OK CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
AULD60W2A-DU
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
AC PRO
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: Monday- Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
IWNER-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)
>ection 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or C_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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).
1, 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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
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, Section 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.htmi.
signature of Fripeny Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm urd3: penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 700 ) of Division 3 of the Business a dy
Code, and y Tcense is in full force
nd effect.
irenso Class License No Date I Z Contractor Signatur
VORKERS' COMPIENSATION DECLARATION
'AnNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUD LLARS ($100,000(, IN ADDITION TO THE
O51 OF COMPENS�TICC, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
Iltrauy affirm weer penalty of perjury one of the following declarations:
I have and win 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 IN
enormance of the wurk for which this permit is issued. Policy No.
will
of
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'
111
er are:
� Policy Number Expiration Date
I certify that in the performance of the work forch 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 agrer
t, if I should become subjec the workers'p6rinp Psation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' 7
(nature of Applicant Date Y !/I I / V/ —2/
CLARATION REGA TRUC ON LENDING AGENCY
:reby affirm under penalty of p 'ury that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
my signature below, I certi 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 relating to building construction.
I authorize representatives of this city or county tp� me ah7,���e-I "ed erty for inspection purposes.
(nature of Property Owner or Authorized Agent I\/ 1 I / " Print Property Owner's or Authorized Agent's Namef
ACTION
DATE
BY V
DECLARATION OFCOMPLIANCE WITH CODE OF
FOR OFFICE EONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40AND
AQMD RULE f403.
PERMIT EXPIRED
P
❑ ISUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFCATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIRCATEOF
SIGNATURE:.
OCCUPANCYISSUED
h
x
c` 0
v
z
A w
bb
� V
❑ i
L Q •.
Z, o o a In,z
Ww d aa)i s-4
F U
� ' S a
N
W r a)
Q 04 •�i
C. a) b QI al
Q d a W
Q1
uvro
O
P. U W
U
E
v
1) X4
U W
m
m
N
ri
0
0
ro
U
0
a
.n
0
S4
P,
F
co
J
a
C)
m
U
N
j 9
W
n
v «
U
2
m m
o f
Z
O
t O
a
U1
U 0
«
m
U
a
m v
Q
! o
c
a
co
`m
„
m
a
5
r Ti
Q
m m
a U
a
in
U
Fa
U U
Z
a
U
U)
p
O
E
E
li
#
ak
7k
m s
Q
a
x
x
x
x
a o
o
m
c
3
m
m
«
a
o
°o
W
.. ..
C
.. U
C
U
U
cc
N
l0
o
QC_
0
0
2
0 'C
G«
�_
N
wI wI
wU
I
U
I
U
I I
C
I
2I =I
DI co
�1
WI
LLI
oI
0
�
U
a
il.
C
N
N
VZ
N
m
E
y
0
o 0
J
C)
E a
E
c
a
o
m
rn
s
m
F
a
m
N
�_-.
OO
o C)
fn
«
a
N G
!n
C
C
OI
MOB
J
O m
U U
0 2m
C7
m
i
ii
C d
O m
m
(q
fnC
H
L
0
L L
0 0
J Q
of K
2
U
U
C
O) >
2
U
o
2
c
U
ZZ
Vm
N
7�5
O
pf1f2�
mS=m9
O
o
C
a5
[oi
L)
Q
cm
2
y'o
Ymm
Wmto
o
O
m
ooIn
21
UNLL0
Z
U
InIn
I
�m
C C
m 'C
am 1O C
o w
am b
a«
3 0
aNi �
a
E
U m
T O
a
r N V
= C
N O
U
N «
U
O N
c a
N N
N C
3 V—
o m
N
`o O
C Z
o F
O
3 m W
a � U
0
0o
ai
C
� a
dw Zi
l�
3 v
so
a
� U
o rn
O �
O
a a
m m
c
H o
w 0 L1
U�
aN
J m
a a '
o-U
o
U a .- W
a
0 m o �
n m z
2M z
QN 0
o o
a
U m `O U
2 a
N C U)
U m 0
W
Z)
zZ
C7
U)
K
O
r
U
W
IL
co
Z