The URL can be used to link to this page

Home My WebLink AboutH2020-0700 - Permits�twrn� City of Newport Beach - Building Division H2O20-0700 MECHANICAL Permit: H2O20-0700 100 Civic Center Drive, Newport Beach, CA 92660 _ Project No : 0696-2020 Permit Counter Phone (949)644-3288 r,� + u+'�Y Inspection Requests Phone (949)644-3255 Job Address: 536 SEAWARD RD BIdg:1 Floor: Suite: Description of Work: MECH INSTALL (3) GROUND MOUNTED HEAT PUMPS "TAMPER RESISTANT CAPS REQ" �11VSPECTC% InspectorArea:5 Code Edit: 2019 Legal Description: N TR 1237 LOT 182 Owner: LEVINE DANIEL Contractor: A ON TIME ENERGY SOLUTIONS Worker's Comp Insurance - Address: 1515 ANTIGUA WAY Address: 43397 BUSINESS PARK DR D5 Carrier: EMPLOYEE SERVICE GROUP NEWPORT BEACH CA 92660 Phone: Phone: TEMECULA CA 92590 T �/� Poitc 954-331-3838 TIMER i�6 JNl! l Con State Lic: 857180 ® � v � yy - ' IssuedDate:12/0112020 Issued 04/30/2021 ON HEAT 8� � �t'. BcEus Lpire: BT30065834 •>> Processed ByQ Lic Exp Date: 01/31/2021 HVAC Items - FEES , Furnaces Boilers & Compressors Ventilation Other Up to 10oK BTU/hr: 0 $0.00 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: 1 $21.00 >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: $67.86 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 1 $15.00 Repair/Alter/Add: 0 $0.00 Model: AWHIZQC-A3DNA5KIssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: A/C PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.: TOTAL: $229.11 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $229.11 ` 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 sole compensation, will do U all of or (J 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature 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 legall) sell a structure 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, 's ava'lable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date Lf•;FNRF:D CONTRACTOR'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 Professions Code, and. my license is in full force and effect. ` , -- Lirensn Class License No D 'c. 202 ContracDd Signature c=- NCRKCRS' CCMPENSATION DECLARATION III��% - NF.RNINI. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O`N ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DA.AAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ ' hrn•e 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 th, oA;+f Jmarice of th,e'work;or which this permit is issued. Policy No. aj� 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' rce carrier and pol?oy number are: Policy Number of Agent Date V I certify that, in the performance 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 that, if I should become subject to the workers' compe ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov ions. Signature of Applic DA /fie 2 ca G DECLARATION RR ING CO ENDING AGENCY I hereby affirm under penal perjury that 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 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to oigtpr the above -identified property for inspection purposes. Signature of Property Owner orAuthNized Agent /5- Print Property Owner's or Authorized Agentib/,e ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART SI OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITLEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMO PERMIT CANCELLED PERMIT EXTENDED 0 OASBEDTOS O TRICA RON 15 NOT APPLICABLE TO PERMIT FINAL Q CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED