HomeMy WebLinkAboutH2019-0582 - Permits,. City of Newport Beach - Building Division III III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
o' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 8 2
Permit Counter Phone (949)644-3288
MECHANICAL Permit: H2O19-0582
Project No: 1067-2018
Inspection Requests Phone (949)644-3255
HVAC Items
FEES
NO CONSTRUCTION ION NOISE
Job Address: 420 HELIOTROPE AVE
BIdg:1 Floor: Suite:
Description of Work: MECH NEW A/C UNIT ON PATIO & FURNACE C/O *TAMPER PROOF CAP REQ*
Other
Up to 100K BTU/hr:
InspectorArea:5 Code Edit: 2016
$20.00
Up to 3HP:
1 $20.00
Bathroom Fan:
Legal Description: CORONA DEL MAR BILK 435 LOT
ON THE WEEKEND
m:ma
`nmmm*
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
Owner: SABING LEE
Contractor:
EMERALD AIRE
Worker's Comp Insurance -
$0.00
Wall/Floor Heaters:
Address: 819 N RICHMAN AVE
Address:
19881 BROOKHURST ST C140
Carrier: OHIO SECURITY INS CO
Attic Fan:
0 $0.00
FULLERTON CA 92632
0 $0.00
HUNTINGTON BEACH CA 92646
Policy No: xws59970690
Heat Pumps & Package
°
Phone:
Phone`.
714-914-9304
Expire :06/15/2020
`<
$0.00
Con State Lie:
613134
0
<
>50 HP:
IssuedDate:09/25/2019
Lie Expire:
07/31/2021
Additional Fee :
$0.00
Investigation:
$0.00
Bus Lip:
B
$0.00
Air Handling Units
Processed By:
Exp Date:
128/20087
02128/2020
INSPECT®
$34.80
Up to 1M BTU/hr:
$0.00
-Lie
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
NH4A430AKAIssuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
O°C6
p O
Supplemental Fee:
$0.00
Manufacturer:
m
c
°c
°
occooc
c
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
1
$20.00
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:
0 $0.00
Plan Check:
$34.80
Up to 1M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
NH4A430AKAIssuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TEMPSTAR
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$151.30
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$151.30
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.
INER-BUILDER DECLARATION 4
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)
,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
,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 y..6ivil penalty of
more than five hundred dollars ($500).
1, 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,
;mass 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
moved 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
fly 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 exgwfifrom licensure under the Contractors' State License Law for the following reason:
my sigltal4rp elow 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
�a structure thal 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
,fessiong t1fle!is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature ofWperty Owner or Authorized Agent Date
JENSED CONTRACTOR'S DECLARATION
!reby affirm upOtr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w' h Section 7000) of Division 3 of the Business Aandofessions Code, and my license is in full force
f gffect. ' • • • q
ansa Class. • • a _ License No Dat I —� J — I Contractor Signature
)IjKER9 dGISIPENSATION DECLARATION
THING: FAILUR&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
l JQF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
mefjy affirm an(f6rImnalty of perjury one of the following declarations:
4 Omve and iNill 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
fpimance ON YI(pvo•rk 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' compensatior
Nance carrier and policy number are:
Tier Policy Number Expiration Date
Tie of Agent - Phone #
certify that, in the pert ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to th orkers' compensation laws of California, and agref
t, if I should become s/dbject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio C�
nature of Applicant_ _-__-, -, - Date s
I hereby affirm under p natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issuedAection 3097, Civil Code).
Lender's Name Lender's Address
By 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 countyordinances and state laws relating to building construction. M `-`R.=1'�•al��
I authorize representatives of this city or county to nter the above -identified pro inspection purposes. ln'm
e:......—,.f o.,..,.. n,.,,,e —Aah.,��.d n�enr Print r Owner's or Authorized ADent's Name Vf'�'
ACT70N I DATE X BY 11 FEDERA REGULATIONSPARTGIOETf7LE4OAND
I SUSMfTTEDASBESTOS NOTIFICATION TO:
EPA
❑ AQMD
ASBESTOS NORRCABONIS NOT APPLICABLE TO
PERMITFINAL I PROPOSED
CER7IF7C4T€OF
OCCUPANCY7S3U€0 SIGNATURE:.