HomeMy WebLinkAboutH2021-0091 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 0 9 1
,. Permit Counter Phone (949)644-3288
f: T
Job Address: 401 SEAWARD RD BIdg:1 Floor: 1 Suite: 8
Description of Work: MECH CHANGE OUT HEAT PUMP ON ROOF *TAMPER PROOF CAP REQ*
Inspector Area:7 Code Edit :
2019
Legal Description: TRACT 14028 LOT 1 OF
PROJECT 938-01 LOCATED ON AP 459-161-17
Owner: BATHROS SAM
Contractor:
ECONO AIR
Address: 401 SEAWARD
Address:
555 VANGUARD
NEWPORT BEACH, CA 92625
BREA, CA 92821
Phone:
Phone:
714-695-6661
Con State Lic:
445220
Issued Date:02/1012021
Lic Expire:
02/28/2022
Bus Lic:
BT30064026
Processed By:
Lic Exp Date:
08/3112021
MECHANICAL Permit: H2O21-0091
Project No :
Inspection Requests Phone (949)644-3255
INSPECTOR
Worker's Comp Insurance -
Carrier: SERVICE AMERICAN
Policy No: SAMTWC0041100 -
Expire :10/01/2021 ,
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 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:
$18.27
Up to 1 M BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
EL15XP1-081ssuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
LENNOX
Over1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$122.52
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$122.52
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.
TIMERS PROHIBITED
N HEAT PUMPS
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 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 exempC'rGr.I licensure under the Contractors' State License Law for the following reason:
By my signature be'cw 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 s.ructure 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
OrofesLions CGde. Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
UGENSED CONTRACTOR'S DECLARATION
I hereby affirm nnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Section 7000) of Division 3 of the Business a Prole ions n license is in full force
an6' effect.
License Class License No Dateit 0Z /1% 4w21 Contractor Signature
WORKERS' COiAPENSATION DECLARATION
WARNING: FAILURE TG 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
GGST,)r;dOMPENSBTION nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
t hereby'affirm under penalty of perjury one of the following declarations:
J I hax a and wall 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 IN
fulmance of the work for which this permit is issued. Policy No.
ave 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' compensatior
sure a carrier and policy number are:
Policy Number Expiration Date
of Agent
1 certify that, in the perfor ante f thew hic this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of Califomia, and agre
hat, if I should becomes ject to a work nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro 'si ITS
Signature of Applicant Date Z /(% ZA2
DECLARATION REGAR ING CONSTRUCTION DING AGENCY
I hereby affirm under perialty, of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ec'on 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 o4ws;
I have read this application and the information havkpvded I agree to comply with all applicable city and co orelating to building construction.
I authorize representatives of this city or county t property for inspection purposes. Signature of Property Owner or Authorized Agent I Print Property Owner's or Authorized Agent's Name S t Date , /U Nj2j
AC7ION
DATE
RY
DECLARATION OF COMPLIANCE YsRTH CODE OF
FOR OFFICE USE ONLY /
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
)
v
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMfTEXTENDED
+
`
❑ ASBESTOS NOTIRCA170MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIRCATEOF
SIGNATURE:
OCCUPANCYISSUED