HomeMy WebLinkAboutH2022-0332 - PermitsCity of Newport Beach - Buil('ing division 11111111111p111111111111111111111111111111111111 MECHANICAL Permit: H2O22-0332
(9)
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 3 3 2Project No : 1380-2020
Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255
Job Address: 1829 PORT SHEFFIELD PL BIdg:1 Floor:
Suite:
Description of Work: MECH (2) NEW A/C UNITS & (1) HEAT PUMP *TAMPER PROOF CAP REC-
Inspector Area:4 Code Edit: 2019
Legal Description: N TR 6620 LOT 14
Owner: 1829 PORT SHEFFIELD LLC Contractor:
ACR HEATING & COOLING INC
Worker's Comp Insurance -
Address: 1029 PORT SHEFFIELD PL Address:
23023 DOLOROSA STREET
Carrier: INS CO OF THE WEST
NEWPORT BEACH, CA 92660
WOODLAND HILLS, CA 91367
Policy No: WSA504277202
Phone: Phone:
818-665-6939
Expire:08/06/2022
,
Con State
Lic: 1036202
Issued Date:06/30/2022 Lic Expire:
02/29/2024
Bus Lic:
BT30078401
Processed By: t , Lic Exp Date: 04/30/2023
_
i
HVAC Items
FEES
Furnaces Boilers & Compressors Ventilation
Other
Up 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
Over 100K BTU/hc 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: $57.42
Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0
$0.00 Repair/Alter/Add: 0
$0.00
Model: Issuance:
$38.00
Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK 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: $213.42 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $213.42
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.
DWNER-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
:he 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
rot more than five hundred dollars ($500).
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 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:
By my signal, ir= telow 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 Iegall
sell a struct.re 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://www.leginfo.ca.gov/calaw,html. Date
3 g.tuture of Pr^pert, Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00011 of Division 3 of the Business and Proand my license is in full force
and effect. I,.,
License Class License No Date U! ZZ Contractor Sign15�
WORKERS' COMPENSATION DECLARATION.Y � NING: FAILUR- ry SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE
rnFT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I re,rty affirm unde, penalty of perjury one of the following declarations:
I have and -01 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
�lo-fil.r,ance of the work for which this permit is issued. Policy No.
nave and wGl 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
ce carrier and policy number are:
Policy Number
of Agent
I certify that, in the performance of the vtrk for which this
it, if I should become subject to the worke ompens
, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
of Section 3700 of the Labor Code, I shall forthwith comply with those provipons.t /. L �
nature of Applicant
CLARATION REG ION LENDING AGENCY
)reby affirm under pena perjury that there is a construction lending agency for the performance of the work for which this permit is issued
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 o er's behalf.
I have read this application and the information have pr ded is correct.
I agree to comply with all applicable city and county ordi ces and state la Ing to building construction.
I authorize representatives of this city or cou y to enter the a ve-i ed property for inspection purposes.
mature of Prooertv Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam
ACTION I DATE
PERMIT
PERMIT
CERTIFICATECF
OCCUPANCYISSUED
BY FEDERAL REGULATIONS PART 610FTITLE40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS N077FICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
3097, Civil Code).
Date
FOR OFFICE USE ONLY 17