HomeMy WebLinkAboutH2021-0374 - Permits (2)City of Newport Beach - Building Division H2O21-0374
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 107 32ND ST BIdg:1 Floor: Suite:
Description of Work: MECHIINSTALL (1) A/C UNIT 46dB.@ ROOF DECK (AC PRO AOVE48CN1-M14L)
Inspector Area:1 Code Edit:
2019
Legal Description: NEWPORT BEACH CITY LOT 26 BILK 32 SLY
62 FT
Owner: HWANG CLIFF
Contractor:
SKY HEATING AND COOLING
Address: 1316 ARROYO CREST
Address:
769 N GLASSELL ST
REDLANDS CA 92373
ORANGE CA 92867
Phone:
Phone:
714-883-0623
Con State Lic:
1045281
Issued Date:06/15/2021
Lic Expire:
12/31/2023
1
Bus Lic:
BT30065983
Processed By:
Lic Exp Date:
02/28/2022
MECHANICAL Permit: H2O21-0374
Project No : 1379-2020
Inspection Requests Phone (949)644-3255
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0
Worker's Comp Insurance -
Carrier : NORGUARD INSURANCE
Policy No: SKWC350975
Expire :02/01/2023
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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:
1 $38.00
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:
$33.06
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
AOVE48CN1-M14L
Issuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AC PRO
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$154.31
Plan Check Fee
: $154.31
Fee Due at Permit Issuance:
$0.00
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.
3
JNER-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)
Iction 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
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
ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do l_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
mess 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
uovements 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
)roved for the purpose of sale).
••••
I, as owner of tF;B property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)lyto 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).
dam exempt Rory licensure under the Contractors' State License Law for the following reason:
rgy 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
p Structure Met 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
Ifessions Coderope�iis�vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of grtyOwner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
3r%y affirn't Lnde'rpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section F00of Division 3 of the Business and 2sefe d m license is in full force
d effect.
crwse Class License No Date (/ / Contractor Signature
)RKERS'CQMP€NSATION DECLARATION
.T : FAILURE TO $$FIGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU 0 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
%TpFCOMPF419 )RDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
areby affirm IfhFter ISenalty 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
fprmance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy numbg,Lare: -
Policy Number
Date
ie of Agent `l- V 0 +L I Phone #
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 subject to the workers' compensation laws of California, and agree
, if I should become subject to er pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
.
lature of Applicant <1/� ,L/E,� - -------- - Date ><- &I f1 1122,
hereby affirm under pgpra ttybf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
ender's Name Lender's Address
sy my signature below, ertify 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 " state laws relating to building construction. 7
I authorize representatives of this city or county to a ified property for inspection purposes. l/����� ��T//Q Date
0 �llL
signature of Property Owner or Authorized Agent e Print Property Owner's or Authorized Agent's Name /�
ACTION
DATE
BY
DECLARATfONOFCOMPfIANCE 1NfTH CODEOF
FOR OFRCE USE ONLY
FEDERAL REGULATIONSPART 61 OF TIRE 40 AND
AQMDROLE1403.
PERMPTEk'PIRED
❑ I SUBOTTED ASBESTOS NOTIFICATfON TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERA41TEXTENDEO
ASBESTOS NO nFICA
P❑ROPOSEDDEMOUTION.DONdSNOT APPLICABLE TO
PERMIT FINAL
74(—
CERTTFICATEOF
SIGNATURE.
OCCUPANCrISSUED