HomeMy WebLinkAboutH2020-0281 - Permitswrt City of Newport Beach - Building Division H2O20-0281 MECHANICAL Permit: H2O20-0281
o't 100 Civic Center Drive, Newport Beach, CA 92660 Project No
H '� Permit Counter Phone(949)644-3288
9u - i4
c;w` Inspection Requests Phone (949)644-3255
Job Address: 314 L ST BIdg:1 Floor: Suite:
Description of Work: MECH INSTALL (2) A/C UNITS @ THE REAR AND FRONT YARDS, 'TIMER REQ ON UNIT #2" TAMPER RESISTANT CAP REQ ON BOTH UNITS
Inspector Area:1 Code Edit: 2019
Legal Description: TR 518 LOT 15 BILK M AND LOTS 16 TO 18 INC BILK M
Owner: SOMERS LAWRENCE
Contractor:
Address: 314 L ST
Address:
NEWPORT BEACH, CA 92661
Phone:
Phone:
Con State Lic:
Issued Date:06/01/2020
Lic Expire:
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Bus Lic:
,
Processed By: o�
Lic Exp Date:
DEPENDABLE GRAHAM AC
2952 CENTURY PLACE
COSTA MESA CA 92626
714-546-1653 �®
472690
04/30/2022
BT01013104
12/31/2020
INSPECT
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Worker's Comp Insurance -
Carrier: FALLS LAKE FIRE AND CASUALTY a aem
Policy No:FLA000131 °° e• m
® Expire :07/01/2020
CONS
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RUCTION mm c
,KTTOFIELD+SP3T�CTOII®�eO
ItEV1 EW AND APPROVAL A ee °em°m� m
ae m m m n
0 0 0 0
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ON SATURDAYS ocnmc.
0000 0
0 o co0c
PERMITS EXPIRE 980 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.
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $20.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
1 $36.00
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:
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:
$48.72
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
#1 4TTL6042AI
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TRANE
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$181.22
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$181.22
PERMITS EXPIRE 980 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.
)WNER-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 structure, prior to its issuance, also requires the applicant for
is 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
'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 for a permit subjects the applicant to a civil penalty of
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 (_) 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 r
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).
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
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).
I am exempt from.1cen sure under the Contractors' State License Law for the following reason:
ly my signature beko I.E!pknowledge 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
So a sVYreure that J iba`le 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
'rdfessiont Code-is•aveifable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
liQguro of Property gwner or Authorized Agent Date
.ICED CONTRACTOR'S DECLARATION
hereby Affirm under-enalt of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000 of Division 3 of the Busl ss and P ssions Code, a y lice Is in full force
no eff;rJ.
icgpg%�lass License No 20 Contractor gnatur ', Lt_�
VQ$}(.RS' COMy ifhhiATION DECLARATION
IA;IJlary:FAILURE TO 4CURE 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
CST OF COMPENSATION, Dsy`AGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby atfirm uAv p'):nllty of perjury one of the following declarations:
T....•
I•Fy%vg•and wl�l•(12iAt�in 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 IN
lUformance of the w=or which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number _
Date
lame of Agent Phone #
]I certify that, in the performance 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' compensation laws of California, and agree
iat, if I should become subje to the orkers�pen ion provigigns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of/It e —vokant
iECLARATEGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ection 3097, Civil Code).
Ender'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 applicable city and county ordinances and stale laws relating to building construction.
I authorize representatives of this city or county�o enter tWaboveffientified property for inspection purposes. - n _ . , Z T
ACTION LATE BY
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SIGNATURE:
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