HomeMy WebLinkAboutH2020-0435 - Permits-1 W City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII
'0 d 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 4 3 5
Permit Counter Phone (949)644-3288
I�IPIIs�
Job Address: 20262 ORCHID ST BIdg:1 Floor: Suite:
Description of Work: MECH - R/R A/C CONDENSER. TAMPER-RESISTANT CAP & TIMER REQUIRED.
Inspector Area:3 Code Edit:
2019
Legal Description: N TR 1500 LOT 31
FEES
Owner: CASABONNE TIMOTHY
Contractor:
OWNER/BLDR
Address: 20262 ORCHID ST
Address:
CHEN MIKE
NEWPORT BEACH, CA 92660
Ventilation
Phone: 714-943-2269
Phone:
949-322-4472
Con State Lie:
O/B
Issued Date:08/06/2020
Lie Expire:
$0.00
Up to 3HP:
Bus Lie:
Bathroom Fan:
Processed By:
Lie Exp Date:
0 $0.00
MECHANICAL Permit: H2O20-0435
Project No : 0197-2019
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier :
Policy No:
Expire :
INSPECTOR
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to IOOK 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:
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
Hoat�Pumps 14,Paoc4ge
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
Up4Q®100K BTU/iii:°
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee:
$0.00
Investigation:
$0.00
Over 5POK BTU/Vi,:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$17.40
0paoC1 v1 BTU/14r:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
24ABC636AO03
Issuance:
$35.00
Up.to,1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
Quecd`75M Br, /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
0
c < 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 penalty of perjury that I am exempt from the Contractors State License Law far the reason(@) Indicated below by the checkmarKs) t twe placed next tc the applicable kern(s)
CUM 7034.5. Business and Professions Code: Arty city or county that requires a permit to construct, after, Improve, demolish, or repair art/ structure, prior to ills issuance, sfs,> requires the apptcardfor
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencingg with Section 7000) of FT:Asion 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 .:ppfieant to civil penalty of
mora than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sale compensation, will do { j all of or U portions of the worts, and the structure is not intended or offered f r sale (Section 70K
ones& and Professions Cade: The Contractors' State License Late does not apply to an owner of property who, through emplayess or personal effort, builds or improves the i'roperty, provided that the
rovements ere ' tended or offered for sale. If, however, the building or improvement is add within one year of completion, the Owner -Builder will have the bunion of prov, Ig that it was riot built or
roveI a of sale).
I, es property, am exclusively contracting with licensed Contractors to construct the prejact (Section 7044, Business and Professions Code: The Contractors' State License law does not
to anr DIM
f property who builds or improves thereon, snit who wntrects toe the projects with a licensed Contractor pursuant to Ora Contractors State Liceme Lew).
am x� empt from Ycensure tinder the
ConMaetors' State Liceroe Law loth@ tokaNing reason:
Y
sgnaturehebw i acknawfedge that,pty this psrmi4, t cannot leaakstructat I have builts anownerfdst of the Business and
siahs avar}ablepn requestwfiaure of Property Owner or AuDTodTad Agent
TENSED CONTRACTOR'S DECLARATI
reby affirm older penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business amt Professions Code, acrd my license is In full force
I affect. License Class _ License No Date ContractorSignature
IRKERS' COMPENSATION DECLARATION
FINES UP TO ONE HUNDRED THOUSAND DOLL4 )SteTem,eeet, INADDRION TO
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 370:0 of the tabor Code, for
ormance of the work for which this permit is issued. Policy No.
have 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 comPensa
rance carrier and policy number are:
pier. _.. ____..-, Policy Number _ Expiration Date
$aft tfhal, 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. taws of California, and agre
If I should become subject to the workers com"pernsellonn provisions of Section 3700 of the Labor Code, 1 shell forthwith comply with these provisions.
nature of Applican .�171/f_ J Dat.
CLARATION REGARDING C NOST CTI LE G AGENCY
eeby affirm under penalty of perjury that them is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). • • • •
Ider's Name Lenders Address - ...... - •
my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is coned.
I agree to comply with all applicable city and county ordinances and state laws retailing to building construction. \,
I authorize representatives of hofs city or county tg enter the aboyr.*ntifled property for inspection purposes. X , _ , �, y y j p,/% v.�, ,, r
ACTION DATE BY DECLARATION OPCOMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND A0AD RULE
••u c„
PfRMfT CANCELLEDUPA• • • • • • „
PERMIT EXTENDED qMD
PER,ONT
1 [ %f, • • • •
NOTIFtCAmoNiSNOTAPPUCA9LE TO
CERTIFtCATE ASBESTOS
RTE OF PROPOSED DEMOLITION ....