HomeMy WebLinkAboutH2020-0278 - Permitsarty City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O20-0278
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 7 s Project No
Permit Counter Phone (949)644-3288
47
adziiufi"'s Inspection Requests Phone (949)644-3255
Job Address: 2700 COAST HWY W BIdg:0 Floor: Suite:
Description of Work: COMM CHANGE OUT (1) AIC UNIT ON ROOF ON EXISTING PLATFORM
InspectorArea:7 Code Edit: 2019
Legal Description: TR 1133 LOT 1 AND LOTS 2-6 INC
Owner: MARINERS MILE CO Contractor:
Address: 42416TH ST Address:
COSTA MESA, CA 92627
Phone:
Issued Date:05/29/2020
Processed
Phone:
Can State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
CANTRELL AIRE INC
Worker's Comp Insurance -
28039 SMYTH DR STE 102
Carrier: BENCHMARK
1A 91355
Policy No:
661-702-1840
Expire 11/06/2020743
709882
08/3l/2021
Ventilation
SP2319
NOISE
06/11/2020
N® �ONSTSUGTION
HVAC Items
FEES
c A� g
FurnacesBoilers&Compressors
Ventilation
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Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $20.00
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
$0.00
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:
$17.40
Up to 1M BTU/hr.
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance: $35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box: _
0 $0.00
Zoning PC:
$41.50
TOTAL: $113.90
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $113.90
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday- Friday 7:00 a.m.to 0360 p.M.and°$3furfley frors18:09 a.m. to 6:00 p.m.
occ °
ri i G
me ccc � c ®• a• c.•
LDER DECLARATION
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)
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
pply 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' Stale License Law for the following reason:
ly 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
ell 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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
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 and Profess'Co � nd my license is in full force
effect.
is
icense Class License No Date Contractor Signatur,
CORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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
erformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance oft 05. or 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 agree
I, if I should become s bjectt to the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C
nature of Applican / 1 Daft/ J'4Z �J
CLARATION REG NG'FCGNSTRUCTION LENDING AGENCY
�reby affirm under penalty 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).
lder'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.Der behalf. /r
I have read this application and the information I have proviid rrect.
I agree to comply with all applicable city and county ordinahc state laws relating to building construction. '
I authorize representatives of this city or count to enter the -identified property for inspection purposes.
nature of Pmoerty Owner or Authorized Agentt�/ Print Prooertv Owner's or Authorized Aqent's Name,-.L� fl—li 'ate
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