HomeMy WebLinkAboutH2020-0684 - Permits (2)(9)
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMECHANICAL Permit: H2O20-0684
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 6 8 4 Project No
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 86 VICTORIA BIdgA Floor: Suite:
Description of Work: MECH - R/R 2 FAU & 2 A/C CONDENSORS W/ DUCTWORK (2 ZONES). TAMPER -RESISTANT CAPS REQUIRED
Inspector Area:4 Code Edit:
2019
Legal Description: N TR 15409 LOT 49
Owner: GAITLEY JANE L
Contractor:
Address: 86 VICTORIA
Address:
NEWPORT BEACH CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:1112312020
Lic Expire:
Bus Lic:
Processed By: I -A
Lic Exp Date:
ALISO AIR INC Worker's Comp Insurance -
29736 AVE DE LAS BANDERAS Carrier: LIBERTY MUTUAL
RSM CA 92688 Policy No: WC2Z61036218090
949-589-2021 Expire :07/0112021
526420
03/31/2022 �g
BT30019236 a
02/28/2021 "a
qA
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
2
$42.00
Up to 3HP:
2 $42.00
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:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$36.54
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
24AHA448issuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$203.79
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$203.79
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Constructior. Hours: Monday - Fne'ay 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indi
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem
1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License L
Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti
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 (_) portions of tl
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un,
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.legini
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 7000 01
effect. is ��� /
icense Class License No Date/ [•
COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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
r\\mance of the work for which this permit is issued. Policy No.
ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
Ir nce carrier and policy number are:
rier 1 Policy Number
ne 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
if I should become supjecl to the6gorkers' compensation LQy ' _ or Section 3700 of the Labor Code, I shall forthwitl
nature of Applicant
CLARATION REG2M8ff4WCONSTWJCTION LENDING AGENCY
!reby affirm under penalty o pequry that there is a construction lending agency for the performance of the work for which
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
I have read this application and the information 1 have prov
I agree to comply with all applicable city and countJDT
I authorize representatives of this city or county) ent e
nature of Prooertv Owner or Authorized Acent�!
AC 1ON I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIRCATEOF
OCCUPANCYfSSUED
correct.
and state laws relating to building construction.
above -identified property for inspection purposes.
BY LJCLLAHA f tUR Ur EUWPUAAI�te
FEDERAL REGULATIONS PART 61
AQMD RULE 1403.
❑ ISUBMITTEDASBESTOS NOT
❑ EPA
❑ AQMO
❑ ASBESTOS NOFFMATIONIS
►a�(.. PROPOSED DEMOLITION,
SIGNATURE:.
ad below by the checkmark(s) I have placed next to the applicable items)
Ih, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
3loyees' 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
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
Id that a copy of the applicable law, Section 7044 of the Business and
3v/calaw.html.
Date
3n 3 of the Business and Professi s Code, and my license is in full force
Contractor Signaturer�
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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'
Expiration Date
as to become subject to the workers' co pensation laws of California, and agre
amply with those provisions.
D,�,J,,,(/ ��f^^
its permit is issued (Section 3097, Civil Code).
TO:
IT92/U71 iJ[$1