HomeMy WebLinkAboutH2022-0297 - PermitsCity
oc Center Drive,
Nport Beach
Bea- Building Division
DCivic III IIIIII�I�I II�IIII9I IIIII II6I III
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Permit Counter Phone (949)644-3288
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Job Address: 1849 PORT MANLEIGH PL Bldg:1 Floor: Suite:
Description of Work: MECH CHANGE OUT A/C UNIT & FURNACE *TAMPER PROOF CAP REQ*
InspectorArea:4 Code Edit:
2019
Legal Description: N TR 7029 LOT 12
Owner: ' DOW RICHARD B
Contractor:
ALISO AIR INC
Address: PO BOX 9402
Address:
29736 AVE DE LAS BANDERAS
NEWPORT BEACH, CA 92658
RSM CA 92688
Phone:
Phone:
949-589-2021
Con State Lic:
526420
Issued Date:0611012022
Lic Expire:
03131/2024
Bus Lic:
BT30019236
Processed By:
Lic Exp Date:
02128/2023
MECHANICAL Permit: H2022-0297
Project No:
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carder: LIBERTY MUTUAL
Policy No: WC2Z61036218091
Expire :0710112022
HVAC Items
FEES
Furnaces Boilers & Compressors
Up to 100K BTU/hr: 1 $22.00
Ventilation
Up to 3HP:
1 $22.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
Other
$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 I BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
24VNA61ssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
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
Construction Hours: Monday- Friday7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 P.M.
OWNER -BUILDER DECLARATION
hereby Effie) under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(*) Indicated below by the checkrnark(s) i have placed next to the -applicable ltem(s)
Section 7031.6, 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 regkilres the applicant for
he permit lo:file a signed statement thathe dr she is licensed pursuant to the provisions of Ilia Contractors State License, Law (Chapter 9 (commencing with Section 7000) of Division.3.of the Business and
5rofessions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Anyvioiation of Section 7631.6 by any applicant fora permit subjects the applicant to a civil penalty of
lot more -than five hundred dollars ($500)..
I, as owner of the properly, or rimy employees with wages as their sole compensation, will do (_) all of or (_) portions ofthe work; and the structure is notintended or offered for sale (Section 7044,.
3usiness and Professions Code: The Coniraclars' Stale License Low does not apply to an owner of property who; through omplayees' or personal effort, builds or Improves the.properly, provided that the
mprovements 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 bulfl or
m roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
Ipply to an owner of property whe builds or Improves (hereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors'' State License Levi).
I ant exempt from Iicensure under the Contractors' Stale License Law for his following reason:.
3y 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, loannot legally
loll a structure that.I have built anon owner -builder if It has not been copstructed In Itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
'rofessions Code. Is available upon request when this application Is submitted or at the following Web site:http:ilwww.legfnfo.ce.gov/celaw.html,
3ignalure of Pro;u-r'.y Owner or Authorized Agent _,.e„_,,.,_,._„_,_„-.._____.,.�.,,..__..._. _____. Data —.___„-_„-•,-_
_ICENSED CONTRACTOR'S DECLARATION
Guraby'Affirm unner p^ralty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7,O7A)`➢f D'vis�b of the Business and Profa�p*ns C n an i ense Is in full force
Ned effect License Class Licensa.Nc Date `�iZ Contractor Signature
V6rZKERS' COMPENSATION DECLARATION
JARNINO: FAILURE TO ULCUF'E WORKERS' COMPENSATION COVERAGE, IS UNLAWFUL, AND SNALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ArJUITION TO THE
:Osr OF COMPENSAT'^.V. rAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANOATTORNEYS FEES.
fereby affirm under penalty of perjury one of the following declarations:
,S'-i .F* and wdl maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director. of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
�al'I Ipa/Ica of the v.ark for which this permit is issued. Policy No.
y6:�ti��.✓ And will rnaintan 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 wodwrs' compensellor
is once carder and policy number are:
is of Agent
certify [het, in the performance of
If I should become Subject( to lhg
Iature of Applicant jf �__
Policy Number Expiration Date
Phone H.
for which file permit Is issued; I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
c, Flansalion provisions or Section 3700 of the labor Code, I shall forthwith comply with those provisions.
_��,_._.._._._.-.____.._-._._.._..__._..,_e,_..._._.,.____.,._,..-_..,,..._..__.__....___�_.�.___.,�..._...._.....____._
, [.11 CNItY1N1/� ,r,^..CAIf,V
hereby affirm lender penalty of poijury that there is a construction lending agency for the perormahce of the wade for which [his permit is. issued (Seellon 3097, Civil Code).
enders Name Lender's Address
y my signature below, I certify to each of tile following: r
I Hill the property owner or authorized to act on the properly 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter l�bove`it{entifled property for Inspection purposes.
BY
PART 61 OF TITLF. AO AND AQMD RULE
CIAQMD
saESTOs PIOTIFICA'i'toN IS No'r AI PLICABI.E i'0"-
j _ r PRO POSF,D-0CITION.—