HomeMy WebLinkAboutH2020-0709 - PermitsCity of Newport Beach - Building Division H2O20-0709
st1�L 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 3308 OCEAN BLVD BIdg:1 Floor: Suite:
Description of Work: MECH REPLACE FURNACE
Inspector Area:5 Code Edit: 2019
Legal Description: RESUB OF CORONA DEL MAR LOT 6 BLK 139(AND NWLY 5 FT LOT
5(AND SELY
MECHANICAL Permit: H2O20-07
Project No :
Inspection Requests Phone (949)644-3255
I,NoPLEECTOR
Owner: ALVARADO RESOURCES LLC Contractor:
MO AIR MECHANICAL INC
Worker's Comp Insurance -
Address: 2857 PARADISE RD UNIT2401
Address:
32921 PASEO DEL AMOR
Carrier: SIRIUS AMERICA
INSURANCE
LAS VEGAS, NV 89109
SAN JUAN CAP CA 92675
Policy No: WC6021
Phone:
Phone:
714-323-0681
Expire :05/20/2021
Con State Lic: 1042124
Issued Date:12/04/2020
Lic Expire:
07/31/2022
n
Bus Lic:
BT30064918
Processed B'/: ►�i A 7�i_�
Lic Exp Date:
10/31/2021
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr: 1 $21.00
Up to 3HP: 0
$0.00 Bathroom Fan:
0
$0.00
Fire Dampers: 0
$0.00
$0
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
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 :
$0.00
Investigation:
$0
Over 500K BTU/I,: 0 $0,011
Air Handling Units
Comm. Hood:
0
$0.00
Plan Check:
$0
Up to 1 M BTU/hr: 0 $0.00
up to 1OK CFM: 0
$0.00 Repair/Alter/Add:
0
$0.00
Model: Issuance:
$0.00
Up to 1.75M BTU/hr: 0 $0.00
Over 1OK CFM: 0
$0.00 Supplemental Fee:
$12.00
Manufacturer:
Over 1.75M BTU/hr: 0 $0.00
VAV Box: 0
$0.00
Zoning PC:
$0
TOTAL: $33.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $33.00
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 (_) all of or (_) 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
im roved 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 1 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 lave 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 Cjde, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signal, ire of Propertv Owner or Authorized Agent Date
:LICENSED CONTRACTOR'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 d e is ode, and my license is in full force
,anJ eff.;ct. ' �
'may w
License Class License No tie /%�-�fJ Contractor Signar r
'NORKERS' COMPENSATION DECLARATION ,AI
WARNING: FAILURc Tn SECURE 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
Jubl GF COMPEMS/.TICN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I I.actby affirm under penalty of perjury one of the following declarations:
1 ' have and wdl mamlain 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
ormance of tha work for which this permit is issued. Policy No.
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'
carrier auo policy number are:
Policy Number
ne of Agent Phone #
Date
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 V workers' compensation laws of California, and agree
t, if I shout ecome subject to a ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' S.
net e o pplicant Da��l
CLARATI N REGARDING NSTRUCTION LENDING AGENCY
Heby affirm under penalty Vperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinan s and state laws relating to building construction.
I authorize representatives�f %Was city or county to r�o e-identified property for inspection purposes.
Owner
Owner's or Attlorized Agent's Name
ACTION
DATE
BY
DECLARATION,OF COMPLIANCE MMCOOE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITL.E40AND
AQMD RULE 1403.
PERMITEXNRED
❑ 1 SUBMITTED ASBESTOS mo-nFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NORRCARON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:.
PERMIT CANCELLED
PERMiTEXTENDED
PERMIT FINAL
'L
CERTIFICATEOF
OCCUPANCYISSUED