HomeMy WebLinkAboutH2022-0315 - PermitsCity of Newport Beach - Building Division H2O22-0315 MECHANICAL Permit: H2O22-0315
rf A! 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2275-2020
Permit Counter Phone (949)644-3288
a?IYa�'F•�
I c EC 1 O • • Inspection Requests Phone (949)644-3255
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Job Address: 26 TIDAL SURF BIdg:1 Floor: Suite:
Description of Work: MECH: INSTALL (2) A/C UNITS (STACKED) @ SIDEYARD & (2) FURNACES. `*TAMPER REISTANT CAPS REQUIRED`* (X2020-2858) .. .
Inspector Area:6 Code Edit: 2019
Legal Description: TRACT NO 14859 LOT 47 AND POR LOT 46
Owner: BAGHERI ALI Contractor:
Address: 5 HOLLAND STE 201 Address:
IRVINE, CA 92618
Phone: 949-394-2737 Phone:
Con State Lic:
Issued Date:06/23/2022 Lic Expire:
{� Bus Lic:
Processed By: tJ Lic Exp Date:
TRUE HOME HEATING A/C
Worker's Comp Insurance -
4 FARADAY
Carrier: TRAVELERS CASUALTY
IRVINE CA 92618
Policy No: UB9S682B382126G ,
949-382-6337
Expire :12/01/2022
1025397
0413012023
.
BT30064629
- ••
1013112022
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
0 $0.00
Other
$0.00
Up to 100K BTU/hr:
2
$44.00
Up to 3HP:
2 $44.00
Bathroom Fan:
0 $0.00
Fire Dampers:
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:
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:
$76.56
Up to I BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
AULD60W2/A-D(U)
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AC PRO
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$254.56
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$254.56
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.
ER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indica ad 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, demoli h, 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 La (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).
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through err
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complei
improved for the purpose of sale).
❑ I, as owner of tl ie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BI
amply to an owner cFpcoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor or
MI ein exempt fror,I ;!censure under the Contractors' State License Law for the following reason:
By my signature belc�. I acknowledge that, except for my personal residence in which I must have resided for at least one yee
sell a stricture that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unde
Professions Code is available upon request when this application is submitted or at the following Web site: http://www.leginfo.
Signature of Prcpert7 CNner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ionh0) f C
PH eff-ct. f 3I2 I icense Class License No DateyC
COMPENSATION DECLARATION
N9 FAILURE 1 O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
OF -OMPENSf TION, rAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urdnr 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 Ir
formance of the work for which this permit is issued. Policy No.
"nave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perft
uance carrier and policy number are:
her Policy Number
ne of Agent
certify that, in the performance of the work f ich this perm e , I shall not employ any person in any manner so
i, if I should become subject to the w Recompen provisions of Section 3700 of the Labor Code, I shall forthwith c
nature of Applicant
CLARATION REGARDING UCJl2N LENDING AGENCY
ireby affirm under penalty arpeTirmy7rat there is a construction lending agency for the performance of the work forwhich tt
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 corr
I agree to comply with all applicable city and county ordinance state laws relating to building construction
authorize representatives of this city or county tgznter the e-Identified property for in purposes.
of Property Owner or Authorized
Print Property Owner's or
k, and the structure is not intended or offered for sale (Section 7044,
ems' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
nor to completion of the improvements covered by this permit, I cannot
and that a copy of the applicable law, Section 7044 of the Business and
gov/calaw.html.
m 3 of the Business a Foand my license is in full force
Contractor Signature
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS SID0,0001, IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workers' compensation laws of California, and agre
;ply with those provisions.
Date
permit is issued (Section 3097, Civil Code).
Name
/ �
Date
ACTION
DATE
DECLARATION OF COMPLIANCE MTB qODE
OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 51 OFT
AQMD RULE 1403.
E40AND
PERMIT EXPIRED
❑ ISU8MITTEDASBESTOSN0RFICA
❑ EPA
❑ AOMD
NTO:
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NORFICARONISNOT
PROPOSED DEMOLITION.
PLICABLETO
PERMIT FINAL
CERTI FiCATE OF
SIGNATURE:
OCCUPANCYGSUED