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HomeMy WebLinkAboutH2022-0201 - Permits�EwrofA City of Newport Beach - Building 11111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 0 1 Permit Counter Phone (949)644-3288 oot r'�[:1YiiY��a Job Address: 410 VIA LIDO NORD Bldg:1 Floor: Suite: Description of Work: MECH NEW HEAT PUMP ON ROOF *TAMPER PROOF CAP REQ* Inspector Area:2 Code Edit: 2019 Legal Description: TR 907 LOT 478 SELY 15 FT AND NWLY 15 FT LOT 479 AND POR ABAND ALLEY Owner: 410 VIACON LLC Address: PO BOX 1096 YORBA LINDA CA 92885 Phone: 714-920-7470 Issued Date:04/2112022 Processed Contractor: AIRSMITHS INC Address: 1474-A POMONA ROAD CORONA CA 92882 Phone: 951-735-5225 Con State Lic: 783449 Lic Expire: 08/31/2022 Bus Lic: BT95002015 Lic Exp Date: 10/31/2022 MECHANICAL Permit: H2022-0201 Project No : 2938-2016 Inspection Requests Phone (949)644-3255 TIMERS PROHIBITED ON HEAT PUMPS Worker's Comp Insurance - ' Carrier: INSURNCE CO OF THE WEST Policy No: WSA506136800 ' Expire:07/01/2022 '- INEaE C HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up 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 Over I OOK 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: 1 $22.00 >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 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: P60NKMUIssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI 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. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicates' .alow 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, demob 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 ILL tChapter 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 Seal 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 sale compensation, will do U all of or U 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 owre- �' 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 Scan licensure under the Contractors' State License Law for the following reason: R,, my signatL-rr'How 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 sell a structure tha. I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy ofthe 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. Slgr^ture of Property Owner or Authorized Agent Date I.ICFNSED OUNTPACTOR'S DECLARATION .II 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 a d r"pssigns Code, and my lice a is in full force Iland effect. JjUcens:Class License No Date 'a 2 ,ntractorSignature I[WORKERS' CGMPENSATION DECLARATION :Wl.RNIN.3: FAILURE TO SE.:URE 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 II COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .1 na,ecv affirm under penalty of perjury one of the following declarations: r' have and .41 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 the Laff-d"Irmance of the work for which this permit is issued. Policy No. I have 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' urance carrier and policy number are: Policy Number me of Agent Date I certify that, in the perfor of the 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 agre It, if I should become ub ct to a workers' compen ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro�isll ns. (nature of Applicant Date,S :CLARATION REG CO R t0 LENDING AGENCY ✓ ereby affirm under enalty o perju at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county o and state laws r Ing to building construction. 1 authorize representatives of this city or count�y{en r th ove-ide for inspection purposes. nature of Property Owner or Owner's or Authorized Agent's Name _ZW— ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE d0 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTEAIDED ❑ ASBESTOS N077HCA17ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CER7o1CATEOF SIGNATURE: DCCUPANCYfSSUED