HomeMy WebLinkAboutH2019-0283 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII011111111111111
100 Civic Center Drive, Newport Beach, CA 92660 MECHANICAL Permit: H2O19-0283
Permit Counter Phone (949)644-3288
Project No: 1151-2018
HERS VERIFICATION REQ Inspection Requests Phone (949)644-3255
Job Address: goo SPRING TIDE DR BIdgA Floor: Suite: fl
Description of Work: Suite:
OUT F.A.0 & (2) A/C UNITS 36dB & 33dB (BRYANT: 126CUA;48-A)
Inspector Area:8 Code Edit: 2016
Legal Description: N TR 15243 LOT 29
41
Owner: LIM SHAWN r
Address:900 SPRING TIDE DR Contractor: SWIFT HEATING & AIR
Address: 19744 BEACH BLVD #305 Worker:s Comp Insurance -
HUNTINGTON BEACH CA 92648 Carrier NO EMPLOYEES
NEWPORT BEACH CA 92660
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Phone: 949-285-3536 Policy No:
Phone: 714-655-9575 rs
Issued Date:05/16/2019 Con State Lic: 1022380 Expire
Lic Expire:01131/2021
Processed By: BT30 Bus Lic: BT30067167196
Lic Exp Date: 05/31/2020 =rz
HVAC Items
Furnaces Boilers & Compressors Ventilation FEES
Up to 1OOK BTU/hr: 2 $38.00 Up to 3HP: 2 $38.00 Bathroom Fan: 0 p
Over 1 OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Fire Dampers- 0 Other
VVall/Floor Heaters: o $0.00 >15 HP to 30 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: $0.00 $0.00
Heat Pumps & Package Units >3o HP to 50 HP 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 $0.00
JP to 1 OOK BTU/hr: 0 $0.00 >50 HP: $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00
)ver 500K BTU/hr: 0 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00
$0.00 Air Handling Units Comm. Hood: 0 $33.06 Investigation: $0.00
JP to 1M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00
JP to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Model: Plan Check: $0.00
)ver 1.75M BTU/hr: 0 $0.00 VAV Box: $0.00 Supplemental Fee: $0.00 Manufacturer: Issuance: $35.00
0 $0.00
Zoning PC: $40.00
TOTAL: $184.06 Plan Check Fee: $0.00
Fee Due at Permit Issuance: $184.06
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT/ON
Construction Hours: Monday -Friday 7:00 a.m406x30 p.renandiaaturdy {rrjfO g:00 a.m, to 6:Otl p.m.
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LINER -BUILDER DECLARATION
e License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
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)
.ction 7031.5, applicant for a permit subjects the applicant to a civil penalty of
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 or
I permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stat
3fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation
of tlhe wo k, and the structure is not intended or offered for sale (Section provided7044,
that the
t 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 rt (_) P
Isiness 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,
iprovements 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).
> I as owner owner the
ppoperty who roperty, am exclusUIICIS oremprovers thereonhlicensed Contractors to construct and who contracts for the projects tw with a project licensed Contractor pursuant to he Contractors' State License is Code: The rLaw). State License Law does no
PY
I am exempt from licensure under the ll
Contractors' State License Law for the following reason: applicable law, Section 7044 of the Business and
y 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 ego
all a structure that I have built le an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy Af the app Date
all as structure
sions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html,
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Seen 7 �4) �f Division Contractor Signa f the ss and Profess' ns Code, and my license is in fu force
and effect. Date
.icense
ORK Class
License No THE
NORKERS' COMPENSATION DECLARATION :UL AND SHALL SUBJECT AN EMPLOYER TO
VAST OF COMPENSATION,ILURETOAMAGES AS WORKERS'
COMPENSATION
IDEA FOR IN SECTION GE 15 UNLAWI
0F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 3700
PENALTIES AND CIVIL FINES UP TO ONE H DRED THOUSAND DOLLARS I$t00,000), IN ADDITION TO
SECURE
hereby affirm under penalty of perjury one of the following declarations: issued b the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
1 have and will maintain a certificate of consent to self -insure for workers' compensation. Y
3erformance of the work for which this permit is issued. Policy No.
:31 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance ExpirExpiration onDatefor which this permit is issued. My workers' compensatlo
insurance carrier and policy number are: policy Number phone #
er
ie of Agent
certify that, in the petformance 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' compensalion laws of California, an ag
if I should become performance
ma tot work' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro Date is' ns.
rkenature of Applicant
CLARATION REGA G NSTRUCTION LENDING AGENCY
CLL affirm under penalty f perjury that there is a construction lending agency forLthe endeerf Address of the work for which this permit is issu d (Section 3097, Civil Code).
eby
Ider's Name
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.
1 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 relating to building construction. _ 7 .A (,-� �, 7 Dat
Print Pro a Owner's or Authorized A ent's Nam 'tel U I
I authorize representatives of this city or county to�nter the above -identified property for inspection purposes. }
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