HomeMy WebLinkAboutH2019-0134 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIIIII�I,IIIIII,IIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 3 4
Permit Counter Phone (949)644-3288
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Job Address: 3130 CLAY ST BIdg:1 Floor: Suite:
Description of Work: MECH REPLACE (2) A/C UNITS @ THE SIDE, YARD "TAMPER RESISTANT CAPS REQUIRED"
Inspector Area:2 Code Edit: 2016
Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 30 LOT 1
Owner: MCHUGH BRIAN
Comp Insurance -
Address: 3130 CLAY ST
NEWPORT BEACH, CA 92663
Contractor: ALL SEASONS HEATING & AIR CONDITIONING
Address:
Phone: 310-709-4476 Phone:
Con State Lie:
Issued Date:03/21/2019 Lie Expire:
Bus Lie:
Processed By: Lie Exp Date:
MECHANICAL Permit
Project No: 2602-2018
H2O19-0134',
Inspection Requests Phone (949)644-3255
0-d� 1
Worker's
16691 GOTHARD ST UNIT W Carrier: PREFERRED EMPLOYERS
HUNTINGTON BEACH CA 92647 Policy No: WKN134841
714-375-6468 Expire :01/27/2020
653620 20 SUBJECT TO FIELD TNSPECTOP�',1
BT3006653066567 REVIEW AND APLOVd �P L
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03/31/2020 ! ,
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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.
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HVAC Items
FEES
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FurnacesBoilers & Compressors
Ventilation
Other ! ^
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Up to I OOK BTU/hr:
0
$0.00
Up to3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0x00^ =°
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=603
Wall/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
° O4 • ^ °
Heat Pumps & Package
Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
! !
; °' ° ° •
! 6
°
Up to 1 OOK BTU/hr:
2
$38.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigatiop;
$O;DO• ° s
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
PlanCtlq(%o°
$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
YCG24B21 S Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 O 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:
$73.06
Fee Due at Permit Issuance:
$73.00
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.
IWNER-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)
lection 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
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stats License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
n 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm .
',ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commegInlng wdh S ' n 7000) of Division 3 oft Business and Professions C'''od//de, and my license is in full force
nd effect. 7
icense Class License No Da .����'/ Con for Signature / wJ
YORKERS' COMPENSATION DECLARATION
ARMING: FAILURE 10AECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL INES TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENUAT10N .011MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
YI have and Witi'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 th1
r rnfgpce of the yvork for which this permit is issued. Policy No.
nd 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' compensatior
Lance cajridardpolicy number are: ') I I V 1,
arrie�* I� f`2��,y Policy Number Ute) K,N 13 � 8 `f I — I Expiration Date
ame olAgent ..... • Phone # / 7/1�
j Geryty that, in tlfe perf rma' of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub'bcI to the workers' compensation laws of California, and agrer
�et,+if I sfiouldKund&
ubjecttA the workers�',c/o/mpensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those ovisions.
ignailae.ofA
EGLdLL&TlOIONSTRUCTION LENDING AGENCY
hereby affirmalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
=-nder's Name Lender's Address
y 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 all applic city and county ordinances and state laws relating to building construction.
I authorize representatives Is 'it) or county to ter the ab e -identified property for inspection purposes.
ignature of Property Owner o- uthoriz d Agent �7� L Print PropertyOwner's or A 'zed ant's Name a'S° Date -3 a/
ACTION DATE BY
DECLARATION OF COMPLIANCE M OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF.ITLE40AND
AOMDRULE 1463.
PERMWEXPIRED
I SUBMITTEDASBESTOS NOTIFICATIONTO.'
❑ EPA
❑ AOMD
PERMfTCANCELLED
PERMITEXTENDED
13 ASBESTOS M017RCAITOMIS NOT APPLICABLE TO
PROPOSEDDEMOUTION.
PERMITFINAL
'CERTIRCATEOF
SIGNATURE:
OCCUPANCYISSUED