HomeMy WebLinkAboutH2019-0665 - PermitsCity of Newport Beach - Building Division
MECHANICAL Permit: H201 9-066d
Ventilation
' E 100 Civic Center Drive; Newport Beach, CA 92660
H 2 0 1 9 0 6 6 5
Project No : 0724-2019
1 h Permit Counter Phone (949)644-3288
Other
Up to 100KBTU/hr:
q"+cxunc
$0.00
Inspection Requests Phone (949)644-3255
I
I
Job Address: 2826 CATALPA ST Bldg:1 Floor. Suite:
0
$0.00
Fire Dampers:
Description of Work: MECH/CHANGE OUT (E) A/C UNIT 39.5dB (LENNOX; XC16-060)
$0.00
z
Over 100K BTU/hr:
Inspector Area:8 Code Edit : 2016
$0.00
> 3 HP to 15 HP:
0 $0.00
Legal Description: N TR 5018 LOT 71
0
co
Gas Line:
0 $0.00
$0.00
Owner: PARK ANDREW/JENNIFER Contractor:
Address: 2826 CATALPA ST Address:
BEACH CITIES CONSTRUCTION
1964 VISTA CANDALL
Worker's Comp Insurance pu
Carrier: STATE FUND 1 r t
0
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92660
Policy No: 9027984
Attic Fan:
Phone Phone:
714-396.0896
Expire :10/0112020
0 $0.00 -
Con State Lic;
580586
Issued Date:10/25/2019 Lic Expire:
11/30/2021
Units
>30 HP to 50 HP
Bus Lic:
Processed By: (� Lic Exp Date:
BT30056744
10/31/2019
0
$0.00
Record Mgt Fee:
$0.00
i
HVAC Items -
FEES
Up to 10oK BTU/hr:
0
: $0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m.to 6:30 pom.and SatuidaybfF(,m &VIA0.Frh to 6:00 p.m.
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FurnacesBoilers & Compressors
Ventilation
Other
Up to 100KBTU/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:
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:
a
: $0.00
Plan Check:
$17.40
Up to 1 M BTU/hr:
0
-' $0.00
up to 10K CFM: -
0 $0.00
Repair/Alter/Add:
0
$0.00
Model:
Issuance:
$35.00
Up to 1.75M BTU/hr.
0
- $0.00
Over 10K CFM:
0 $0.00 -
Supplemental Fee:
=-
$0.00
Manufacturer:
Over 1.75M BTU/hr.
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$113.90
Plan Check Fee:
$0.00
Fee Due at
Permit Issuance :
$113.90
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m.to 6:30 pom.and SatuidaybfF(,m &VIA0.Frh to 6:00 p.m.
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dNER-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)
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 requires 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
Irovements 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 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
)ly 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.[ 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 legal[)
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
fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
veby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof Ion nd my license is in full force
I effect.
-rise Class License No ���+b�� Date�� Contractor Signatu
)RKERS' COMPENSATION DECLARATION
MING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
veby affirm under penalty of perjury one of the following declarations:
I have 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 th
�rmance of the work for which this permit is issued. Policy No.
have and wit � intain 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' compensatiol
rrance carrier rlolicy number
rier - r Expiration Date
kkl�::ZA-s
ne of Agentu Phone #
certify that, in the performance of for w ' 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 agre
if I should become sub' ct t r rs' nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p ovi ions.
nature of Applican Date /AP
3LARATION REGAR CO STRU NDING 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).
der's Name Lender's Address
,ny signature below, I certify to each of the following: -
I am the property owner or authorized to act on the property wner's behalf.
I have read this application and the information I have pr is c
I agree to comply with all applicable city and county i s a laws relating to building construction.
I authorize representatives of this city or count e a v tified property for inspection purposes_ j�/
nature of Property Owner or Authorized Ag dt�_ Print Property Owner's or Authorized Agent's Nary i
ACTION DATE BY
DECLARATION OF COMPLIANCE WiTNCODEOF
FOR OFFICE USE ONLY
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