HomeMy WebLinkAboutH2022-0045 - Permits,Y,xwrcrt. City of Newport Beach - Building Division H2O22-0045 MECHANICAL Permit: H2O22-0045
100 Civic Center Drive, Newport Beach, CA 92660
Project No : 1182-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 2408 SANTIAGO DR BldgA Floor: Suite:
Description of Work: SFR MECH R/R HEAT PUMP AT (E) MECH ENCLOSURE. TAMPER RESISTANT CAPS REQUIRED.
Inspector Area:3 Code Edit: 2019
Legal Description: NEWPORT HEIGHTS LOT 297 NWLY 108 FT SELY 228 FT SWLY 150 FT
Owner: FRANCIS AMANDA & JOHN
Address: 2408 SANTIAGO DR
NEWPORT BEACH, CA 92660
Phone: 415-696-1322
Issued Date:01/28/2022
Processed By: tJ 1
Contractor:
PRO WEST MECHANICAL INC
Address:
15431 RED HILL AVE #F
TUSTIN CA 92780
Phone:
714-651-8737
Con State Lie:
974570
Lie Expire:
06/30/2022
Bus Lie:
BT30051314
Lie Exp Date:
05/31/2022
Worker's Comp Insurance -
Carrier: ACE AMERICAN
Policy No: C68631506 - -
Expire :11/01/2022
HVAC Items
FEES
FurnacesBoilers & 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 1 OOK BTU/hr:
1
$22.00
>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:
$19.14
Up to I BTU/hr:
0
$0.00
up to 1OK CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
ARUM096BTE5
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over IOK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
LG
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$52.00
TOTAL:
$131.14
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$131.14
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.
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 sale compensation, will do U 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).
❑ I, 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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
2y r.i} signal ... $ 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 legally
sell a structure that I oave 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 Cad^, is available upon request when this application is submitted or at the following Web site:http://Wvvw.leginfo.ca.gov/calaw.html.
' Sig.ature of PrnpeRy Owner or Authorized Agent 40ee
I'_ICENSED CONTPACTOR'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 Professi s Co license is i full force
Iandeffect. I- Z8-22
11Licensd Class License No Date ie Contractor Signature
IWORKERS' COMPENSATION DECLARATION
, WA,ANINI:: FAILUFE TO SEJURE 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 COMPENSA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
inereby affirm under penalty of perjury one of the following declarations:
U 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 thl
performance of the work for which 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'
rance carder and policy number are: n
ie of Agent .at
certify that, in the pt
if I should become
Number. _/ / Expiration Date
this permit is is , I Shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and
su
ation provisions ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
x
/_ 28-2
Signature of Applicant Date
DECLARATION REGARDIN UC ON LENDING Y
I hereby affirm under penalty of pe jd t there is a construction lending agency for the 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 on the prop y s behalf.
I have read this application and the information I have rovi is orrect.
I agree to comply with all applicable city and coun inan es d state laws re f g to building construction. , /
I authorize representatives of this city or county to a ter th above -identified pro y for inspection purposes. I �a-S -,ew Qµ�.s ;<
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NameX Date
ACTION
DATE
SY
DECLARATION OF COMPLIANCE MTHCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CE,RT6RCATEOF
SIGNATURE:.
OCCUPANCYISSUED