HomeMy WebLinkAboutH2022-0035 - Permits.,, � City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O22-0035
i - �� 100 Civic Center Drive,. Newport Beach, CA 92660 H 2 0 2 2 0 0 3 e Project No: 1518-2021
n Permit Counter Phone (949)644-3288
0U 4
�:�uratn+{s Inspection Requests Phone (949)644-3255
Job Address: 223 JASMINE AVE BIdg:1 Floor: Suite:
Description of Work: MECH - R/R 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED
Inspector Area:0 Code Edit: 2019
Legal Description: RESUB OF CORONA DEL MAR LOT 23 BLK 136(AND NELY 10FT LOT 21
BLK 1 36
Owner: BRINTON TODD
Contractor:
Address: 223 JASMINE AVE
Address:
CORONA DEL MAR, CA 92625
Phone: 650-575-2731
Phone:
Con State Lic:
Issued Date:01/24/2022
Lic Expire:
Bus Lic:
Processed By:-;2
Lic Exp Date:
J.L. QUALITY HEATING & AIR
2 VIA COMPANIA
RANCHO SANTA MARGARITA CA 9266
8
AC Items
1;�*V FEES
V `� -
nacesBoilers & Compressors
Ventilation
Other
to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $44.00
.0
Bathroom Fan: \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: ®
$0.00
Gas Line:
0 $0.00
$0.00
II/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:
0
$0.00
>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:
$38.28
to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0
$0.00
Model:
4A7L6036AIssuance:
$38.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AMERICAN STD
-r 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $172.28
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 6:00 a.m. to 6:00 p.m.
OWNER -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)
(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 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 legalh
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 S ction 7 00) of Division 3 of the Busingrrofesside, and my license is in full force
and effect.
License Class License No Date 2� Contractor Signatur<
WORKERS' COMPENSATION DECLARATION
NARNING: 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
POST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
WormaDce 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'
carrier and policy number are:
ne of Agent
certify that, in the performance of
, if I should become subject to the
iature of Applicant X
Policy Number
Date
this permit is issued, I poem to r anv persop. in. any manner so as to become subject to the workers' compensation laws of California, and agre
ctlon 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
hereby affirm under penalty of perjury that there is a constrrkction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
y 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 r e-building n purposes.. -�
I authorize representatives of this city or county to enter t e led property for inspection purposes.
ignature of Property Owner or Authorized Agent ^{ - Print Property Owner's or Authorized Agent's Name
Date 1 I --
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
V FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
POSEDDEMOLITION.
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CER7IFICATEOF
SIGNATURE:
OCCUPANCY15SUED