HomeMy WebLinkAboutH2019-0122 - PermitsCity of Newport Beach - Building Division H2O19-0122
q 1000 Civic Center Drive, Newport Beach, CA 92660
n:. Permit Counter Phone (949)644-3288
Job Address: 39 OVERLOOK DR BIdg:1 Floor: Suite:
Description of Work: MECH/ ADD NEW AIC TO (2) EXISTING UNITS "TAMPER RESISTANT CAP REQ"
Inspector Area:6 Code Edit: 2016
Legal Description: N TR 15400 LOT 51
Owner: YANG SHAD PING
Address: 39 OVERLOOK DR
NE T AST, CA 92657
Phone:
Issued
Processed
Contractor: WYSS GROUP
Address:
14795 JEFFREY RD #204
IRVINE CA 92618
Phone:
949-325-5515
Con State Lica
1015500
Lic Expire:
06/30/2020
Bus Lic:
BT30059571
Lic Exp Date:
06/30/2019
MECHANICAL Permit: H2O19-0122
Project No : 1638-2017
Inspection Requests Phone (949)644-3255
nr
7�
Worker's Comp Insurance -
Carrier: STATE COMP
Policy No: 9209391
Expire :04/27/2019 •'"' • „
s a ooa.oc
•• 04
•
STJBJECT TO FTF,OTISPF.CT6P�,S
REVIEW AND r'TT'ROVAt,.'
HVACltem
FEES
-
......s
FurnacesBoilers &Compressors
Ventilation
G•a•.E
Up to 1 )OK BTU hr:
Over 100K BTU/hr:
0
0
$0.00
$0.00
Up to 3HP:
1
$19.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
Other +•«..•
o
$0.06 ....
Wall/Floor Heaters:
0
$0.00
> 3 HP to 15 HP:
>15 HP to 30 HP:
0
0
$0.00
$0.00
Exhaust Fan:
Attic Fan:
0 $0.00
Gas Line:
0 $0.00
•• •
•
• •'
$o.'@...
Heat Pumps &Package
Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
0 $0.00
Metal Fireplace:
Record Mgt Fee:
0 $0.00
$0.00
Up to 10oK BTU'hr:
Over 0K BTU/hr:
50
0
0
$0.00
$0.00
>50 HP:
Air Handling Units
0
$0.00
Residential Hood:
Comm.
0 $0.00
Additional Fee:
$0.00
Investigation:
$0.00
Up to 1 M BTU/hr:
'1.75M
0
$0.00
up to 10K CFM:
0
$0.00
Hood:
Repair/Alter/Add:
0 $0.00
0 $0.00
Model:
Plan Check:
$16.53
Up to BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$10.00
Manufacturer:
EL16XCl-0041ssuance:
$0.00
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
LENNOX
Zoning PC:
$40.00
TOTAL: $85.53
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$85.53
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.
)WNER-BUILDER DECLARATIvn
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicablentem(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 the
ractors' State
cense Law
o ess Ins file a Code)sorr that statement that he or she is
she is exempt from licensure dpursuant to the and the basis for he isions allegedfexempt exemption. Any violation iof Section 7031.5 tby any applicer 9 ant ong rva permith it subjeion cts thI ofe applicant toivision 3 of ta cihe vil penalty osiness f
iot 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,
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
m roved for the purpose of sale).
i� rs to construct the project (Section Contractor
Business and Professions Code: The Contractors' State License Law does not
I, as owner of the property, am exclusively contracting with licensed Contracto
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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
ledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improve
By my signature below 1 acknowments covered by this permit, I cannot legal)
sell a structure that I have built lean ownerbuilder 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:http://www.leginfo.ca.gov/calaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED C(2N4f%CTOR'S DECLARATION
I hereby und®I.penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co ansa is in u arca
"effort. . � (o1s5o(� D 3 ( Contractor Signature
License Class " ' License No
Nfb1RKF..RS' COMPENSATION DECLARATION
C108TIA& FAILURE TP�ICWURE WORKERS' AS PROVIDED COMPENSATION
SECTION COVEAGE IS THE LABOAND R CODE, LL SUBJECT AN EMPLOYER ATTORNEY'S FEES.
IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,0001. IN ADDITION TO THE
OP
I6reby affirm unt er p%nalty of perjury one of the following declarations:
' f fi%e. and Ov riln'aotain 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 th
(Mance of the work for which this permit is issued. Policy No.
....
ava and wilLmaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit
fis issued.My workers' compensatioi
s anc� carrief��fl8 �ilicy number um, ber ere: /w �01) Expiration Date 12- � t t
d • r,o� `_ �L/4e a Policy Number "l
ne of Agent - ....
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 agree
if I should
become subject to the pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of ApplicarTl�.J /
CLARATION REG RDIN O CTION LENDING AGENCY
:eby affirm under penalty of perjury that there is a construction lending agency forthe peerer's Address
of the work for which this permit is issued (Section 3097, Civil Cod
ider's Name
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 coun� to enter the rty for inspection purposes. /y(r�'�l f fT 51 Ll /bM� jl`-1
nr Anfhnrivadn
Aent's Name/ ^ lr "`
ACTION I DATE I ( BY
PERMIT
OCCOPANCYISSOED
OFTIILE40AND
❑ I SUBMITTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS MOIIFICA170NIS NOT APPUCA13LE TO
PROPOSED DEMOLITION.
SIGNATURE:
OFFICE