HomeMy WebLinkAboutH2019-0803 - Permits(9)
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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MECHANICAL Permit: H2O19-0803
Project No :
Inspection Requests Phone (949)644-3255
AA" q
Job Address: 1112 CORELLA BIdg:1 Floor: Suite:
Description of Work: MECH MFR *BLDG #14* REPLACE (12) GROUND MOUNTED A/C UNITS, SAME LOCATIONS, LOWER DB LEVEL THAN EXISTING UNITS,1.5 TON UNITS
CH14NB01800GAAA, 2 TON UNITS CH14NB02400GAAA, FOR NOISE COMPLAINTS PLEASE CALL EDWARD GROLEAU (949) 720-3126, DONOVAN SCHMIDT (949) 720-5415**
UNITS 1112-1127
InspectorArea:8 Code Edit: 2016 i II t
Legal Description: N TR 12309 LOT 4
Owner: IAC AT JAMBOREE LLC
Contractor:
Address: PO BOX 2450
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:1211612019
Lic Expire:
n I
Bus Lic:
Processed By: Lic Exp Date
U M AIR INC
12211 WOODRUFF AVE
DOWNEY CA 90241
562-413-1235
1050013
02/28/2021
BT30061455
1213112019
Worker's Comp Insurance -
Carrier : NATIONAL LIABILITY
Policy No: A9WC045079
Expire :0911312020
HVAC Items
FEES
Other
;
FurnacesBoilers & Compressors
Up to 100K BTU/hr: 0 $0.00
Ventilation
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$O.CC
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
$0.0C
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 8. Package
Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
$0.00
Up to 100K BTU/hr:
12
$240.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
12
$168.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over IOK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
Zoning PC:
$0.00
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
TOTAL:
$443.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$443.00
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 far
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 theeprbperty, or my employees with wages as their sole compensation, will do (_) 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-Builderwill 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 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 legalh
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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect.
License Class License No �e� % //7 Contr for SI ature _
A10PL(ERS' COMPENSATION DECLARATION
NARNINCa: FAILURE.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
COST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heroby affirm under penalty of perjury one of the following declarations:
1 ha>,e and'will ma-ntain 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
j,6M'lance of the work for which this permit is issued. Policy No.
vn and will ma'.ntain 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' compensatiol
ice carrier and policy number are:
Policy Number Expiration Date
at AgentPhone #
rCry that,, iN ine 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,
beC; .T.e subje o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.�7 /�
J re of AoDlica— �nafa_ %,! -Il/J —� i
rreby 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).
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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ter the above -identified property for inspection purposes. ��
nature of Property er or orized - Print Property Owners or Auth ' ent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE tMl kCODE OF
FEDERAL REGULATIONS PART 61 OF RAN&-
AOMO RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
❑ ASBESTOS NOTIACA nONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
-_ FOR OFRCEU ONLY
PERMITEXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
05I I Z / Z I
CERTIFICATEOF
OCCUPANCYI5SUED