HomeMy WebLinkAboutH2022-0135 - PermitsCity of Newport Beach - Building Division III 11111111IN111111111111111111111p111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 1 3 5
Permit Counter Phone (949)644-3288
Job Address: 633 LIDO PARK DR Bldg:1 Floor: 3 Suite: E-3
Description of Work: MECH NEW HEAT PUMP *TAMPER RPOOF CAP REQ*
Inspector Area:1 Code Edit : 2019
Legal Description: TR 8094 LOT 1 UNIT 6 BALCONY 6-B PATIO 6-C PARKING 6-P OF
PROJECT
Owner: MACDONALD RICH & CLAIRE
Contractor:
BASIC AIR INC
Address: 597 SAINT CROIX ST
Address:
1157 SALINAS AVENUE
HENDERSON, NV 89102
COSTA MESA CA92626
Phone: 702-375-6223
Phone:
714-469-4542
Con State Lic:
909834
Issued Date:03/14/2022
Lic Expire:
01/31/2024
Bus Lic:
BT30045172
Processed By:
Lic Exp Date:
10/31/2022
MECHANICAL Permit: H2O22-0135
Project No: 0407-2022
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier : PREF PROF
Policy No: ON1196401
Expire :1012212022
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HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
0 $0.00
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:
1
$22.00
>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:
$19.14
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
FTXB12AXVJU
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
DAIKIN
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$131.14
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$131.14
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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.
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 U 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).
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature Gelpw 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 LRave 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.
SWAtZre of F:opertyOwner or Authorized Agent Date
4ICFNSED CON RACTOR'S DECLARATION
I Helelfy affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business a d mfessions C e, R license is in full force
and effect.
L'i;ense class' License No Date Contractor Signature
NdAKERS'OOMIPENSATION DECLARATION
NARNIRNIN6: FAILURE iDSLtURE 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
MET tF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
l"reby affirm under penalty of perjury one of the following declarations:
I have anti 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 th
plelfl5ftlance of the v"k forwhich this permit is issued. Policy No.
have and wAl•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' compensatioi
surance carrier anO policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the wo 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 agre
t, if I should become bject to I compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
mature of Applicantl Date V
CLARATION REG RYZ DING CONSTRUCTION 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 ( ecti 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. �l \ ti �l�J n
I have read this application and the information I have provided is correct. Vim'' J 1
I agree to comply with all applicable city a d unty ordinances and state laws relating to building construction.
I authorize representatives of this city or C y to enter the ve-identified property for inspection purposes.
(nature of Property Owner or Authorized Ager .///�/�,c Print Property Owner's or Authorized Agent's Nam B W /.� Da
ACTION
DATE
BY
CLARATION OF COMPLIANCE VATH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART51 OF TITLE40AND
AQMDRULE1403.
PERMITEXPIRE➢
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❑ I SUStiffTFEDASBESTOS NO77FICATION TO:
❑ EPA
❑ AQMO
❑ ASBESTOS M017RCA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITCANCELLED
PE.RMITEXTENDED
PERMIT FINAL
(
CERTIFICATEOF
SIGNATURE:
OCCUPANCYiSSUED