HomeMy WebLinkAboutH2020-0481 - Permitstip City of Newport Beach - Building Division H2O20-0481 MECHANICAL Permit: H2O20-0481
cs't 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3286 .Project No :2672-2019
Inspection Requests Phone (949)644-3255
Job Address: 20272 SPRUCE AVE Bldg:1 Floor: Suite:
Description of Work: MECH INSTALL AIC UNIT @ THE SIDE YARD "TIMER,TAMPER RESISTANT CAP & NOISE AGREEMENT REQUIRED-' � - PR
InspectorArea:3 Code Edit: 2019 INSPE�°'C�y ° ®•®°
Legal Description: N TR 1506 LOT 24 ....
. e
°.
Owner: SHARIF NIMA
Contractor:
Address: 1401 QUAIL ST #105
Address:
NEWPORT BEACH CA 92660
FEES
Phone: 949-677-7999
Phone:
Con State Lic:
Issued Date:091Y42020
Lic Expire:
Ventilation
Bus Lic:
Processed By:
Lic Exp Date:
BEST QUALITY HEATING & AIR INC
130 A E COLLINS AVE
ORANGE CA 92867
714-759-0167
949468
06/30/2022
BT30060260
Worker's Comp Insurance - ...... m
Carrier: HARTFORD CASUALTY
Policy No:57WECDE6068 s...e• •...e
Expire :05/10/202AnMER REQUIRED ON EQUIPMEI T••°.
oem.oc
TO SHUT OFF BETWEEN jdf .RIP. ANIS 7 A.M.
08/30/2021 SUBJECT TO FIELD INSPECTOR'S
REVIEW AND APPROVAL
.mmm
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
1
$21.00
Up to 3HP:
1 $21.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over I OOK OTU/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:
$18.27 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:
4A7L6060AIssuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AMERICAN STANDA
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL: $143.52
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $143.52
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.
IWNER-BUILDER DECLARATION I- ----
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below Gy*ihe checkm:di<(s) I have placed next to the applicable item(s)
lection 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
is permit to file asigned 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
'usiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly 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
T
roved for the QErp89 of sale).
I, as pwner of this*ptoperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Tylb-V owne.r Bfsproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
•1 arq exempt frl)"IR;ensure under the Contractors' State License Law for the following reason:
I my signature Lelew, I ucknowiedge 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
Cl 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
' j44' Ii Codil, j4 @%Ojable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
igpalB ,s of Propay3 wner or Authorized Agent Date
.PliMfBED COMMAETOR'S DECLARATION
her®by.,effirm unda`' penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w' h Section 7000) of Division 3 of the Bu mess and Professions Code, and my license is in full force
Rb6ff4 jjj
i(ierfse`(ti'lass �' • • License No to Contr for ignalure� !/!�
W1.41aitstS' Cf11GI iff-SATION DECLARATION
IRIjIJlflf+'.FAILURE tit Mill WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI U TO ONE HUNDRED THOUSAND DOLLARS 15100,0001, IN ADDITION TO THE
CS'va.r° OMPENSATION• MANAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm underpenalty of perjury one of the following declarations:
J `11
I `h`ave: 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
o5'r`Hance of tflq,gygrjc'for which this permit Is issued. Policy No.
Sueand 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' compensatlol
Isurance carrier and policy number are:
:arrier Policy Number Expiration Date
lame of Agent Phone #
]I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subj t to the workers' compensation laws of California, and agree
iat, if I should become ubject to orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th s ovisions
signatureof Appli nl a l!! n
IECLARATIO ARDI G CONSTRUCTION LENDING AGENCY
hereby 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).
tinder's Name Lender's Address
Iy 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
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 c' o y to a ter t ve-identified property for inspection purposes.
lr
ilgnature of Property Owner or Authors ed e t Print Property Owner's or Authoriz d Age
s Name a LE%
ACDON DATE BY E LARAT/ONO PLIANLLMT FOR OFFICE US'P Y—
FEDERALREGULATIONSPART61'OFTI. AND
PERMITEXP/RED AQM0 RULE 1403.
I SUBMITTED ASBESTOS N07IFICAT/ON TO:
PERMITCANCELLED ❑ EPA
PERMIT EXTENDED ❑ AQMD
❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO
PERMIT FINAL PROPOSED DEMOLITION.
CERTTF/CATE OF
OCCUPANCYISSUED - SIGNATURE: