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HomeMy WebLinkAboutH2020-0262 - Permits (2)City of Newport Beach - Building Division H2O20-0262 MECHANICAL Permit: H2O20-0262 u$. 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2402-2019 F Permit Counter Phone (949)644-3288 X O 62 - Inspection Requests Phone (949)644-3255 �'7� LO GW�t �y vJ Job Address: 4423 COAST HWY W BIdg:1 Floor: Suite: Description of Work: MECH INSTALL NEW AIC UNIT AT THE PATIO "TIMER, NOISE AGREEMENT AND TAMPER RESISTANT CAP REf CONTRACTOR AUTH ATT Inspector Area:7 Code Edit: 2019 TIMER REQUIRED ON EQUIPMENT Legal Description: TR 7530 LOT 1 UNIT 11 OF PROJECT LOCATED ON AP 423-031-01 TOGETHER Owner: HAYS GEORGE Contractor: Address: 6227 E SUNNYSIDE DR Address: SCOTTSDALE, AZ 85254 Phone: Phone: Con State Lic: Issued Date:05/21/2020 Lic Expire: Bus Lic: Processed B) fhrw�� oe Lic Exp Date: TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. STEWARD JAMES R Worker's Comp Insurance - 6752 LAURELTON AVE Carrier: WIC EXEMPT GARDEN GROVE CA 92845 Policy No: 714-943-3230. Expire : 1004538 SIMM -CT TO FMLD INSPECTOIL S 06/30/2021 KEVIEW ANDAPPROrAL BT30055371 NO CONSTRUCTION WORK 06/30/2020 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 6:00 a.m. to 6:00 p.m. ° ° HVAC Items FEES ONN°° •• ° FurnacesBoilers&Compressors Ventilation Other °•° 0000°0 ° Up to 100K BTU/hr: 1 $20.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 ° ° ° ` Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $36.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.000000 C Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 0° ° ° • ° Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to100KBTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $31.32 Investigatigri:•60.$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: 0 $0.00 Model: 126CNA-48Alssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $163.82 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $163.82 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 6:00 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 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 the 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 Divisihm 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 PAAslty 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 (_) 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:http://www.leginfo.ca.gov/calaw.html. 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) of Division 3 of the Buness and Professions Code, and my license is in full force and effect. ',,,/(r/� icense Class - License No Die s'2'� �OContracto nature A° --Al. INORKERS' CQMP,ENSATION DECLARATION 0 rARNING: FAILUR%TP.SfhJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO I Qfj(t COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereb§ affirmanhr pffnalty of perjury one of the following declarations: .. i I tove and wjll 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 rf'oPmance of pe work for which this permit is issued. Policy No. e and will in*tain 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' compensal � u fiance carrier andlJolicy number are: .grrier ""'; Policy Number Expiration Date Agent certify thet,•in�tMaperformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agree t. ij I should-t,,,pe�����ec��-��-o���aiiee subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ns.� t ^ T Mature of Ap////� Date'� Ad o'l/ CLARATICM ARD�II G7 06NSTRUCTION LENDING AGENCY areby affirm unde penalty 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). Ider's Name Lender's Address 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 thiWity_or county to enter the63sve-identified property for inspection purposes. %kL nature of Property Owner or Authoyd AI ACTION DATE PERMITEXRRED PERMIT CANCELLED PERMITEXTENDED PERMIT RNA $ iy CERTIRCATEOF OCCUPANCYfSSUED BY 1 SUDMITTEDASDESTOS M017FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NDTIRCAIIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SfGNATURE: