HomeMy WebLinkAboutH2021-0538 - Permits� aaycka City of Newport Beach -Building Division H2O21-0538 MECHANICAL Permit: H2O21-0538
(,; '� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1519-2019
- Permit Counter Phone (949)644-3288
.tcsr ,u+" Inspection Requests Phone (949)644-3255
J
0
Job Address: 914 OCEAN FRONT E BIdg:1 Floor:
Description Work: MECH NEW A/C UNITS *TAMPER
Suite:
PROOF
CAP REQ*
1 q- r- 0-4-1- �
of (2)
Inspector Area:1 Code Edit : 2019
Legal Description: BALBOA TR BILK 14 LOT 22
, - "
Owner: ATALL PAYAM CHARLES
Contractor:
URBAN MECHANICAL
Worker's Comp Insurance - _
Address: 24881 ALICIA PKWY #G
Address:
10621 BLOOMFIELD #25
Carrier: WESCO INS CO
LAGUNA HILLS CA 92653
LOS ALAMITOS CA 90720
Policy No: WWC3486885 _
Phone: 949-637-1332
Phone:
714-614-2446
Expire :091D912021 "
Con State Lic:
594181
-
Issued Date:09/16/2021
Lic Expire:
05/3112022
Bus Lic:
BT30005613
Processed By:�
Lic Exp Date:
08/31/2022
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 1 OOK 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 1 OOK BTU/hr:
2
$44.00
>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:
$38.28
Up to I BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
MXZ3C30NA21ssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
MITSUBISHI
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$172.28
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$172.28
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.
NO CONSTRUCTION NOISE
ON THE WEEKEND
RIMERS PROHIBITED
ON HEAT PUMPS
JWNER-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). -
I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 -Builder will have the burden of proving that it was not built
improved for the purpose of sale).
I, as owri3. if 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 a,l 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).
I am exempt f.om Iicensure under the Contractors' State License Law for the fallowing 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 lega117
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.ieginfo.ca.gov/calaw.html.
Signature of amp^- ty Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I nereby affirm unaer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing *TORIMINAL
0 of Division 3 of the Business a Professio _ i ens 'r(ull force
a, u. Rffect.
'.ix.nse Class License No Date2 Contractor Signat a c�
673F&KERS' C-061PENSATION DECLARATION
NARNING: FAILUnE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1(30,000), IN ADDITION TO THE
COST eF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereoy affim, u, ioer 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 th
rh1f0,'ave
mance of the work for which this permit is issued. Policy No.
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' compensatioi
nce carrier and policy number are:
Policy Number
Date
lame of Agent Phone #
I certify that, in the performance of the work f Is per I sh n mploy a y person in any manner so as to become subject to the work s' comp nsation laws of California, and agre
iat, if I should become ubject to the worke c satin ISI !9d,
Se bor Code, I shall forthwith comply with those pr vi ions.
Iignature of Applica Dat
IECLARATION REG G CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code).
ender's Name Lender's Address
ly 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 co /j
agree to comply with all applicable city and coup ordinances a a p elat'y o build struction.
authorize representatives of this cityor coup enter the ab d for in Gf{r Irk
Iignature of Property Owner or Authorized Agent Pri y Owners or Authorized Agent's Name a Date
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 51 OF TITLE40AND
AQMD RULE 1403.
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION 1S NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
-j„
CERPFfCATEOF
SIGNATURE:
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