The URL can be used to link to this page

Home My WebLink AboutH2021-0368 - PermitsCity of Newport Beach - Building Division H2O21-0368 e' ey 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 q� TIMER REQUIRED ON EQUIPMENT T SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Job Address: 1950 GALAXY DR BIdg:1 Floor: Suite: Description of Work: MECH CHANGE OUT (2) A/C UNITS *TAMPER RPOOF CAP REQ* *NEIGHBOR LETTER ATTACHED* InspectorArea:3 Code Edit: 2019 Legal Description: N TR 4224 LOT 17 Owner: ZMIJEWSKI JEANETTE Address: 1950 GALAXY DR NEWPORT BEACH, CA 92660 Phone: 949-350-5678 Issued Date:06/10/2021 Processed Contractor: AXEL L ESPINO OLIVA Address: 1819 MONROVIA AVENUE APT #14 COSTA MESA, CA 92627 Phone: 949-307-6379 Con State Lie: 1004733 Lic.Expire: 06/30/2021 Bus Lie: BT30073212 Lie Exp Date: 10130/2021 MECHANICAL Permit: H2O21-0368 Project No : 1663-2020 Inspection Requests Phone (949)64 -a 25b a o Yy m° B `a,emra � W m • AY6P Worker's CompInsurance- °° M• Y i p Carrier: STATE COMP ° Policy No: 9157341 Expire :04/20/2022 6 0 CmOOa ° 0 0 o m m nooaea 0 0 0 aY0000 ° HVAC Items FEES FurnacesBoilers & 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 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: $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 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 124ANSIssuance: $37.00 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: $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. 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 Division 3 of the lousiness 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 not more than fivs3w®dred dollars ($500). .. •Irasowner of theTJroperty, or my employees with wages as their sole compensation, will do (_) all of or L) 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 iiMov%nents arenot 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 impri ed for the eurpose of sale). • • I, As•owner Ltlh§pjoperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not applyte 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). • • H nexempt trgm•IlCensure under the Contractors' State License Law for the following reason: Byr myalgnature 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 sA"strycture thatl 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 Profbssipns CogE?,, is..10ilable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date MCMED CONTRACTOR'S DECLARATION I hereby affirm under p•analty of perjury that I am licensed under provisions of Chapter 9 (commencing h Section 7000) of Division 3 of the Business Professions Code, and my license is in full force and effect. License Class License No Date — \ Contractor Signature 1 WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 thl peformance of the work 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' fence carrier and policy number are: Policy Number Expiratic of Agent Phone # Date I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjej to the workers' compensation laws of California, and agre that, if I should becom@ sybject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro is ns. Signature of ApplicanU\y�p/�{ Dc` LAING CONSTRUCTION �w�Nn('l Date DECLARATION REGALENDING AGENCY I hereby affirm under ptn ty 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). 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 h e provided is correct. I agree to comply with all applicable city and un ordinances and state laws relating to building construction. I authorize representatives of this city or count t Ent he a ove-identified property for inspection purposes. l Signature of Property Owner or Authorized Agent vxcl Print Property Owner's or Authorized Agent's Name l� C-.. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF T17LE40AIVD AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITIEDASBESTOS NOTIFICATION TO., _ ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS N077FICA710N IS NOT APPLICABLE TO PROPOSED. DEMOLITION. PERMIT FINAL , CER77FICATEOF SIGNATURE: OCCUPANCYISSUED