HomeMy WebLinkAboutH2019-0180 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 8 0
Permit Counter Phone (949)644-3288
MECHANICAL Permit: H2O19-0180
Project No :
Inspection Requests Phone (949)644-3255
Job Address: 2130 PORT DURNESS PL BIdg:1 Floor: Suite: j J� S•,'/`��
Description of Work: MECH INSTL A/C UNIT @ THE DECK "TAMPER RESISTANT CAP REQ" U, V l `` r
InspectorArea:4 Code Edit: 2016
Legal Description: N TR 7845 LOT 10
Owner: BURCHETT R DEAN
Contractor:
Address: 2130 PORT DURNESS PL
Address:
NEWPORT BEACH, CA 92660
FEES
Phone:
Phone:
Con State Lic:
Issued Date:03/ 2019
Lic Expire:
Ventilation
Bus Lic:
Processed By:
Lic Exp Date:
WEST COAST ENERGY
1180 NORTH FOUNTAIN WAY #F
ANAHEIM CA 92806
714/630-6330
685478
03/31/2020
BT30063308
05/31/2019
Worker's Comp Insurance -
Carrier : NORGUARD INSURANCE CO
Policy No: HOWC902727 °"°•
Expire :04/0112019 svBjECTT0riFZ6JNSPFCT0W
ee •
° • e
move .
°.mem
HVAC Items
FEES
°
FurnacesBoilers&Compressors
Ventilation
Other
•••��
Up to 100K BTU/hr.
0
$0.00
Up to 3HP:
1 $19.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
0 o°m°
$0.06••
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:
0
$0.00
>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:
$16.53
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
4TTL6048AI Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TRANE
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$40,00
TOTAL:
$110.53
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$110.53
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
JNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License I.aw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
,fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.$ 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
)rovements 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
)roved for the purpose of sale).
1, 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
)ly 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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 legal
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
,fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
nature of Property.Owner or Authorized Agent Date
SENSED CbNSRACTOR'S DECLARATION
)rely affirm +Inder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0) of Iv '0 3 oa f�siness anc rofessions Co nd my license is in full force
I effect. ;••,••,
.rcen9%Class License No �a e Contrac Signature
YORKERS' CQMPFNSATION DECLARATION
&FNIArj: FAILUAE•Tj1SE¢URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
:OSIOF COMPENSATTION,UUAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
11ewby affirm,08ar penalty of perjury one of the following declarations:
DOLLARS ($100,000), IN ADDITION TO THE
Drf Mayand wil 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
t f the work for which this permit is issued. Policy No.
e and WifiAlitain 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' compensa
fie
carriel pnd policy number are:
IPolicy Number Expiration Date
lame of Agent Phone #
71 certify that, in the performce of the work for whi 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 at
tat, if I should become subje t t94he_Moi 3 ensAtion provisions of Section 3700 of the Labor Code, I shall forthwith. comply-with-lhesk provisions.
Of
;reby affirm under penalty yf berjury that there is a construction lending agency for the performance of the work for which this permit is is6ded (Section 3097, Civil Code)
ider's Name Lender's Address
my signature below, I certo 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 hav provided is correct.
I agree to comply with all applicable city and county Inances and state laws relating to building construction.
I authorize representatives of this city or county to ra r the above gn' eg-prApeHyfoYnspection purposes.
nature of Property Owner or t+rdrized Agent wner's or AuthorizedKent's a
ACTION DATE BY
DECLARATION OF COMPLIANCE WMI CODEOF
FEDERAL REGULATIONS PART 61 QFTHLE40AND
AQMD.RULE 1403.
PERMITEXPIRED
❑ ISUBM/TTEDASEESTOSNOIJFICATIONTO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS N017FTCA770NIS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMITFINAL
CERTtFICAT€OF
SIGNATURE:
OCCUPANCYISSUED