HomeMy WebLinkAboutH2022-0187 - PermitsCity of Newport Beach -Building Division 112O22�-0187' MECHANICAL Permit: H2O22-0187
�1 100 Civic Center Drive, Newport Beach, CA 92660
4 p p Project No : 2105-2020
� Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 1030 SANDCASTLE DR BIdg:1 Floor: Suite:
Description of Work: SFR MECH: INSTALL (3) A/C UNITS & (1) HEAT PUMP(TIMER NOT ALLOWED) MITSUBISHI: NAXSKS36A112AA. *TAMPER RESISTANT CAPS
REQUIRED*
InspectorArea:6 Code Edit:
2019
Legal Description: N TR 6425 LOT 20
Owner: DEVCO HOMES/NELSON JEFF
Contractor:
SOLSTICE HEATING & A/C
Address: 13 CORPORATE PLAZA #102
Address:
310 W AVENIDA GAVIOTA
NEWPORT BEACH, CA 92660
SAN CLEMENTE, CA 92672
Phone: 714-313-9877
Phone:
949-573-3607
Con State Lie:
938888
Issued Date:04/12/2022
Lie Expire:
1013112023
py
Bus Lie:
BT30041721
Processed By:
Lie Exp Date:
02/28/2023
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Worker's Comp Insurance-
Carrier: SECURITY NATIONAL INS CO
Policy No: SWC1376785
Expire :03/19/2023
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HVAC Items
FEES
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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:
2 $78.00
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:
$106.14
Up to I BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
PUY-A42NKA7
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
MITSUBISHI
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$318.14
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$318.14
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.
INER-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)
ction 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
fessions 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 ($500). .,
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portiom
uness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throe
Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c
,roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7
fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contn
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least_(
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
fessions.Gor%ie available upon request when this application is submitted or at the following Web site:http://Www.l
nature of 19r5�1erty Owner or Authorized Agent
ANSEDC44TRACTOR'S DECLARATION
:reby affirm ar?&t penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70(
ieense Class License No Date /-, `1111.1
i(MERS*UOMPENSATION DECLARATION
'ASrAING: FAILURE TO CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SH SUBJECT AN EMPLOYER TO CRIMINAL
PSJOF COMPRNSATIOII, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CO , INTEREST, AND ATTORNEY'S FEES.
WAY affirm under penalty of perjury one of the following declarations:
lq.*Ve and will •maintain a certificate of consent to self -insure workers' compensation, issued by the Direi
erformance CfJ w$rk for which this permit is issued. Policy No.:
31-tt ve and will mWain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
IsutAnce carrier and policy number are:
arrier Policy Number
ne of Agent
certify that, in the perform*ce of the work for which this permit is issued, I shall not employ any person in any
, if I should become subjec to the workers',*ompensation provisions of Section 3700 of the Labor Code, I shall
ignature of Applicant V G `1
,ECLARATION REGARDING CONSTRUCTION LENDIN,97AYENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
ender's Name Lenders Address
y 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 vided is correct.
1 agree to comply with all applicable city and county ordi �m ,a, and state laws relating to building construction.
I authorize representatives of this city or county to nter a above-identi ei property for insp ction purposes.
ignature of Property Owner or Authorized Agent nt Property Owner's
work, and the structure is not intended or offered for sale (Section 7044,
Dloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
e year prior to completion of the improvements covered by this permit, I cannot
understand that a copy of the applicable law, Section 7044 of the Business and
iinfo.ca.qov/calaw.html.
Date
of Division 3 of the Business and Profe LionsCod and my license is in full force
Contractor Signature
LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensation laws of California, and agree
i comply with those provision .
Date X 1111 -L/1
this permit is issued (Section 3097, Civil Code).
Name �✓lht'1 P, MAsryct;r]
ACTION
DATE
BY
DEUtfIRATION OF COMPLIANCE INITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TITLE40AND
AQMD RULE 1403.
PERMITEXPIRED
----
❑ I SUBMITTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED.
ASBESTOS
PROPOSED DEMOLITION,RON lS',..NOT APPLICABf:E TO
PERMIT FINAL
—I —2R
ft--(�
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: '