HomeMy WebLinkAboutH2020-0229 - PermitsCity of Newport Beach - Building Division III III 111111111111111 1111111111111111111111111 MECHANICAL Permit: H2O20-0229
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 2 9
H Permit Counter Phone (949)644-3288 Project NO
n
TIMER REQUIRED ON EQUIPMENT
Inspection Requests Phone (949)644-3255
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
Job Address: 1430 HIGH BLUFF DR BIdg:1 Floor: Suite:
Description of Work: MECHICHANGE OUT (2) F.A.U'S & (2) A/C UNITS 54dB* & 50.5dB* (CARRIER; 24AHA-36 &q`?i) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF
BETWEEN 16PM P. 7AM
Inspector Area:8 Code Edit: 2019
Legal Description: N TR 15243 LOT 57
Owner: RAEL MARK Contractor:
Address: 1430 HIGH BLUFF DR Address:
NEWPORT BEACH, CA 92660
Phone: Phone:
Con State Lic:
Issued Date:05/06/2020 ; Lic Expire:
Bus Lic:
Processed By: �'.J' Lic Exp Date:
z`�
W
ALISO AIR INC
Worker's Comp Insurance -
29736 AVE DE LAS BANDERAS Carrier, LIBERTY MUTUAL
1 ' 1
RSM CA 92688
Policy No: WC2Z61036218098
949-589-2021
Expire :07101/2020
526420
03/3112022
o /28/20216
REQ
DO
tiI=HS VERIFICATION
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 1OOK BTU/hr:
2
$40,00
Up to 3HP:
2 $40.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $O.On
$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:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$34.80
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1M BTU/hr:
0
$0.00
up to IOK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$191.30
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$191.30
PERMITS EXPIRE 180 DAYS AFTER ISSJANCE UC LAST VALID INSPECTION
Construction Hours: Monday - Fioay 7r00 a.m.ta &: O p.m ene Saturday from 8:00 a.m. to 6:00 p.m.
BUILDER DECLARATION
I hereby atFrm under penalty of perjury that I am exempt from the contractors' State ucensa Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item s
requires. a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
(Section 7031.5, Business and Professions Code: Any city or County that
the permit t0 file a signed statement that he or she is licensed pursuant to the provisions of the�Cont�actors' 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 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 icensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
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, is available 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 of Division 3 of the Business i od esse, and my license is in full force
and effect. DateContractor Signatur
License Class License No
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
have 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
p ormance of the work for which this permit is issued. Policy No.
I have and will maintain workers' compens tion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
nsurance carrier anQKcy number a�G
\ ✓ — C r,..rnrr� ., A lA- Expiration Date
ame of Agent %, - "- -
]I certify that, in the perfor or Ic ad I shall not employ any person in any manner so as to become subject to the wor;;F
sati n laws of California, and ag e
let, if I should become sub' ct to the er sa Ion provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provis ns.
ignature of Applicant - - Da6t
IECLARATION REGA D G LENDING AGENCY //
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
ly 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 r ilding construction. /2
1 authorize representatives of this city or county a a -I entiferrproperty for inspection purposes.
;innature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name 1•. %' 7 3f �_
OFFICE USE
ACTION
DATE
ar
FLDERALREGULAT/ONSPART 01OFT/RE40AND
40ML RULE 1 @03 - - -
r❑ I SJBMITfTEDA9BESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO
PROPOSE4 DEMOLITION.
SIGNATURE'
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITRIVAL
CERTIFICATE OF
OCCUPANCYISSUED