HomeMy WebLinkAboutH2021-0080 - PermitsCity of Newport Beach -Building Division
'IIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIINIII
MECHANICAL Permit: H2O21-0080
��Ywlk �
0 G� 100 Civic Center Drive, Newport Beach, CA 92660
H 2 0 2 1 0 0 8 0
Project No :1401-2020
[: Permit Counter Phone (949)644-3288
•
17,
`"I w 2-1 -
/ � /1
V UUp V
.r
Inspection Requests
Phone (949)644-3255
25 Z4
YIMERS PROHIBITED
FEES
Job Address: 2524 HOLLY LN BIdg:1 Floor: Suite:
Description of Work: MECH (2) NEW A/C UNITS *TAMPER RPOOF CAP REQ* ON HEAT
PUMPS
Y•••m.
Furnaces Boilers & Compressors
Ventilation
Inspector Area:3 Code Edit: 2019
Other,
Legal Description: N TR 1702 LOT 30
Up to 100K BTU/hr.
0
$0.00
'
2 $42.00
Bathroom Fan:
0 $0.00
Owner: HAMILTON VANESSA & JEFF Contractor:
D L S HEATING & A/C
Worker's Comp Insurance -
• Y
"fir "" Y
Address: 2524 HOLLY LN Address:
8542 LARTHORN DRIVE
Carrier: STATE FARM
i NEWPORT BEACH, CA 92663
HUNTINGTON BEACH CA 92646
Policy No: 92GUV4642
1 ��
Phone: Phone:
714-231-8002
Expire :01/06/2021
Wall/Floor Heaters:
Con State Lic: 584220
$0.00
• t ;
Issued Date: � Lic Expire:
01/31/2022
0 $0.00
�g '°°° •°C'
Bus Lic:
?
8798040420
g�-1
• °R•
• ° ° ° , <
Processed By: Lic Exp Date:
12/31/2021
0 $0.00
Down -Draft Fan:
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.
MER RUtRED ON EQUIPMENT
TO SHUT OFF BETVI' -r,- ; 0 P.,M, ANp 7 A.M.
•
f•
HVAC Items
FEES
Y•••m.
Furnaces Boilers & Compressors
Ventilation
Other,
Up to 100K BTU/hr.
0
$0.00
Up to 3HP:
2 $42.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over IOOK 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 1 OOK 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:
$36.54
Up to 1 M BTU/hr:
0
. $0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
N4A636/64GKB
Issuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over IOK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
DAY & NIGHT
Over 1.75M BTU/hr:.
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$161.79
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$161.79
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.
MER RUtRED ON EQUIPMENT
TO SHUT OFF BETVI' -r,- ; 0 P.,M, ANp 7 A.M.
JNER-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 it6m(s)
Dillon 7031.5, Business and Professions Code: Any city or countythat requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, alsorequires the applicant for
permit to file a signedstatement 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
dessions 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 cMI 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
>Iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, !wilds or Improves the property,, provided that the
Movements are not Mended 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
(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
)ly to an owner ofproperty 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:
my 8i§M%re below I acknowledge that, except formy personal residence In which 1 must have resided for at least one year prior to Completion of the improvements covered bythis permit, I cannot legal
a strautere that 1 have built as an owner -builder If R has not been constructed in Its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
�fesyons ocle, is available upon request when this application is submitted or at the following Web site:http:Uwww.leginfo.ca.gov/calaw.html. -
naft" of Property Owner or Authorized Agent Date
)ENSED CONTRACTOR'S DECLARATION
rreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing VYth SSS I?r 7900) of Division 3 of the Business acid oj9s ons Cyd,, a �d my Ii Be is f orce
end affALt.• •
.icenae.Glas6 - _License No Data `^F Contractor Signature
VORMSR& COMPENSATION DECLARATION
IARN140;;AIJ E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO CRIMINAL PENALTIES AND CML FINES UP To ON HON RED 71HOUSAND DOLLARS (Si 00,p00), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
31 May%%ni 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 th
e mnance of the work for which this permit is issued. Policy No.
I hM%b&3vil1 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' compensatlol
islonce c_�l rrfle,,r dd, po I y number are:
:ardor -�I U�Policy Number V H'U/ �r' — Expiration Dote ��--0--7---
lame ofAgent II���»t (il�� Phone# '!'I4th1 'tJ 1
71 certify that, In the perforin rice D the wo for whi h this er it s issued, I not employ any person in any manner so as to become subject to t e work rs' c mpensation laws of California, and agre
tat, if I should become ulo t t t worke o e p ' ion or S CO.io3700 of the Labor Code, I shall forthwith comply with those pro si a /l
rgnature of Applicant Date-�`
)ECLARATION REGAR G NB RUCTION L DING AGENCY
hereby affirm under pe 1 of perju that there i consWction lending agency for the performance ofthe work for which this permit is Issued (e n 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 pr ided is correct.
I agree to comply with all applicable city an cou ordi antes, nd at t laws sting t inkling construction,
I authorize representatives of this city or cru a ab i tie y spection purposes.
Signature of Property Owner or Authorized A Ent rint PropieOwners or Authorized Agent's Name nC.V - f>�R• Date• - "�-'h��
ACT70N DATE $y
DECLARA O DANCE CODEOF
FEDERAL REGULATIONS PART 61 OF 777LE40 AND
AQMDRULE 1403.
