The URL can be used to link to this page

Home My WebLink AboutH2021-0445 - PermitsyV'wPo j` City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 _ 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 4 4 5 Permit Counter Phone (949)644-3288 r"�LYYiIY�;� Job Address: 1010 KINGS RD BIdg:1 Floor: Suite: Description of Work: MECH - INSTL 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED InspectorArea:3 Code Edit: 2019 Legal Description: N TR 1219 BLK G LOT 7 Owner: CHOW ALLEN Contractor: RC AIC & HEATING Address: 17534 VACAS CIR Address: 169 N MAPLE ST STE D FOUNTAIN VALLEY CA 92708 CORONA CA 92880 Phone: Phone: 951-735-8046 Con State Lie: 657924 Issued Date:07/30/2021 Lie Expire: 06/30/2023 Bus Lie: BT30066B49 Processed By: Lie Exp Date: 04/3012022 MECHANICAL Permit: H2O21-0445 Project No : 1020-2020 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE COMP Policy No: 1354374 Expire :0710112022 f� vac; Items FEES urnacesBoilers & Compressors Ventilation Other p 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 ver 1 OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: p $0.00 Gas Line: 0 $0.00 $0.00 fall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 p to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 ver 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $38.28 p to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: ***/4SCU20LX160 Issuance: $38.00 p to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: SAMSUNG/ACPRO ver 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 7100 asrl.to 6:39 p.hmand 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 forthe 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). ❑ 1, 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 legal) 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://wvvw.leginfo.ca.govlcalaw.htmi. 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 Professions Code, a license is in full force and effect. License Class License No Date Contractor Signature/ 7' WORKERS' COMPENSATION DECLARATION / WARNING: 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. I hereby affirm under 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 the ormance of the work for which this permit is issued. Policy No. I ave 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' compensatior insu ante carrier and policy number are: Policy Number Date me of Agent certify that, in the performance of the work for which 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 agref t, if I should become subject to th wo ers' compe ati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 4 Date 3 CLARATION REGAR ONS R CTION LENDING AGENCY ,-reby affirm under penalty of perjuryhat there is a construction lending agency for the performance of the work for which this permit is issued ( ection 3097, Civil Code). ider's Name Lender's Address 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 provided is correct. I agree to comply with all applicable city and county ordinances and st la relating to building construction. I authorize representatives of this city or county;o enVr tl jabove-i ra property for inspection purposes. of Property Owner or Authorized Agent Owner's or Authorized ACTION DATE BY DECLARA TION OF COMPLIANCE 'MTH CODE OF FOR OFFICE USE ONLY FEDERAL. REGULATIONS PART 61 OF TITLE40 AND AQMD PULE 1403. - ❑ ISUB411TTEDASBHi-Oct NJUFIC.4TIONTO: ❑ EPA ❑ AQMD PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSECUFMOIITION. SIGNATURE: PERMIT FINAL .% CERTIFICATEOF OCCUPANCYISSUED