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HomeMy WebLinkAboutH2020-0632 - Permits>&w City of Newport Beach - Building Division IIII�IIIIIII�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 8 2 8 0 6 3 2 Permit Counter Phone (949)644-3288 yG'tra>tE� MECHANICAL Permit: H2O20-0632 Project No: 2519-2019 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : OAK RIVER Policy No: BAWC125355 Expire :10/22/2021 li%lic Job Address: 1021 BALBOA BLVD W Bldg:1 Floor: Suite: Description of Work: MECH (2) A/C UNITS *TAMPER PROOF CAP REQ* Inspector Area:1 Code Edit: 2019 Legal Description: ° ° ° ° • ° FurnacesBoilers&Compressors Owner: DA LIU DAVID & PENG TINA Contractor: BASIC AIR INC Address: 1021 W BALBOA BLVD Address: 1157 SALINAS AVENUE NEWPORT BEACH CA 92663 °••® Other •°...° COSTA MESA CA92626 Phone: Phone: 714-469-4542 Up to 3HP: Con State Lie: 909834 Issued Date:10/27/2020Lie Expire: 01/31/2022 0 $0.00 Bus Lie: BT30045172 Processed By: Uc Exp Date: 10/31/2020 MECHANICAL Permit: H2O20-0632 Project No: 2519-2019 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : OAK RIVER Policy No: BAWC125355 Expire :10/22/2021 HVAC Items FEES ° ° ° ° • ° FurnacesBoilers&Compressors Ventilation ®• �eoe^^^ •ooeo•� R. oe°• °••® Other •°...° •• Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $42.00 •°° 0 $0.00 Fire Dampers: 0 $0.00 • Over 1OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: °• . . ° HVAC Items FEES ° ° ° ° • ° FurnacesBoilers&Compressors Ventilation °••® Other •°...° ° °°°' Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $42.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1OOK 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 1OOK 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: $36.54 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A448AKAIssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: FERGUSON Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $161.79 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $161.79 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. OWNER -BUILDER 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 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 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 (_,) all of or (_) 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, providedAhat 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 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). ❑ 1 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 legall) sell a structure that I hate 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 Coda, %*04ilable 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 Ia�I INdED CONTT2 NCTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin ith Section 7000) of Division 3 of the Business a Profess' s de, and my license is in full force LicenseggClass •C •-• ZZ7 License No \ I JL� Da �—� w Contractor Signatur T W;Rk!RS' COMPENSATION DECLARATION YJ(1[tyIP FAILUREO.SECI?RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE NORED TH ND DOLLARS ($100,000), IN ADDITION TO THE C CIJMPENSADON, DAMAGES AS PROVIDED FOR IN SECTION 6706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Rdree8l affirm under penalty of perjury one of the following declarations: .I:havhav g and uYill rrlSlQtain 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, forth pe ormance of tho work for which this permit is issued. Policy No. �b%ve•and wiUM&Aain 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' compensatio nra rarrier 9htlklblicv number are: Policy Number Date ne of Agent certify that, in the pert rmance of the work or which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agre t, if I should becom bject to the r ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visi s. nature of Applicanpealty Date D Z% CLARATION REGG NSTRUCTION LENDING AGENCY :reby affirm under of perjury that there is a construction lending agency for the performance of the work for which this permit is issued/e tion 3097, Civil Code). Ider'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 owner's behalf. n 1 I have read this application and the information I have provided is correct. J I agree to comply with all applicable city and county ordinances ad state laws relating to building construction. / �J— I authorize representatives of this city or county enter enter 6 -identified property for inspection purposes. /t /��.!� nature of Prooertv Owner or Authorized Agent I \ "�-- Print Property Owner's or Authorized Agent's Name i i Date ACTION DATE V BY UCLLAtt Jrury VV i.a,,a--- — FEDERAL REGULATIONS PART b9OFT1ILE40ANO � AQUD RULE 1403. ❑ 1 SUBMfTrEDASBESTOS NODFfCATION TO: ❑ EPA [I AQMD ❑ ASBESTOS DEMOLITION. iONISNOT APPLICABLE TO PROPO5EDDEMOIITION. SIGNATURE: PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT —FINAL CERTIFICATEOF OCCUPANCYISSUED � A & � ( � 0 o $ 0 ° CD § >z \ z �® M O w CD )T kph M \ \ 0X I /\2i 3 /& 4 2 I / M CO 2 > O 4)©D \k2o « I CO § k \ 00 q z = 4 r \ §