HomeMy WebLinkAboutH2019-0515 - Permits' City Newport BeachBuilding Division1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111�� MECHANICAL Permit, H2O19-0515
of cBeach, CA ��������
PfOJECY NO
Permit Counter Phone (949)644-3288
a�nw�
a Inspection Requests Phone (949)6443255
Job Address: 5110 RESIDENCIA Bldg:1 Floor: Suite:
Description of Work: MECH 57 ROOF -MOUNTED A/C CONDENSORS & FAU, LIKE FOR LIKE. LOWER DB LEVEL THAN (E) UNIT. *NOISE COMPLAINTS -ED GROLEAU
949-720-3126 OR DONOVAN SCHMIDT 949-720-5415* 1 1 wt,!, -
n 5( 1b 5E5y g
Inspector Area:4 Code Edit:
2016
Legal Description: N TR 15584 LOT 7
FEES
Owner: NEWPORT BLUFFS LLC
Contractor:
AMTECH HEATING & AIR INC
Address: 550 NEWPORT CENTER DR
Address:
20 TRUMAN SUITE 210
NEWPORT BEACH, CA 92660
Furnaces Boilers & Compressors
IRVINE CA 92620
Phone:
Phone:
800-882-3019
Can State Lie:
1003704
Issued Date:08/23/2019
Lie Expire:
04/3012021
Bus Lie:
BT30060143
Processed By:
Lie Exp Date:
08/31/2019
Worker's Comp Insurance -
Carrier: EVEREST PREMIER INS CO
Policy No: 7600019879181
Expire :12/20/2019
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
57 1,083.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0,
$0.00
Fire Dampers:
0
$0.00
$0.00
Over IOOK 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:
57 1,083.00
>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:
$0.00
Up to 1M BTU/hr:
0 $0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0
$0.00
Model:
CA15NA018000
Issuance:
$35.00
Up to 1.75M BTU/hr:
0 $0.00
Over 1 O CFM:
0
$0.00
Supplemental Feer
$0.00
Manufacturer:
CARRIER
Over 1.75M BTU/hr:
0 $0.00
VAV Box:
0
$0.00
Zoning PC:
$0.00
TOTAL:
$2,201.00
Plan Check Fee
:
$0.00
Fee Due at Permit Issuance:
$2,201.00
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 8:0a=a.m. to 6:00 p.m.
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OWNER -BUILDER DECLARATION 1
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) J
(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 I
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 and6
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 L) 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
im roved 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 net
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).
❑ I 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 legally
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 Section 7000%ivision 3 of the Business and Pt�ions de, a ylice is in full
and effect. 2 f+`Jr/)
License Class License No Date 2-3 Contractor Signatu
NORKERS' 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 (5100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for the
Vrmance of the work for which this permit is issued. Policy No.
h ve 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' compensation
nSur nce carrier and policy number are:
,rier Policy Number Expiration Date
Tie of Agent - Phone #
certify that, in the performance of the wo k for w ich 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 agree
I, if I should become subject to he w _ is'640 a ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant (� - Date
CLARATION REGARDING CONSTRUCTION LENDING C
IN GEN - /
Ireby affirm under penalty of perjury tthere is a cons ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lenders Address
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 the ab o jL; yEi pro ed for inspection purposes. 2L�i(/.q�; ,�,.,,,,
nature of Property Owner or Authorized Agent J Print Property Owner's or Authorized Agent's Name �r -7 " Date
ACTION DATE
BY
DECLARATION OF COMPLIANCE WITH CODEOF
FOR OFF USEONLY
FEDERAL REGULATIONS PART 01 OF TITLE40AND
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