HomeMy WebLinkAboutH2020-0057 - PermitsCity of Newport Beach - Building Division H2O20-0057 MECHANICAL Permit: H2O20-0057
'. 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2593-2018
E, Permit Counter Phone (949)644-3288
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`��yoe�a* Inspection Requests Phone (949)644-3255
Job Address: 17 CAMBRIA DR BIdg:1 Floor: Suite:
Description of Work: MECH (3) NEW A/C UNITS ON GROUND*TAMPER PROOF CAP REQ*
Inspector Area:6 Code Edit: 2016
Legal Description: N TR 7844 LOT 99
Owner: ENGLER GREGORY& MONICA Contractor: COMFORT HEATING & A/C Worker's Comp Insurance -
Address: 2275 BLACKHEATH TRCE Address: 21962 COSALA Carrier: WIC EXEMPT
ALPHATETTA GA 30005 MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES)
Phone: Phone: 714-335-7055 Expire
Con State Lic: 632774
Issued Date:01/24/2020 Lic Expire: 12/31/2021 ....
Bus Lic: BT30005700
Processed By: Lic Exp Date: 08/31/2021 °
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HVAC Items FEES
FurnacesBoilers &Compressors Ventilation Other
Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 3 $60.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ° $0.0000 P O '
Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: $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
Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt F $0.0
Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional F $0.00 Investigati $0.00
Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $52.20
Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AULD36W2/Alssuance: $35.00
Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufactur AC PRO
Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zonin $41.50
TOTAL: $188.70
Plan Check Fee : $188.70 Fee Due at Permit
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 penally 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 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
ifessions 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,
;iness 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
Movements 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 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 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
ifessions Code•15 available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.govtcalaw.htmi.
nature of Prop rtv (owner or Authorized Agent Dale
IENBED CONTRACTOR'S DECLARATION
ne6y affirm Mnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
• moi. _. Y•
License No
Date
Contractor Signature
ERS' QOMPXNSATION DECLARATION
FAILURE Td SECURE 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
COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.affirm uRr%s penalty of perjury one of the following declarations:
to and wilt 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
once of tlge werk for which this permit is issued. Policy No.
I . • •
P and wilt 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
carriP.r:�VdyDlicy number are:
• Policy Number Expiration Dale
is of Agent rnone s
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
if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,.
of
Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby 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 all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY
DECLARATION OF COMPLIANCE WTTN CODE OF
FOR
FEDERAL REGULA TIONS PART 61 OFTTIL€40 AND
AQMD ROLE 4403.
PERMIT EXPIRED
❑ I SUBMITEDASBESTO5 NO17F/CATION TO:.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMfTEXTENDED
❑ ASBESTOS NORFICATION15NOT APPLICABLE TO
PROPOSEDDEMOUTION.
SIGNATURE:
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED