HomeMy WebLinkAboutH2021-0611 - PermitsCity of Newport Beach - Building Division H2O21--0611 MECHANICAL Permit: H2O21-0611
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0624-2020
Permit Counter Phone (949)644-3288
/�� py Inspection Requests Phone (949)644-3255
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Job Address: 7 POINT LOMA DR BIdg:1 Floor: Suite:
Description of Work: SFR MECH RELOCATE (2) A/C UNITS TO SIDE YARD. CHANGEOUT (2) FURNACE. REPLACE DUCTWORK. (49 & 46 DBA)
Inspector Area:6 Code Edit: 2019
Legal Description: N TR 7432 LOT 56
Owner: ARYA SATYA PAL
Address: 7 POINT LOMA DR
CORONA DEL MAR, CA 92625
Phone:
Issued Date:10/26/2021
Processed By: l' 75
Contractor:
BALANCE POINT MECHANICAL
Address:
7919 E QUINN DR
ANAHEIM CA 92808
Phone:
909/762-5363
Con State Lic:
1039122
Lic Expire:
05/31/2022
Bus Lic:
ST30076872
Lic Exp Date:
10/3112022
Worker's Comp Insurance - ,
Carrier: NORGUARD INS CO '
Policy No: BAWC274121 .
Expire :04/1012022
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
2
$44.00
Up to 3HP:
0 $0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0
$0.00
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
2 $78.00
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:
$144.42
Up to I BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
2 $44.00
Model:
124ANS0 issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
BRYAN
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$400.42
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$400.42
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.
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indical
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demoli:
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lav
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section
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 `) portions of the
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through am
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complet
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL
apply to an owner of orooerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pL
0 1 am exempt from licensure under the Contractors' State License Law for the following reason:
Sy nti signature, ba,ovr I acknowledge that, except for my personal residence in which I must have resided for at least one yea
sell a structure thrt I 'lave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unde
Prof�sslr•ns Code, !s available upon request when this application is submitted or at the following Web site: http://w .leginfo.
Signawre of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I nereb/ affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of ❑
ail a f-:ct.
L ve'I,P i;lass License No Date
COMPENSATION DECLARATION
below by the checkmark(s) I have placed next to the applicable items) -
or repair any structure, prior to its issuance, also requires the applicant for
hapter 9 (commencing with Section 7000) of Division 3 of the Business and
31.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
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
Date
In 3 of the Business and Professions Code, and my license is in full force
Contractor Signature
C'4RNING. FAILURE TO SICVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENSA. JN, D.lMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I :iereby .lffirm under pe.ialty 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 Ir
performance of the work for which this permit is issued. Policy No.
o Plave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfl
insurance carrier and policy number are:
Carrier Policy Number
Name of Agent
❑I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so
that, if I should become_supject to the�workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c
signature of Applicant /\G'fZ�!--��
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which tl
tinder's Name Lender's Address
ly 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 county to enter I b -ide led property for inspection purposes.
Sionature of Prooertv Owner or Authorized Agent kXl Print Property Owner's or Authl
ACTION I DATE I BY
I PERMITEXPfRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTl FICA TE OF
OCCUPANCYISSU€D
FEDERAL REGULATIONS PART 61 OF 1
AQMD RULE 1403.
❑ 1 SUBMITTED ASBESTOS NORFIG
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT
PROPOSED DEMOLITION.
SIGNATURE:
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workers' compensation laws of California, and agree
ply with those provisions.
Date
permit is issued (Section 3097, Civil Code).
TO:
Name
TO
J