HomeMy WebLinkAbouth2020-0009 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O20-0009
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 0 0 9 Project No : 2163-2018
Permit Counter Phone (949)644-3288
Pa�.osrttti Inspection Requests Phone (949)644-3255
Job Address: 936
VIA LIDO NORD BIdgA Floor: Suite:
Description of Work:
MECH/INSTALL (2) A/C UNITS 54.5dB*, 51dB*
@ ROOF DECK *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 1013M & 7AM
Inspector Area:1
Code Edit: 2020
Legal Description:
N TR 907 LOT 326
Owner: HARD E
STEPHEN Contractor:
D L S HEATING & A/C
Worker's Comp Insurance - ......
Address: 936
LIDO NOR
Address:
8542 LARTHORN DRIVE
Carrier: STATE COMP • •
a••••:
N PORT
BEACH A 92663
HUNTINGTON BEACH CA 92646
Policy No: 92GUV4642 °
Phone:
Phone:
714-231-8002
Expire:01/0612021 °
•° •°°
Con State Lic: 584220
•.
IssuedDate:01 12020
Lic Expire:
01/31/2020
°••°
° °
Bus Lic:
BT98040420
�p C�
NO h.vONST Ult; N klblk
Processed By:
Lic Exp Date:
12/31/2020
• • • °
•6008•
00003•
HVAC Items
FEES
FurnacesBoilers&Compressors
Ventilation
Other •....
..•.•
Up to 100K BTU/hr:
0 $0.00
Up to 3HP: 2 $40.00 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 1OOK 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:
$34.80
Up to 1 M BTU/hr:
0 $0.00
up to 1 OK CFM: 0
$0.00 Repair/Alter/Add: 0
$0.00
Model: N4A660GKBlssuance:
$35.00
Up to 1.75M BTU/hr:
0 $0.00
Over 10K 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:
$41.50
TOTAL:
$151.30
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $151.30
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.
ON EQUIPMENT
'1i1MER REClU1REE To N 10 P.M. AND 7 A.M.
SHUT OFF BETVd n
Ui5l c'i'1=IF1_DQ
IN. F. TCi.'
1 VILWANDAPPROVAL
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)
action 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
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
ifessions 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
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 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, builds or improves the property, provided that the
)rovements 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
)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 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:
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 legalll
a structure that t 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
Ifessions Code„ig ayAilable upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.htmi.
ratpt:of Property Owner or Authorized Agent Date
TENSED CON TRACTOR'S DECLARATION
!rgbf affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of %ivision 3 of the Business and Professions Code nd my license is in full force
t effect. / r'lpa /a .20
ens4Class .' •• License No Date 6 2Vl Contractor Sighatur c,
)WRS' COaMPENSATION DECLARATION
tNIN& FAILURE.TOJAdIiRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUe.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
jT O F.MMPENSAVIOM,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
i rebx affirm under penalty of perjury one of the following declarations:
and w 4iQtain 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
Workkfor which this permit is issued. Policy No.
...
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'
carrier 96cloolicy number are:
ie of Agent
certify that, in the performance
, if I should become subject toil
of
Policy Number Expiration Date
person in any manner so as to become subject to t workers' compensa on laws of California, and ogre
ode, I shall forthwith comply with those arevis ns./�� U
CLARATION REGAI DINGL0146TRUCTIONTLENDING AGENCY
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,
lder'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 efrs behalf.
I have read this application and the information I have vided is correct.
I agree to comply with all applicable city and county ordin and st laws rel building constr 'on ---
I authorize representatives of this city or county t the abo e= ntif perty fo ' Ion purposes., DON
(nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na
this permit is issued, I shall not
ation provisions of Sect_ io_�?nI
Civil Code).
E
AC77ON
DATE
RY
DECLARATION OF COMPLIANCE MTN CODEOF
FOROFF7CEUSE01111Y
FEDERAL REGULATIONS PART 61 OF TTILE40AND
AQMORULE 1403.
PERMITEXP;RED
❑ I SUBMITTEDASBESTOS H077FICATION TO.
❑ EPA
❑ AQMD
PERMITCANCELLED
-
PERMIT EXTEPJDED
'
ASBESTOS
PROPOSEDDEMQLITION.DONIS NOT APPLICABLE TO
PERMITFINAL
CERTfRCATE OF
SIGNATURE.,
OCCUPANCYISSUED