❑ LSUBMLTTEDASEESTOSNOi7FICAT10NTO:
❑ EPA
13 AQMD
❑ ASBESTOS NOPfaCARONISNOT APPLICABLE TO
PROPOSEDDEMOUTIOM
SIGNATURE:
FOR OFRCE USE ONCY
-
.
-
PERMlTExPiREO
PERWITCANCELLED
PERMlrEXTENDED
PERMIT,RNAL- "-
CER77FICATEOF .
OCCUPANCYlSSUED -
�O
N W G
W 1 �
WHO
ICBM
m i
dim
IQ
U) V)
a
IZ�
O
$.$
9
g
C
mw
3
W LLt9
QD
S
$
C
0
T
n.
W= W
wo
$
U
am
A
jEw5z
g
O
m
co
O
_
mJ
oW
Z y
0
W�
00
C
03�
C
$
�i
V W
R
gFa
4.__.
_W
�aX
(a
=c
�WQ
w
�
W W'
-T
=F �
0
o
Q m
t O
mYW1
l -=W
w
Z
Q
MUzi�o
.DSC
C m
h
O
Yi
C
u�
I
�
�W�
o w- WF
z
m E
D
wwwww.w'w
c7
asw
u� J
1w
tu- j
n
m
ch
www
Z'
i O� W
m
uW. Cd
S O 1-
E ,ai
n_7m
�wY`.
v�0
CZ,
0
OU
4
zw
>pz
tt
o
U
Z
4
IM
a
•p,�
`z
n2
Q
aZ d.5
-cc
J.
z.�wW.
c E
�
LL.aaZ!3
0
mo
z
MW
W>ow'
O
00
WI
Q.oaz0�E
O
- Iu W F.
0 u
Z In
uw
4 Ir
E Egg
m
CO
F to
WY=W
kQt �
Q�«
Wim
r -a
N
z rn
Ov
W
5>9a
".m
LU
o
Za fe
1 �4
4 G� m
cc
-00 1
ul
N:F ¢w'h`am
y5U
Z=0
woo
No2E�
a u.
o
goo
¢�
w.�W
C.E
Lu
0
W Z
=�F
Q oc7�,.
NF
Out
��O
ugh
.O
LL:F
Fc0
�)MK
OOOS
0
O,
MEOW
RmwC
�
la
1
Www
a or
z
�
z>y�>y
O W V
0
r^
W
=Zo
p
p=g
$
o
a
oio
Vi
O
$.$
9
g
C
mw
3
4
S
$
C
0
O
OV F 0.
n.
W= W
wo
$
U
am
A
o
g
O
m
co
O
_
mJ
oW
Z y
0
W�
O
$
$
�i
V W
R
gFa
4.__.
�WQ
�
W W'
-T
=F �
0
o
Q m
t O
mYW1
l -=W
w
G V
�
�W�
ww
D
wwwww.w'w
S
asw
www
W
www
i O� W
m
rW-
�wY`.
ou�1
0
7
4
zw
>pz
tt
o
U
Z
4
MW
O
00
WI
• 2 U W
w
o
re
o
7iJ
2'°
o
o�
ul
woo
'�'
°
a
ohm
3,
g
ugh
w
w
W
g
� mNa
e
H
z>y�>y
O W V
0
r^
W
=Zo
p
3
Rs
Z
o
N
0
2
o
R
�O Wg
�G,mW
;
----
l
R
m
w.
a
ZVWWg
o
o
e
w 'Z'Z�jj
>OWWm
E
'Z' ORi
aa
w
n
u
mow§
u�ullC<Z¢
=
(�
N
N
N
C
yOKO
a
m
wom
m
2
UNW�
as
Z17i �U
ha4,
111111 S
d
w
z❑
SO
pO,Cv!
0
W
U
LLW1 (�
w
w
0
0
S?Wi
U
'-`
°
p. O
wrk�
Q
HIP
U
3
F
No
F
LJ
��
g J
�az3
—
zz
o
w
0
S
9
WOZ
i
WWWO
WU'
Jd�
1 nW.
C
uFa
F$ �
z I
O
�FImO
w2g O
W
w
a
K
ih
r �•-X_'
wu
7
7
g
K
4 p
8uswsE EZ
F
I
pQ
v
0 ¢
m 00
m.._�Cp
6i#aL.E �g
o
0062
NFLLtq
$
a Op
yyz
z
�i
�'CI'w0W£rc
p
NOWT
xl-M
-rx
SK6
a,2r�--o=LLg
x
�?UW
3a so...ac
i
Z9
Q
W
4
0 1
I✓
U W el
a
m C V U
9
0waILco
mw
3
4
S
z0QI
() J 0.
U'>LL-
P
O
OV F 0.
O
wo
U
am
A
V
Q
U
mJ
oW
Z y
0
W�
rp
O
V W
R
gFa
4.__.
�WQ
�
W W'
-T
=F �
o
Q m
t O
mYW1
l -=W
w
G V
�
Q6Q
D
�W0
S
NHQ
W
I✓
U W el
w> a
m C V U
0waILco
¢v¢
�Sw003
3
S
z0QI
() J 0.
U'>LL-
O
OV F 0.
O
9
U
U u 2
Q