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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 GGa• Y Worker's Comp Insurance- Carrier: SECURITY NATIONAL INS CO Policy No: SWC1376785 Expire :03/19/2023 4GG�GY Y • V• GY` G ° ® • • GY Yan•G Jaca G J. •Y ° p GJ2GYG G • • Y4Y • Y HVAC Items FEES 'v•^ aJG ° 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: '