HomeMy WebLinkAboutH2022-0480 - Permits,Ewa-oRT., City of Newport Beach III I I I II I II I II II III I II II 04 @ Commun: Development Department - BuildingDivision Mechanical Permit: H2022-0480
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1737-2021
Permit Counter Phone: (949) 644-3288
u Nr s Work Class : Other
e� Inspection Requests Phone: (949) 644-3255 Issued Date : 09/1312922
Cq�IFp RN`P newportbeachca.gov/inspections I �P�CiC�F1 Inspection Area :5
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 307 GOLDENROD AVE Legal Desc : A TR CORONA DEL MAR BILK 233 LOT 5 CORONA DEL MAR BILK 233 LOT 5 NELY 10FT AND LOT
Description: MECH: INSTALL (2) HEAT PUMPS @ SIDE. **TIMERS PROHIBITED; TAMPER RESISTANT CAPS REQUIRED**
Owner: 307 GOLDENROD PARTNERS LLC
Address : 307 GOLDENROD AVE CORONA DEL MAR, CA 92625
Phone:
Applicant:
J B P MECHANICAL
Address:
1539 S RIMHURST AVENUE GLENDORA, CA 91740
Phone:
(714)319-6654
Owner/Builder
Address
Phone:
Code Edition :
2019 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone:
X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY: �7�
Contractor: J B P MECHANICAL
Address :
1539 S RIMHURST AVENUE GLENDORA, CA 91740
Phone:
(714)319-6654
Con State Lic :
828709
Lic Expire :
12/31/2023
Bus Lic:
BT30077932
Bus Lic Expire:02/28/2023
Workers' Compensation Insurance
Carrier :
SIRIUS AMERICA INSURANCE COMPANY
Policy No:
WC89101
W. C. Expire:
2/1/2023
Manufacturer : AC PRO
Model#: AOV(A-C)-60HN1-M14L
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 checkmaFk(s) I have placed next to the applicable item(s)
Ilion 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 Toquires the applicant for
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
fessions Code) or that he or she is exempt from Iicensure 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation. will do U all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
;!mess and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
rovemenls are not intended or offered for sale. Ir, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not
1y to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
U I am exempt from licensors under the Contractors' Stale License Law for the folfawing reason --_ _--------- , _ ,_ _
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completlon of the improvements coven
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section
Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginto.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Onto _
LICENSED CONTRACTOR'S DECLARATION
I hereby afhnn under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7x000�o Dtv'sion 3 of the Business and Professions CIF e, �0SJ�an icens is in fu rue
and effect. License Gass License No Date Contractor SignatureX ($ems f%i id
WORKERS' COMPENSATION DECLARATION / - I I �,
WARNING_ FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEIIALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (0100,000), IN ADDITION TO THE
COAT Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES,
I hereby affirm under penalty of perjury one of the fallowing declarations:
111 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Direclor of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl
�ppeqr�formance of the work for which this permit is issued. Policy No.
i`, have 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' compensator
insurance carrier and policy number are: 1 ,)
Carrier Sl r { �7 Wt le l C cW� Policy Number W C- V O Expiration Dale d(/ t 2
Name or Agent Vsrs1) Phone 4
11) certify that, in 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 Agrer
that, If I should become subject to the workers' compensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Q / ��../f//(/y - DeaX C7y3
nFr1 aPAThrN PrrG�r rnNl�%r' N 11=Nni=mr VG4L�.�_
[his permit, I cannot
of the Business and
I hereby airirm under penalty of perjLry that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to art on the properly 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 relatin eifuflding construction,
I authorize representatives of this city or county to ant he e- nlifie pr dy for inspection purposes. '� �(
Signature or Property Owner or Authorized Agent 4.e. Print Pro ert Ownor's or Authorized Agent's Name -UEd�� - Date
ACTION DATE BY DEKARAT16N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
PERMITEXTENVEO
PERAUTFINAL.
CERTIFICATE OF
OCCUPANCYI35UED
U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
PERMIT FEE DETAILS FOR PERMIT H2O22-0480
Fee Name
Transaction Date Payment Method
Building
Air Handling Units 0-10,000 CFM Fee
Building Plan Check Fee
Heat Pumps Package Units 0-100,000 BTU/H Fee
Issuance Fee
OTC Plan Check Fee - Planning
Fee Amount Fee Paid Amount
Trans. Paid Amount Paid By
$30.00 $0.00
$64.38 $0.00
$44.00 $0.00
$39.00 $0.00
$53.00 $0.00
GRAND TOTAL: $230.38