The URL can be used to link to this page

Home My WebLink AboutH2020-0240 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O20-0240 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 4 0 Project No: F, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 OR Job Address: 20291 SPRUCE AVE BIdg:1 Floor: Suite: Description of Work: MECH - C/O FAU & A/C CON DENSOR. TAMPER-RESISTANT CAP REQUIRED Inspector Area:8 Code Edit: 2019 Legal Description: N TR 1506 LOT 19 Owner: PETRY JON D Contractor: NEXGEN A/C INC Worker's Comp Insurance - Address: 20291 SPRUCE AVE Address: 700 N VALLEY ST STE K Carrier: OLD REPUBLIC GEN INS CO NEWPORT BEACH, CA 92660 ANAHIEM CA 92801 Policy No: AICWA0001401 Phone: Phone: 657-208-1987 Expire :01/29/2021 Bathroom Fan: Con State Lic: 1011173 0 $0.00 Issued Date:05/14/2020 Lic Expire: 02/28/2022 $0.00 > 3 HP to 15 HP: Bus Lic: BT30055503 0 $0.00 Processed By: Lic Exp Date: 06/30/2020 $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $20.00 Up tc 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 100K BTU/;t :-; 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $17.40 Investigation: $0.00 Over 506K BTU/Igrt ° � 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 U(1 to 1M BTU/hrr E '. 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: ASX16.0361Ft Issuance: $35.00 U� t(, J&5M BTU/hr:t c 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMANA Over 1.75M BTU/Kr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 cac �c C G TOTAL: $133.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $133.90 U U 9 U i O V tf L C V 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. OWNER-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 CodV: 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 the permit to file a signed statement that he ors a 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 Professions Code) or that he or she is exempt froN 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 not 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 im 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ,7000)pf Division 3 of the Business - e �demdqn��y_firgmsen full force and effect. TI License Class License No Date ! �"� Contractor Signa WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby 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 IN mance of the work for which this permit is issued. Policy No. ave 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' compensatio in nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work r 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 agre DECLARATION REG become[hat, if I should suDING ket o-the-v TION � rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' ions. Signature ofApplicant � _ Dat - /2� • • •OJO LENDING AGENCY •' ° ° ° ° • •• I hereby affirm under penally 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). • • • ° .. • • o ° Lender's Name Lender's Address By my signature below, I certify to each of the following: • • °,;,, o I am the property owner or authorized to act on the property owner's behalf. �: • o o ° ° I have read this application and the information I have rrect. ° "•' • ° ° I agree to comply with all applicable city and ordinances (ding construction... -- ; • • • • • •. ° o ° I authorize representatives of this city or u e ab - led pro e n purposes. ° • j G Signature of PropertyOwner or Authorized Ag Print Property Owner's or Authorized Agent's Na 4-•Date ..a. ° ACTION DATE BY DECLARATION OF COMPLIANCE tMTHCODEOF FOR OFFICE US 1 •� x•0000 FEDERAL REGUiAT(ONSPARTBTOFT/TLE40AND o PERMIT€XPIRED AGiMD RULE 1403. • �' � • • ❑ 1 SUBMITTED ASBESTOS N071FICATION TO: PERMITCANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS NORACAIiQN15 NDT APPLiCABd-E TO PROPOSED DEMOLITION. FEAMIT.FINA1 CERTlf1CATE QF SIGNATURE: QCCUPANCYISSUED