HomeMy WebLinkAboutH2022-0165 - PermitsCity of Newport Beach - Building Division III 111111111p11111111111111111111111111111111111 MECHANICAL Permit: H2O22-01 E
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 1 6 5 Project No : 0968-2021
(9)
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 211 IRIS AVE BIdg:1 Floor: Suite:
Description of Work: MECH - INSTALL 2 A/C CONDENSERS D FL DECK. TAMPER -RESISTANT CAPS REQUIRED
Inspector Area:5 Cojde E . ? 0 1 9
Q 2 Z
Legal Description: RESUB OF CORONA -- - -- -
Owner: DUNCAN ROBERT
Address: 211IRIS AVE
CDM CA 92625
Phone:
Issued Date:
Processed
Contractor:
kP ddress
Phone:
Con State Lic:
Expire
Lic'
.RC A/C .& HEATING
169 N .MAPLE ST STE D
CORONA CA 92880
951-735-8046
657924
NO NSA t.I BT1 N
0613012023
BT30066849
Exp Date: 0413012022
Worker's Comp Insurance- �
Carrier: STATE COMPENSATION I
Policy No: 1354374
Expire :07/01/2022—-
NOISE
�y
irnacesBoilers & Compressors ii Ve°-il on `` :, �> Q .:-�. ;,. °; � - Other
p to 100K BTU/hr: 0 $0 00 ; UF� �,.Z. 144 00N Bathigpr� Fan. $0.00 Fire Dampers `', 0 „� $�0 $0.00
ver 100K BTU/hr: 0 $0 00 1' > 3`FiFr�Co 15 HP 0 $0 00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00
all/Floor Heaters: 0 $0.00 1 >15 HP to 30 # Jb<. $0 60 Attic Fan: 0 $0.06 , Metal. Fireplace' p $0.00
eat Pumps & Package Units _ >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00,
p to 100K BTU/hr: 0 $0.00 a.5Q, �:. 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: Investigation: $0.00
ver 500K BTU/hr: 0 $0 00 - i�iandVing-kFn+te— ----Plan Check: $38.28
p to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model::AULD I ce ; $38.00
p to 1.75M BTU/hr: 0 $0.00 Ouer--lOK �FM- —0 �0.00-- �6tpRWmental-Fse=-- 0 "" 9f turer' AC PR
ver 1.75M BTU/hr: 0 $0.00 VA1/�ox:,- _,,;Q,.,: $000 , Zoning PC: $52.0(
TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.28
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..r..,to 6:00 p.rv.
' a
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 L) all of or L) 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 offelf; bpWey,� e&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 exlusiv�ty coratfppting wit�Iijen eio ct� t construct the project (Section 7044, Business and Professions o e F'e` rs State License Law does not
apply to an owner of property who buns orfrftjiroves there¢ho cor is fa tjects with a licensed Contractor rsuant to the Contractors' State License La
[,.,
LJ I am exempt from licensure unde
By my signature below I acknowledgf
sell a structure that I have built as an
Professions Code, is available upon I
Signature of Property Owner or Autht
LICENSED CONTRACTOR'S DE
I hereby affirm under penalty of perju
and effect.
License Class
WORKERS' COMPENSATION 0,
NARNING: FAILURE TO SECURE WORKERS'8
COST OF COMPENSATION, DAMAGES AS PH!
I hereby affirm under penalty of perjq
Contractors' State License Law for fhe following reason: _
except formypersonal residence, in which I must have resi
aNbuilder if it:has not been constructed in Its entirety by licen
stwhen this -application is submitted or at the following Web
:LARATION
that I am licensed under provisions of Chapter 9 (commencing with S
LAnse No I Dater,
v
ItLAWFULAND SHALL SUe4IECT:AN EMPLOYER TO CI
THE LABOR'CdDE;4INTERESF; WN NATTORNEY'S FEES.
one of the following declarations:
one year prior to completion of the improvements c ered`fiy this permit, I cannot
. ur��e ist�� 0mqp� of pae�0Blicabl law, a ion 7444 of the Business and
Iegin'fo.c$`g`<iv�c2l�.htmf. i uv %O rGn
Contractor Signature
AND CIVIL FINES UP TO ONE
LJ I have and will maintain a certiocateCIS
ent to self Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Be(
or ante of the work for which t s pesuo
' ve and will maintain workers tomn iflsuraDce ��'r�q [red` byi $echpr�; :i�00 of the Labor Code for the performance of the work fgr5,v}�hzt s permit
ore ce carrier and policy numbe re:
Carrier " f<'®IrGy%Nim'i@[ s ^-� Expiration Date
Name of Agent
W"v iki 'w .Phone#r
❑I certify that, in the performance f '@i Sfor whofi t is permit is issued, I shall not employ any person in any manner so as to become subject to th or tom
that, if I should become subject t workers' tom s he Labor Gode, shall forthwith comply with [hose provision .
_ y
Signature of Applicant Date
DECLARATION REGARD[ S UCTION
I hereby affirm under penalty of perjury a dendmg,zgansy for the performance of the work for which Thls permit is issued (SectDri Co
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 owner's behalf.
I have read this application and the information I have provided is correct.
agree to comply with all applicable city and co my or,�nanc and state la re g to building construction.
I authorize representatives of this city or county o eryY¢r the bove-identifi e y for inspec' urposes. n^
Sionature of Prooertv Owner or Authorized Aaent A / Print Property Owner's or Authorized Agent's Name
my license is in full force
($100,000), IN ADDITION TO THE
n 3700 of the Labor Code, for
Issued. My workers' compensa
:ion laws of California, and
ACTION DATE BY DECLARATION OF COMPLIANCL WI I N COUL OF FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITL.E40 AND
PERMIT EXPIRED AQMDRULE 1403.
PERMIT CANCELLED l �, ❑ 1❑SUBMIIT SUBMITTED ASBESTOS NOTIFICATION TO:
EPA
PERMIT EXTEPIOEO ❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMIT FINAL PROPOSED DEMOLITION.
CERTIFICATEOF
OCCUPANCYISSUED SIGNATURE: