HomeMy WebLinkAboutH2019-0208 - PermitsCity of Newport Beach - Building DivisionIIII811111111111111111111111111111111111111
MECHANICAL Permit: H2O19-0208
c1 100 Civic Center Drive, Newport Beach, CA 92660
H 2 0 1 9.
0
2 0 8
Project No
•; ,,,. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255:
Job Address:534 SAN BERNARDINO AVE BIdg:1 Floor:
Suite:
Description of Work: -MECH HEAT PUMP/PACKAGE UNIT ON GROUND *TAMPER PROOF CAP
REQ*
Inspector Area:2 Code Edit: 2016
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Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 33 LOT 9
..
Owner: GELS ALVIN Contractor:
SCHAEFAIR INC
Worker's Comp Insurance- °°°•
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Address: '534 SAN BERNARDINO AVE Address:
7896 SPINEL AVENUE
Carrier: OAK RIVER INSURANCE
NEWPORT BEACH, CA 92663
RANCHO CUCAMONGA CA 91730
Policy No: SCWC031759
Phone: Phone:
909-944-5111
Expire :03/01/2020
°
Con State Lic: 833227
IssuedDate:04/10/2019 Lic Expire:
03/31/2020
Bus Lid
BT30062392
Processed By: Lic Exp Date: 03/31/2020
°.°.°.
° p
HVAC Items -
FEES
FurnacesBoilers & 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 $19.00 >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:
$27.84
Up to 1 M BTU/hr. 0 $0.00 up to 1 OK CFM: 1
$13.00 Repair/Alter/Add:
0
$0.00
Model: SU2KA09NAlssuance:
$35.00
Up to 1.75M BTU/hr. 0 $0.00 Over 1OK 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:
$40.00
i
TOTAL: $134.84
Plan Check Fee:
$0.00
Fee Due at Permit Issuance : $134.84
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
✓NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Sate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) -
.ction 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 thesnppliamtfor
permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of th@'Business and
�fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
:iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who,. through employees' or personal effort, builds or improves the property, provided that the
Movements are not intended or offered. for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or
,roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law doesnot
dy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature lAgA I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalh
a structure f%l t ave built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
jes$Jrns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi.
nature of Property Owner or Authorized Agent Date _
TENSED COITWCTOR'S DECLARATION
rcby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Se I n 70 0) of Division 3 of the Busines;re
s Code, and my license is in full force
I effect. •:...0
?O�L-Class License No Date Contractor Signatu
WKERS' 9QDhIPENSATION DECLARATION
IdlmG: FAILURE•re6ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IT OF COMPENSAJION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rett, affirm tglder penalty of perjury one of the following declarations:
• •.••..
gave 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
o�rnance of t _ wgrk for which this permit is issued. Policy No.
and of It 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' compensatiol
IPance carrier and policy number are:
rier Policy Number Expiration Date
ne of Agent .Phone .#
certify that, in the pert C otthwork for which this permit is issued, I shall not employ any person in any manner so as to become subject to th workers' compensation laws of California, and agre
if I should becomes 'e t tot 'on rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio .lature of Applicant Date:LARATION REG N LENDING AGENCY
reby affirm under nalty of perjure is a construction lending agency for the performance of the work for which this permit is issued (S ction.3097, Civil Code).
der's Name Lender's Address
Try 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 1 have pro Jdied is correct.
I agree to comply with all applicable city and cou y ordi ences and state laws relating to building construction.
I authorize representatives of this city or county/o enter he above-identified property for inspection purposes.
lature of Prooertv Owner or Authorized ADent Print Prooertv Owner's or Authorized Agent's NaDate
ACTION DATE BY ucta-r1nArlvm yr avmruArr�u rxir n w"� yr r rVA vrrnr.�wcviv�l
FEDERAL REGULATIONS PART 61OF TIJLE40AND.
EXPIRED AQMD RULE 1403.
❑ ISUBETT€DASBFSTOSNOTIFICATIONTO.,
CANCELLED ❑ EPA
EXTENDED ❑ AQMD
❑ ASBESTOS NODITCAITONIS NOT APPLICABLE TO
FINAL PROPOSEDDEMOLITION.
;ATE OF r
.:._.-.--..__ SIGNATURE..