HomeMy WebLinkAboutH2018-0076 - Permits$'A1Y)k% City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O18-0076
off' 0 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 0 7 6
> Project No
Permit Counter Phone (949)6443268
e'�y,puwts Inspection Requests Phone (949)644-3255
Job Address: 1865 PORT MARGATE PL BIdg:1 Floor: Suite:
Description of Work: MECH/CHANGE OUT F.A.0 & A/C UNIT 59.5dB" (AMERICAN STD-4A7A7036A100B) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM
& 7AM
HERS VERIFICATION REQ
InspectorArea:4 Code Edit: 2016
Legal Description: N TR 6621 LOT 60�
Owner: KIESSELBACH/KANNE Contractor: TACTICAL AIR INC Worker's Comp Insurance- ¢"" --�
Address: PO BOX 2373 Address: 23382 MADERO UNTI J Carrier: MARKEL INS CO `" J
LA HABRA CA 90632 MISSION VIEJO, CA 92691 Policy No: MWC009085301
Phone: Phone: 949-303-5525 Expire :02117/2018 g7
Con State Lic: 010956
0
Issued Date:01/29/2018 Lic Expire: 1/31/2019
Bus Lic. BT30055229
Processed y: Lic Exp Date: 05/31/2018
HVAC Items FEES
Furnaces Boilers&Compressors Ventilation Other
Up to 100K BTU/hr: 1 $18.00 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: 1 $33.00 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: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $28.71 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 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $33.00
Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer:
Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50
TOTAL: $150.21 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $150.21
PERMITS EXPIRE 180 Li.YS A.=_ ER,ICSUANC!7,OR ;.AST VALID INSPECTION
Construction Hours: Monday- Friday 7:00 a:m.tc 5:30 p.m.anc, 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 (_) all of or (_) 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
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 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.html.
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 Secion 700 ) of Division 3 of the Business and Professions Code and m license is in full force
and effect. 62
License Class License No Date ContraF IgnatJ
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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEI"S FEES.
1 hereby affirm under penalty 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 the
RFfotFnance of the work for which this permit is issued. Policy No.
1 have and kilmaintain 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
IS of Ag n v"
certify that, in the perform nce o the work for which this permit is
if I should becomei je t tot workers' compensation
ignature of Applicant 11
_
IECLARATION REG UCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a constructionalern
ender's Name
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prl
I have read this application and the information I have
I agree to comply with all applicable city and county oI
I authorize representatives of this city or county t nt
;ignature of Property Owner or Authorized Agent
Date
ad, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
D=x
agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
owners behalf.
led is correct.
:es and state laws relating to building construction.
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
ACDON
FEDERAL REGUL4T!ONS PART F* OF PILE40AND
AQHiL` RULE1403. -
❑1 SUBMITF' uAcBES70S-NO:,gFlnT.`ON T0:
❑ SPA
❑ AOMD
PERMITFXPfRED
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICA710N/S NOT APPLICABLE TO
PROPOSED TIEMOLITION. _
SIGNFTLIRE:
PERMITFINAL
)'2/ 19 IE
i
CERTIRCATEOF
OCCUPANCYISSUED
9
Address :
1865 PORT
Type:
MECH
Inspector:
SLANE
Inspection Item:
420 HVAC
Disposition :
CO
SL
CITY OF NEWPORT BEACH
BUILDING DEPARTMENT
PC Box 1768 Newport Beach, CA 92658-8915
Inspection Request - (949) 644-3255
Inspector Signature:
Permit Number: H2O18-0076
Date : 05-
MAKE ALL CORRECTIONS PRIOR TO REINSPECTION
ALL WORK SHALL BE SUBJECT TO INSPECTION AND SHALL REMAIN ACCESSIBLE AND EXPOSED UNTIL INSPECTED AND
APPROVED.
CALL FOR REINSPECTION : (949) 644-3255
Insoector's A M offirP hni irs are 07-00 A M To OB= A! M
Inspector's P.M. office hours are : 03:30 P.M. To 04:30 P.M.
Correction Required -
05/11/2018 -- 1. CORRECT NEGATIVE ANGLE ON VENTING
2. PROVIDE REQUIRED 6" CLEARANCE TO COMBUSTIBLES FOR SINGLE
WALL VENTING
3. USE APPROVED VENT FITTINGS ONLY
4. TEMP AND PRESSURE RELIEF DRAIN ON WATER HEATER MUST
TERMINATE BETWEEN 6 AND 18" FROM FLOOR
OWNER SHOULD DISCONTINUE USE OF UNITS UNTIL VENTING IS
CORRECTED DUE TO CARBON MONOXIDE RISK