HomeMy WebLinkAboutH2021-0268 - Permits (2)w City of Newport Beach - Building Uividion H2O21-0268 MECHANICAL Permit: H2O21-0268
100 Civic Center Drive, Newport Beach, CA 92660 - Project No : 1157-2019
Permit Counter Phone (949)644-3288
a�rp,attx'' Inspection Requests Phone (949)644-3255
Job Address: 214 COLLINS AVE BIdg:1 Floor:
Suite:
tf iJ ,
Description of Work: MECH (2) NEW HEAT PUMPS
*TAMPER PROOF CAP REQ*
y
Inspector Area:2 Code Edit: 2019
Legal Description: BALBOA ISLAND SEC 2 BILK
11 LOT 11
Owner: MAGNUM PROP INVS LLC
Contractor:
SOLSTICE HEATING & A/C
Worker's Comp Insurance -
Address: PO BOX 517
Address:
310 W AVENIDA GAVIOTA
Carrier: SECURITY NATIONAL INS CO
....
AGOURA HILLS CA 92662
SAN CLEMENTE, CA 92672
Policy No: SWC1328473
.... °
Phone:
Phone:
949-573-3607
Expire:0311912022
....
a....a
Con State Lie:
938888
..o.
Issued Date:04/20/2021
Lie Expire:
1013112021
Bus Lie:
BT30041721
..
Processed By: /
Lie Exp Date:
02/28/2022
..
.....
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 hampers:
0 $0.00
v o
.. °..
$O.aO
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
•„ o •
• • •
$0.06
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:
2
$42.00
>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 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
AWHD(30136/42)
Issuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over IOK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
ACPRO
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.
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) 1 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 th-_ Rusinegs 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 L) 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, 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 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
sell 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
Professions 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 Propmty Awner or Authorized Agent Date
LICENSED COXTJJACTOR'S DECLARATION
�aj H� ffirm Ijgdgj penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Secti 70 O) of Division 3 of the BusinesXALARS
and my license is in full force
License Class .... License No Date Contractor SignatuIAfdRKERS'COIZAPENSATION DECLARATION
WARNING: FAILUR6T0 9ECMRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT qN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HU1E700,0001, IN ADDITION TO THE
rbSY Ot tOMPENSRfIbN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I. e j eby affirm LIptIM•penally of perjury one of the following declarations:
• • I, slave and wh 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,
0gy4ince of thelvork for which this permit is issued. PolicyNo.
and well meinlein 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' compensation
f carrier and policy number are:
darrrer• . • • •. • Policy Number Expiration Date
of Agent
1 certify that, in the pert an of ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to tF}e workers' compensation laws of California, and agre,
eat, if I should become ject rke 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prove ioFs. / /
'ignature of Applicant Date /V� 14 2b Y-I
IECLARATION REGA"ING TR TION LENDING AGENCY
hereby affirm under p natty erjury that there is a construction lending agency for the performance of the work for which this permit is issued( ection 3097, Civil Code).
Ender's Name Lender's Address
ly 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.
I have read this application and the information I have pr ided 's correct.
I agree to comply with all applicable city and cou ordil a cn tate laws relating to building construction.
I authorize representatives of this city or county ter I e-Ide ifie wpeHy-fer inspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /` / 61^-n .J/ 0 r^'t'L¢r Da r'f/Zv Z I
ACTION
DATE
BY
DECLARATION OF COMPLIANCE IYITN CODE OF
FOROFFICEUSEONLY
FEDERAL REGULATIONSPART 61 OFT17LE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMO
PERMIT CANCELLED
PERMtTDC7€LADED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSEDDEMOLIRON.
PERMIT FINAL
C€RRF/CATEOF
SIGNATURE:
OCCUPANCYISSU€D