HomeMy WebLinkAboutH2019-0232 - Permitsvt# City of Newport Beach - Building Division H2O19-0232 MECHANICAL Permit: H2O19-0232
' 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0311-2018
Permit Counter Phone (949)644-3288
0i�,,
`tx,� abs'As Inspection Requests Phone (949)644-3255
Job Address: 602
ACACIA AVE
BIdg:1 Floor: Suite:
Description of Work:
MECH/ NEW
A/C ON ROOF (2)"TAMPER RESISTANT CAP REQ"
Inspector Area:5
Code Edit: 2016
Legal Description:
CORONA DEL
MAR BLK 629 LOT 4
N
Owner: 60 CACIA LLC
Contractor:
SOLSTICE HEATING &
A/C
Worker's Comp Insurance -
Address: 02 AC
IA AVE
Address:
310 W AVENIDA GAVIOTA
Carrier: SECURITY NATIONAL INS CO
NEWPOR EACH, CA 92625
SAN CLEMENTE, CA 92672
Policy No: SWC1229914
Pho
Phone:
949-573-3607
Expire :03/19/2020
Con State Lie. 938888
Issu d Date 04/24/2019
Lie Expire:
10/31/2019
000P
Bus Lie:
BT30041721
° • • °
e c
Process
Lie Exp Date: 02/28/2020
..•e
SUBJECT TO FTELD INSTIECT01V4
REVIEW AND AIVAL
• •
N • 4
HVAC Items
FEES
•• °
FurnacesBoilers&
grapressons
Ventilation
Other °°v•
,•°'°
Up to 100K BTU/hr.
0 $0.00
Up to 3HP: 2
$38.00 Bathroom Fan:
0
$0.00
Fire Dampers: 0 $0.00
$0.00... °
Over 100K BTU/hr:
0 $0.00
> 3 HP to 15 HP: 0
$0.00 Exhaust Fan:
0
$0.00
Gas Line: 0 $0.00
$0.p0' . k I
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 Investigb1i[igm °
$0.00°" E ,
Over 500K BTU/hr:
0 $0.00
Air Handling Units
Comm. Hood:
0
$0.00
Plan Check:
$33.06
Up to 1M BTU/hr:
0 $0.00
up to 1 O CFM: 0
$0.00 Repair/Alter/Add:
0
$0.00
Model CSAIBF-36KI48K Issuance:
$35.00
Up to 1.75M BTU/hr:
0 $0.00
Over 10K CFM: 0
$0.00 Supplemental Fee:
$0.00
Manufacturer: MAYTAG
Over 1.75M BTU/hr:
0 $0.00
VAV Box: 0
$0.00
Zoning PC:
$40.00
TOTAL: $146.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $146.06
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) indicated below by the checkmark(S) I have placed next to the applicable item(a)
(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 penally 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 (_) 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).
11 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).
d 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.htmi.
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 70 0) of Division 3 of the Business and Profe io de, and my license is in full force
and effect. a q Contractor Signature
License Class License No Date g
WORKERS' CbMRENSATION DECLARATION
ApRYlYO: FAILURET06ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CbST OF COMPENSATIOPt,.D MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1 raebp affirm and it penalty of perjury one of the following declarations:
0 I leave 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 thI
'mW
ce of t'hip Aro for which this permit is issued. Policy No.
W'
and willrraaintain 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' compensatior
nsur me carrier a"laolicy number are:
Policy Number
Date
crirlify that, in the p&form c 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 ogre
tlT�t,i(t4hould bebsrre�Subje th orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
• • r ..
Signature of Applicant Da�P,.C!!//
DECLARATION REGAADO COKSTRUCTION LENDING AGENCY
I hereby affirm under pendKy of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 or, iVjes nd state laws relating to building construction.
I authorize representatives of this city or count to antv -identified property for inspection purposes.
Sionature of Prooertv Owner or Authorized Apent Print Property Owner's or Authorized Agent's Name
ACTION
DATE / // BY
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FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMDRULE 1403.
PERMITEXPIR€D
❑ ISUBMTTEDASBESTOSNOTIRCATIONTO.
PERMITCANCELLED
❑ EPA
❑ AQMD
PERMITEKTENDED
❑ ASBESTOSNORRCATIONIS NOTAPPLICAME TO
PERMIT€INA!
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PROPOSED DEMOLITION.
SIGNATURE: