HomeMy WebLinkAboutH2019-0418 - Permits9City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII MECHANICAL Permit: H2O19-0418
a .100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 4 1 8 Project No
F., y PeAmit Counter Phone (949)644-3288
rw+sgr.*�^ Inspection Requests Phone (949)644-3255
Job Address: 527 WESTMINSTER AVE BIdgA Floor: Suite:
Description of Work: MECH NEW A/C UNIT ON GROUND & FURNACE C/O *TAMPER PROOF CAP REQ*
*NEIGHBOR LETTER ATTACHED`
Inspector Area:2 Code Edit: 2016
Legal Description: N TR 27 BILK 2 LOT 19
Owner: ESPINOZATHERESEA Contractor: CONTREX INC Worker's Comp Insurance -�
Address: 527 WESTMINISTER Address: 31402 ISLE VISTA Carrier: NO EMPLOYEES
NEWPORT BEACH, CA 92663 LAGUNA NIGUEL CA 92677 Policy No:
Phone: Phone: 714.420-1806 Expire
Con State Lie: 533798
IssuedDate:07/15/2019 Lie Expire: 06/30/2020
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(� f\ Bus Lie: BT30067650
Processed By: L9J� - Lie Exp Date: 06/30/2020 m,
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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.
0
o s1
HVAC Items
FEES
x$
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr.
1
$19.00
Up to 3HP:
1 $19.00
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 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:
$33.06
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
GAW14L60C21S
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:
$40.00
TOTAL:
$146.06
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$146.06
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.
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)
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 regNres the applicant for
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
�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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;mess 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
fly 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 legally
a structure Mail 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
IE;;sions Cogs",'i3 available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmi.
nAture ofUoperty Owner or Authorized Agent Date
:'F•NSED CONTRACTOR'S DECLARATION
:Teby affirm•unde4penally of perjury that I am licensed under provisions of Chapter 9 (commencing with echo 700 ) of Division 3 of the Busine/a;nd='466and my license is in full force
l.effect.9psse Class License No DateContractor Signat
XKERSQbJjPENSATION DECLARATION
WING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNOREO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IT qF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:ratty affirrq Dgdeifbenalty of perjury one of the following declarations:
d.heve 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 the
Wfiance GfIllawerk for which this permit is issued. Policy No.
...•
have 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' compensation
trance carrier and policy number are:
Policy Number Expiration Date
ane of Agent Phone #
certify that, in the pert mance of he�v k for which this permit is issued, I shall not employ any person in any manner so as to become subjec to the workers' gompensation laws of California, and agree
tom, if I should becomes ject to t}1 , 6 pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p isio�I
nature of Applicant D e
CLARATION REGA DIN - LENDING AGENCY
)reby affirm under p nalty of perj ry that there is a construction lending agency for the performance of the work for which this permit is issu d (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 corrept.
I agree to comply with all applicable city and coun ordina W tate laws relating to building construction.
I authorize representatives of this city or county tr/►yenter tified property for inspection purposes.
nature of Prooertv Owner or Authorized ADent / �' Print Property Owner's or Authorized Agent's Name / lwl /✓ �✓7 its Z
ACTJON I DATE P BY
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