HomeMy WebLinkAboutH2019-0802 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
MECHANICAL Permit: H2O19-0802
Project No :
Inspection Requests Phone (949)64.a.4--13255
-A I
Job Address: 1100 CORELLA BIdgA Floor: Suite:
Description of Work: MECH MFR *BLDG #13* REPLACE (8) 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 1100-1110
Inspector Area:8 Code Edit: 2016
Legal Description: N TR 12309 LOT 4
Owner: IAC AT JAMBOREE LLC
Address: PO BOX 2450
NEWPORT BEACH, CA 92660
Contractor: U M AIR INC
Address: 12211 WOODRUFF AVE
DOWNEY CA 90241
Phone:
Phone:
562-413-1235
Con State Lic:
1050013
Issued Date:12/1 6b019
Lic Expire:
02/28/2021
i
_ Bus Lic:
BT30061455
^
Processed By: 'If`� �
Lic Exp Date:
12/31/2019
Worker's Comp Insurance -
Carrier : NATIONAL LIABILITY
Policy No: A9WC045079
Expire :09/13/2020
M434 ECT
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 10oK BTU/hr:
8
$160.00
>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:
$0.00
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
8 $112.00
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:
CARRIER
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$0.00
TOTAL:
$307.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$307.00
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.
IWNER-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 appli�Tant for
ie 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
'rofessions 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
of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;usiness 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
nprovements 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
nproved for the purpose of sale).
1 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legalb
ell 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
'rofessions Code, 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busmiaps and Prssions Code, and my license is in full force
nd effect.
icense Class License No - _ Contrac ature
PURKERS' COMPENSATION DECLARATION
EARNING: 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 ($100,000), IN ADDITION TO THE
nST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under per, alty of perjury one of the following declarations:
I 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 thi
erformance of the Mork for which this permit is issued. Policy No.
hzv= 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'
rance carrier and policy number are:
Policy Number
or Agent
Date
I certfy, that, it. 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 the workers' compensation laws of California, and agre
let, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those previ ions.
ignature Dat
iECLARATION EGARDING CONSTRUCTION LENDING AGENCY Ire
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
'y 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 hic r•ity or county to ensprthe above -identified property for inspection purposes.
IlSignature of Property Owner gen_ X — Print Property Owner's or Authorized�Agent's Name QpIBZ 2C j/Y6 ijj
ACnON
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
ASBESTOS NOTIFI
PROPOSED DEMOLITION TIONtS NOT APPLFCASL.E TO
PERMIT FINAL
$/ I Z Z I
i�
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
A