HomeMy WebLinkAboutH2022-0201 - Permits�EwrofA City of Newport Beach - Building 11111111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 0 1
Permit Counter Phone (949)644-3288
oot
r'�[:1YiiY��a
Job Address: 410 VIA LIDO NORD Bldg:1 Floor: Suite:
Description of Work: MECH NEW HEAT PUMP ON ROOF *TAMPER PROOF CAP REQ*
Inspector Area:2 Code Edit: 2019
Legal Description: TR 907 LOT 478 SELY 15 FT AND NWLY 15 FT LOT 479 AND POR
ABAND ALLEY
Owner: 410 VIACON LLC
Address: PO BOX 1096
YORBA LINDA CA 92885
Phone: 714-920-7470
Issued Date:04/2112022
Processed
Contractor:
AIRSMITHS INC
Address:
1474-A POMONA ROAD
CORONA CA 92882
Phone:
951-735-5225
Con State Lic:
783449
Lic Expire:
08/31/2022
Bus Lic:
BT95002015
Lic Exp Date:
10/31/2022
MECHANICAL Permit: H2022-0201
Project No : 2938-2016
Inspection Requests Phone (949)644-3255
TIMERS PROHIBITED
ON HEAT PUMPS
Worker's Comp Insurance - '
Carrier: INSURNCE CO OF THE WEST
Policy No: WSA506136800 '
Expire:07/01/2022 '-
INEaE C
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 I OOK 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:
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 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
P60NKMUIssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
MITSUBISHI
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.
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicates' .alow 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, demob 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 ILL tChapter 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 Seal 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 owre- �' 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 Scan licensure under the Contractors' State License Law for the following reason:
R,, my signatL-rr'How 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 tha. I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy ofthe 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.
Slgr^ture of Property Owner or Authorized Agent Date
I.ICFNSED OUNTPACTOR'S DECLARATION
.II 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 a d r"pssigns Code, and my lice a is in full force
Iland effect. JjUcens:Class License No Date 'a 2 ,ntractorSignature
I[WORKERS' CGMPENSATION DECLARATION
:Wl.RNIN.3: FAILURE TO SE.:URE 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
II COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.1 na,ecv affirm under penalty of perjury one of the following declarations:
r'
have and .41 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
Laff-d"Irmance of the work for which this permit is issued. Policy No.
I 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'
urance carrier and policy number are:
Policy Number
me of Agent
Date
I certify that, in the perfor 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 agre
It, if I should become ub ct to a workers' compen ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro�isll ns.
(nature of Applicant Date,S
:CLARATION REG CO R t0 LENDING AGENCY ✓
ereby affirm under enalty o perju at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
rider'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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county o and state laws r Ing to building construction.
1 authorize representatives of this city or count�y{en r th ove-ide for inspection purposes.
nature of Property Owner or
Owner's or Authorized Agent's Name
_ZW—
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE d0 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTEAIDED
❑ ASBESTOS N077HCA17ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CER7o1CATEOF
SIGNATURE:
DCCUPANCYfSSUED