HomeMy WebLinkAboutH2021-0550 - PermitsCity of Newport Beach - Building Division H2O21-0550
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 23 POINT LOMA DR Bldg:1 Floor: Suite:
Description of Work: MECH NEW HEAT PUMP *TAMPER PROOF CAP REW & DUCT WORK
Inspector Area:6 Code Edit:
2019
Legal Description: N TR 7432 LOT 49
Owner: DHAR USHA
Contractor:
ALPS A/C & HEATING INC
Address: 23 POINT LOMA DR
Address:
1895 S SANTA CRUZ ST
CORONA DEL MAR, CA 92625
ANAHEIM, CA 92805
Phone:
Phone:
714-633-8892
Con State Lic:
667953
Issued Date:09/23/2021
Lic Expire:
04130/2023
Bus Lic:
BT30047511
Processed By: ��
Lic Exp Date:
07/30/2022
MECHANICAL Permit: H2O21-0550
Project No :
Inspection Requests Phone (949)644-3255
y
ON HEAT PUMPIZ
Worker's Comp Insurance -
Carrier: AMERICN ZURICH INS
Policy No: WC110287600
Expire :04101/2022
{-A
HVAC Items
FEES
Other
Furnaces Boilers & Compressors
0
$0.00
Ventilation
Up to 3HP:
0 $0,00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Up to 100K BTU/hr:
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
$0.00
Heat Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
0 $0.00
Down -Draft Fan:
Residential Hood:
0 $0.00
0 $0.00
Record Mgt Fee:
Additional Fee :
$0.00
InvesCheckn:
Up to 100K BTU/hr:
Over 500K BTU/hr:
1
0
$22.00
$0.00
>50 HP:
Air Handling Units
Comm. Hood:
0 $0.00
PlanUp
$$0.00
$38.00
to I BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
1 $22.00
Model:
MPB012S451ssuance:
Up to 1.75M BTUIhr:
0
$0.00
Over 1OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
LENNOX
Zoning PC:
$52.00
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
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 8:00 a.m. to 6:00 p.m.
INtK-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) in below by the checkmark(s) I have placed next to the applicable item(s)
ction 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State LicenseLawLaw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Segtion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). II
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of con
improved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704,
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract(
I am exempt from Iicensure 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
sell a structure that I. have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I L
Professions Cede. is available upon request when this application is submitted or at the following Web site:http://www.legi
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
(.hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing witp SeFyop 7000)
License Class _ License No
COMPENSATION DECLARATION
Date
1PRN(NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN
OST 0- COMPF-IFAT'ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will loaintain a certificate of consent to self -insure for workers' compensation, issued by the Director
ehrfomiance of(ha we rk for which this permit is issued. Policy No.
d,y
ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the
3a ante carrier and policy number are:
of Agent
I certify that, in the performance
It, if I should becomeisubiect to
inature of ADDlican
Policy Number
the work, and the structure is not intended or offered for sale (Section 7044,
employees' or personal effort, builds or improves the property, provided that the
Dletion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
10 completion Ot the Improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Icalaw.html.
Date
f Division 3 of the Business and Profe �n e, and my license is in full farce
Contractor Signature
TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Industrial Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
of work forty Is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agre
wor ompensation provisions of Section 3700 of the Labor Code, I shall forthwiti comply with those pr v Ions. f
Dat
Z3
IECLARATION REGAR NS TION LENDING AGENCY
hereby affirm under penal fury that there is a construction lending agency for the performance of the work for whit I this permit is issued (Section 3097, Civil Code).
Ender'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 pr ided is correct.
I agree to comply with all applicable city and county Inances and aws relating to building construction. `
I authorize representatives of this city or coup, y o e the e-identified property for inspection purposes.
ignature of Property Owner or Authorized Agent Print Property Owner's or Au horized ADent's Name
ACTION
DATE 7 BY
PERh1V T EXTENDED
PERMIT FINAL /-21-.?] 1- / G06 7
FEDERAL REGULATIONS PART 61
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOT
❑ EPA
❑ AQMD
❑ ASBESTOS NOFFICATION IS.
PROPOSED DEMOLITION.
OCCUPANCYISSUED I I I I SIGNATURE:
TITLE40AND
TO:
APPLICABLE TO
FOR