HomeMy WebLinkAboutH2021-0308 - Permits0
City of Newport Beach - Building Division III 11111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 0 8
Permit Counter Phone (949)644-3288
TIMER REQUIRED ON EQUIPMENT
TQ SHUT QEF BETWEEN 10 P.M. ANO 7
MECHANICAL Permit: H2O21-0308
Project No:
Inspection Requests Phone (949)644-3255
Job Address: 2203 VISTA HUERTA BIdg:1 Floor: Suite:
Description of Work: MECH/CHANGE OUT (E) F.A.0 & INSTALL NEW A/C UNIT 53dB* (GGODMAN; GSX14-0371 K) `TIMER REQUIRED ON EQUIPMENT TO SHUT OFF®
BETWEEN 10PM & 7AM W/ SOME DUCT WORK
Bus Lic: BT30071166
Processed By: Lic Exp Date: 02/28/2022
HVAC Items
"t
Inspector AreaA Code Edit:
2019
'
Legal Description: TR 5798 (L.L.84-245722)
PAR 41
FurnacesBoilers & Compressors
Ventilation
ppyyl�dtt
1i
Owner: JUNYING/NIES
Contractor:
CAL HVAC SERVICES
Worker's Comp Insurance -
$21.00
Address: 88 FINCH
Address:
8 PANDORA
Carrier: SECURITY NATIONAL
0 $0.00
LAKE FOREST CA 92630
0 $0.00
IRVINE CA 92604
Policy No: SWC1312343
0
Phone:
Phone:
949-338-8698
Expire :10/01/2021
$0.00
Exhaust Fan:
Con State Lic:
1032743
0 $0.00
Issued Date:05/13/2021
Lic Expire:
09/30/2022
$0.00
._
Bus Lic: BT30071166
Processed By: Lic Exp Date: 02/28/2022
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other -
Up to 100K BTU/hr:
1
$21.00
Up to 3HP:
1
$21.00
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/hr:
0
$0.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee :
$16.;27
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1M BTU/hr:
0
$0.00
up to 1 O CFM:
0
$0.00
Repair/Alter/Add:
1 $21.00
Model:
Issuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$46.25
TOTAL:
$164.52
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$164.52
PEkMI a9 EXPIRE;;'480 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hoerr,,: Monday-,,Fridar7:00:4an.tq•6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
E D
Di• Ditl •® p p Dy b �
OOp LV
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 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
:he 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
professions 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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).
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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, 1 cannot legally
cell 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
Drofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent 'Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession ode, and my license is in full force
and effect.
-icense Class 07-0 License No � � � 2 L.j..�� Date c> 2- Contractor Signatur
NORKERS' COMPENSATION DECLARATION
YARNING: 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
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 the
Ierformance of the work for which this permit is issued. Policy No.
have and will faiin4in 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'
rance carrier apolity number agr-/ �
nor ., EV - 1 prrfiav`w 1ZV1 Exoiration Date
is of Agent -i
certify that, in the performance
if I should become sspbject to 1
Iatureof Applicant[
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 agree
rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date Y -Z %
If: InNd Nr11Nr: ArFrJ[:v
;reby affirm under'penalty of pefju here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name CC Lender's Address
my signature below, I cert' to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
Ihave read this application nd the information I have provided is correct. ,571-f iq '� } 141
I agree to comply with all ap Icable city and cou qty ordinances and state laws relating to building construction. i,('
I authorize representatives, f is city or count`',y,T�t' enter the above -identified property for inspection purposes. _
nature of Property Owner or A
IS
ed Agent!\ Print Property Owner's or Authorized Agent's Nam ,< 33ZZ L_4:ate
ACTION DATE BY
DECLARATIONOFCOMPLIANCE MTHCODEOF
FOR OFFICE USE ONLY
FED€RAL. REGULATIONSPART 61 OFTITLE40APO
AQMD RULE 1403. • •�•
PERMITEX'PIRED
•
❑ I SUBMITTED'/�SB S•TOS NEWPICARON TO: •
❑ EPA • • • ° . • • °
❑ AQMD :' • • ° :. • • • .
❑ ASBESTOS NOhFICA RON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
••• °•° •°i
PERMIT CANCELLED
PERMfT E#TENDED
PERMIT FINAL ¢ 7-
CERTIFICATEOF
i•• '
SIGNATURE: ••:
OCCUPANCY{SSUED
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