HomeMy WebLinkAboutH2022-0330 - Permits� L,,,.T City of Newport Beach - Building Division 111111111p1p11111111111111111111111111p11111111 MECHANICAL Permit: H2O22-0330
o'� ,y 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 3 3 0 Project No : 2300-2020
H ,", Permit Counter Phone (949)644-3288
o�{�`+.ti,�r Inspection Requests Phone (949)644-3255
Job Address: 3807 SEASHORE DR
BIdg:1 Floor: Suite:
Description of Work: MECH (2) NEW HEAT
PUMPS *TAMPER PROOF CAP REQ*
for rea:1 Code
Edit : 201E
Legal
Legal Description: THIRD ADD TO NEWPORT BEACH BLK 38
LOT 4
Owner: SOLIMAN SAM
Contractor:
BASIC AIR INC
Worker's Comp Insurance
Address: 30700 BRISTOL ST STE 400 Address:
1157 SALINAS AVENUE
Carrier: PREF PROF
'
COSTA MESA CA 92626
COSTA MESA CA92626
Policy No: ON1196401
- -
Phone:
Phone:
714-469-4542
Expire :10/22/2022
Con State Lic: 909834
Issued Date:06/29/2022
Lic Expire:
01/31/2024
-
Bus Lic:
BT30045172
e
Processed By:
Lic Exp Date:
10/3112022
TIMERS PROHISTT�D
PS
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr: 0 $0.00
Up to 3HP: 0
$0.00 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: 2 $44.00
>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: RXTQ48TAVJU
Issuance: $38.00
Up to 1.75M BTU/hr: 0 $0.00
Over 1OK CFM: 0
$0.00 Supplemental Fee:
$0.00
Manufacturer: DAIKIN
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 - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 70",
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 cf tf.e 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 or property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I Hm exam ',t f-cnl licensure under the Contractors' State License Law for the following reason:
By my signahue oelow 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 legal)
sell c 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
11 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 Profes ns C d and my license is in full force
land eff%t.
ILiueose Class License No Date n<� Contractor Signat
!VVORI* ERS' COMPENSATION DECLARATION
(WARNING: FAILURE TD SELURE 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
IrT CF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hemty affirm onder penalty of perjury one of the following declarations:
I have and 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
performance of the work forwhich this permit is issued. Policy No.
have and 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' compensatio
nsur ce carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the performance of the work for Vhich this permit is nisssued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre(
that, if I should beta w Ubject to the or ensation provisio nf Section 3700 of the Labor Code, I shall forthwith comply with those pr slons. -) Q - L
Signature of Applica--L_/�'i, D llly�I Z, I
DECLARATION REVARDING CGUSTRUCTITON LENDI T�
I hereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act an the property 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 co o enter t identified property for inspection purposes. y� tr, G
Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name j �-e�r I "I ('• L�tl'"•-' Date W Z
ACTION DATE BY DECLARA TJON OF COMPLIANCE VYfTNCODE OF FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
PERMITEXPIRED
❑ f SUBMITTED ASBESTOS NORRCATlON TO:
❑ EPA
❑ AQMD
P€RhAIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CEATI€)GAT€DE
SIGNATURE:
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