HomeMy WebLinkAboutX2019-0575 - Permits (2)City of Newport Beach - Building Division III 111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 7 5
Permit Counter Phone (949)644-32P
Job Address: 2126 ARALIA ST BIdg:1 Floor: Suite:
Description of Work: MECH INSTIL AIC UNIT @ THE SIDE YARD "TAMPER RESISTANT CAP REQ", REPLACE FURNACE
Inspector Area:8 Code Edit:
2016
Legal Description: N TR 4705 LOT 27
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Owner: STOLIAR TINA
Contractor:
Address: 2549 EASTBLUFF DR 3470
Address:
NEWPORT BEACH CA 92660
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Phone:
Phone:
Con State Lic:
Issued Date:09/24/2019
Lic Expire:
FEES
Bus Lic
Processed By: ��
Lic Exp Date:
MECHANICAL Permit: H2O19-0575
Project No:
Inspection Requests Phone (949)644-3255
INSPECTOR
BERG MECHANICAL PARTNERS Worker's Comp Insurance -
7 GINGHAM ST Carrier: NORGUAR INSURANCE CO
TRABUCO CANYON CA 92679 Policy No: BEWCO27591 ++e+ee
L900
949-337-2740 Expire :02/24/2020 o em+�
962843 SUBJECT TO FIELD D tgpff':FOWRO
04/30/2021 REVIEW AND APPItOVAL +
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.
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HVAC Items
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FEES
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Ventilation
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.
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HVAC Items
FEES
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FurnacesBoilers &Compressors
Ventilation
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Other m m m ° • m
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Up to 100K BTU/hr:
1
$20.00
Up to 3HP:
0 $0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
m
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
I
n
$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
m
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:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$17.40
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
1 $20.00
Model:
TCHE48S41S1
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
YORK
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$133.90
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$133.90
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.
OWNER -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 structm, 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 Action 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 fora 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 `) all of or (_) 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-Builderwill have the burden of proving that it was not built or
Im 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following 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 legally
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.leginfo.ca.gov/calaw.hlml.
Signature of Property Owner or Authorized Agent Date
LICENSED CON.T47ACTOR'S DECLARATION
I hereby affirm undeGOe'nalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith Section 7000) of Division 3 o he Business and Professions Co�de,/an/j (cense is in full force
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License Class • �• License No ate % L ���� Cont a r Signature
&tjRKERS' COIyIPEN§ATION DECLARATION
RAR NCI: FAILURE 10 SE,FWIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPEN$ATI04J, QiAMAGES AS PROVIDED FOR IN SECTION 8700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:ieiabl7 affirm untgr punalty of perjury one of the following declarations:
....
f flays and will Aigintain 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 thr
once of the work for which this permit is issued. Policy No.
g and w1" mainjain 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' compensation
f,s ran1 carriwalimd pslicy number are:
Mae • Policy Number Expiration Date
O Df Agent 0 ,_,.;—° F
:ertify that, in theyerformance of the work for which this permit is issued, I shall not employ any person in any manner so as to becc
if I shoul¢hecome subject to the worker"mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with
of
to the workers' compensation laws of California, and
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 correct.
I agree to comply with al(app ble city and county ordinances and state laws relating to building construction.
I authorize representatives this or county t en the above -i Pied property for inspection purposes.
nature of Property Owne r Authorize gent lf� Print Property Owner's or Authorized Agent'/am. OPO Z14 /jFc
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ACTION
DATE BY
DECLARATION OF COMPLIANCE VWTHCODE W
FOR OFFICE USED
FEDERAL REGULATIONS PART Of OF TITLE 40 AND
AQMD RULE 7403.
PERMITEXPIRED
❑ I SUSMITTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
P€RMITCANC€LIED
PERA41TEXTEIVDED
El ASBESTOS NOTIFICARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED