HomeMy WebLinkAboutH2020-0557 - Permitsr1,u fo4T City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 5 7
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Permit Counter Phone (949)644-3268 INSPECTOR
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Job Address: 1113 GRANVILLE DR Bldg:1 Floor: Suite:
Description of Work: MECH (1) HEAT PUMP ON GROUND *TAMPER PROOF CAP REQ*
Inspector AreaA Code Edit :
2019
Legal Description: TRACT 14839 LOT 1 OF PROJECT 939.63 LOCATED ON AP 442-421-13
Owner: SPEARS PAMELA
Contractor:
AIRWEST A/C & HEATING INC
Address: 1113 GRANVILLE DR
Address:
1886 SO SANTA CRUZ ST
NEWPORT BEACH, CA 92660
ANAHEIM CA 92805
Phone: 630-399-2711
Phone:
714-978-7877
Con State Lic:
733715
Issued Date:10/22/2020
Lic Expire:
03/31/2021
Bus Lic:
BT30072921
Processed By:
- Lic Exp Date:
09/30/2021
MECHANICAL Permit: H2O20-0557
Project No :
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier : OAK RIVER
Policy No: AIWC034008
Expire :11/1412020
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 1M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
AMUG36LMAS
Issuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
FUJITSU
Over 1.75M 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.
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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 cover,
ell a structure :hat 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
lignatdre of Prnperty Owner or Authorized Agent Date _
.ICENSED CONTkACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin wit Section 7000) of Division 3 of the Business and P fe i Code, and my license is in full force
nd eftect.
.icense Class License No Da Contractor SignatuLRED
VORKERS' COMPENSATION DECLARATION
IARNING: FAILUPE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:DST Or COMPENSA.ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nereby affirm unr:er penalty of perjury one of the following declarations:
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
have and will mEmtain a certificate of consent to self -insure for workers' compensation,
3nnance of the wont for which this permit is issued. Policy No.
have and will mair::ain 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'
this permit, I cannot
of the Business and
Lance carrier and policy number are:
Policy Number
Date
ame of Agent rnunc n
�I Certify that, in the performan th ork 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
rat, If I should become s jec o the r Is' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi.a. n .
ignature of Applicant Date /JI /6-Z?-1Z/J
IECLARATION REGAR G CONSTRUCTION LENDING AGENCY
hereby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S ti, n 3097, Civil Code).
ender's Name Lender's Address
iy 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 coun ordinances and state laws relating to building construction.
I authorize representatives of this city or cou t enter the above -identified property for inspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Dat 6
ACTION DATE 8V DECLARATION OF COMPLIANCE VIITHCODEOF ✓ FOR OFFICE USE
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
PERMIT EXPIRED AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS M077FICATION TO:
PERMITCANCELLED ❑ EPA
PERMIT EXTENDED ❑ AQMD
❑ ASBESTOS NU7IRCATION/S NOT APPLICAHL.E 70
PERMITFINAL 11/30/,Z0 JIptj ARROPOSEDDEMOLITION.
CERTIFICATE OF SIGNATURE:
OCCUPANCY l SSUED