HomeMy WebLinkAboutH2020-0553 - Permits (2)>�w City of Newport Beach - Building Division Illlullllllll�llllllllllllllllllullllllll�llll MECHANICAL Permit: H2O20-0553
tx 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 5 3 MMH NO
Permit Counter Phone (949)644-3288Project
"urout Inspection Requests Phone (949)644-3255
1
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Job Address: 20282 SPRUCE AVE BIdg:1 Floor:
Suite:
C
Description of Work: MECH (2) A/C UNITS CHANGE OUTS & (2) FURNACE C/O'S *TAMPER PROOF CAP REQ*
TIMER REQ & LETTER
O m
*REVISED
10/28/20*
to 100K BTU/hr:
2
Inspector Area:3 Code Edit: 2019
Up to 3HP:
2 $42.00
Bathroom Fan:
0 m
-71 m
Legal Description: N TR 1506 LOT 23
Fire Dampers:
0
$0.00
W ID
$0.600
sr 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
Owner: STEVENSON HUGH
Contractor:
MC MASTER AIR & HEAT
Worker's Comp Insurance -
Gas Line:
Address: 20282 SPRUCE AVE
Address:
2 MCLAREN #C
Carrier: SENTINEL INS CO LTD
r
NEWPORT BEACH, CA 92660
$0.00
IRVINE CA 92618
Policy No: 72WECZU8138
° °CL°
Phone:
Phone:
949-481-7995
Expire :02/02/2021
Q°
Con State Lic:
726607
Units
>30 HP to 50 HP
IssuedDate:09/29/2020
Lic Expire:
12/31/2021
$0.00
Record Mgt Fee:
ic:
BT32
to 100K BTU/hr:
Processed By: In
LicsELxp Date:
01/3112021
0 $0.00
Residential Hood:
0
$0.00
Additional Fee:
$0.00
Investigation:
$0.00
:r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0
$0.00
macesBoilers & Compressors
Ventilation
to 100K BTU/hr:
2
$42.00
Up to 3HP:
2 $42.00
Bathroom Fan:
0
$0.00
Fire Dampers:
0
$0.00
Other ° ° ° ° °
$0.600
sr 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
II/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0
$0,00
Metal Fireplace:
0
$0.00
3t Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0
$0.00
Record Mgt Fee:
$0.00
to 100K BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0
$0.00
Additional Fee:
$0.00
Investigation:
$0.00
:r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0
$0.00
Plan Check:
$73.08
to 1M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0
$0.00
Model:
24ACB7I24APB6
Issuance:
$37.00
to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
:r 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL: $240.33 Plan Check Fee : $240.33 Fee Due at Permit Issuance: $0.00
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.
fNER-BUILDER DECLARATION
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)
ction 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
fessionsCode) 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
)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).
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
I 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
dessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
nature of Proppettty Qwner or Authorized Agent
TENSED EOIS4TAACTOR'S DECLARATION
arebli affirm : sdar.0rlalty 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
eff2ct:••�.-
License No
Date
Contractor Signature
)KKERS' CQNIP,yyy��'NSATION DECLARATION ONE HUNDRED THOUSAND DOLLARS (E100,00a), IN ADDITION TO T
INING: FAILURE j'' AE RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
Ift"COMPENS N, AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
J%1V affirmF pQnalty of perjury one of the following declarations: -
t .•
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, or
fpwance of the work for which this permit is issued. Policy No.
Ohav@ and wwQlLrYp%iniain 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' compensa
trance carrier @g4 ijolicy number are:
• , Expiration Date
der• • Policy Number
is of Agent
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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
nature of Applicant
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Heby 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
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 Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION I DATE I BY
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
61 OF TITL€40 AND
AQMO RULE 1403.
❑ I SUBMITT€DASB€STOS NOTIFICATION TO:
EPA
❑ AQMD
❑ ASBESTOS NORRCAIIOIVIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
Civil Code).
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