HomeMy WebLinkAboutH2022-0099 - Permits�r , City of Newport Beach - Building Division III III IIIIIpIII1111111p11111111111p11111111111 MECHANICAL Permit: H2O22-0099
e ` ' 'F 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 9 9 Project No : 0096-2022
+, Permit Counter Phone (949)644-3288
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r;� �axV�{a , Inspection Requests Phone (949)644-3255
Job Address: 2505 CRESTVIEW DR Bldg:1 Floor: Suite:
Description of Work: MECH - R/R & RELOCATE 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED
Inspector Area:2 Code Edit: 2019
Legal Description: N TR 1140 LOT 69
Owner: DELLARINGA CHRIS & LAUREN
Address: 2505 CRESTVIEW DR
NEWPORT BEACH, CA 92663
Phone: 714-791-1669
Issued Date:03/14/2022
Processed Bv: `y
Contractor:
UPRITE CONSTRUCTION CORP
Address:
2211 MICHELSON DR STE 500
IRVINE CA 92612
Phone:
949-877-8877
Con State Lic:
932018
Lic Expire:
06/30/2022
Bus Lic:
BT30062515
Lic Exp Date:
03/3112022
10
Workers Comp I�ae-
Carrier : HARD CO
Policy N,o- 3EAAJ3ZHY
E60. 2f01/2022
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HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $44.00
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:
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:
$38.28
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
FLEXX60HP23OVIA
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
GREE
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$172.28
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$172.28
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
• W " o tsons&netion Yours; Monday- Friday TOO a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
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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 L) 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).
❑ 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 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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P of sions Code, and my li ease -is in full force
and effect.
License Class License No Date J / IT Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
rnd 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
of the work forwhich this permit is issued. Policy No.
d 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' compensatiol
arrier and policy number are:
Policy Number
ie of Agent
Date
JI certify that, in the perforTangqof the work forwhich 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
tat, if I should become su ct the
�h (ej workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicarl(\j1 Date
IECLARATION REGARDI NSTRUCTION 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
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 proviry d is correct.
I agree to comply with all applicable city and county In /1 as and state laws relatliSg t�building construction.
I authorize representatives of this city or county to e ove-identified per for inspection purposes. n /t ///n/ /�\ ' �` Date
signature of Property Owner or Authorized Agent�i Print Property Owners or Authorized Agent's Name, V l/ If -P /t'T'/ Y
AEnON
DATE
BY
DECLARATIONOFCOMPLIANCE MTH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 6f OFTITLE40AN0
AQMO RULE 9403. '
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PERMIT CANCELLED
PERM{TEXTENDED
❑ ASBESTOS M077FICAT70NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
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PERMIT FINAL
CERTIFICATEOF
OCCllPANCYlSSUED
SIGNATURE:
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