The URL can be used to link to this page

Home My WebLink AboutH2020-0399 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O20-0399 100 Civic Center Drive, Newport Beach, CA 92560 H 2 0 2 0 0 3 9 9 Project No: Permit Counter Phone (949)644-3288 TIMER REQUIRED ON EQUIPMENT �"'zedau¢'s Inspection Requests Phone (949)644-3255 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Job Address: 1321 HAMPSHIRE CIR BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (E) A/C UNIT 55dB* (LENNOX; ML14XC1-60) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & TAM Inspector Area:3 Code Edit: 2019 Legal Description: N TR 3852 LOT 45 Owner: YARDLEY WILLIAM Contractor: Address: 1321 HAMPSHIRE CIR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:07/15/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: HOME COMFORT USA Worker's Comp Insurance - 1120 N TUSTIN AVE Carrier: TRAVELERS PROPERTY ANAHEIM CA 92807 Policy No: UB21_764577 888-769-3009 Expire:1110112020 974908 8 a L 07/31/2020 BT30056727 _p 10/31/2020 �H U Do HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 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 >50HP: 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: $17.40 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0- $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $113.90 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours; Monday - day a::00 arawto• S.: 0 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. p ® B O O B 0o Neer 60 ��u G V G u u `u • •L G 4 4u J 4j 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 Division 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 penalty of not more than five hundred dollars ($500).El - 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, 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 - improved 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). ❑ I 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 legall, 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://w .leginfo.ca.gov/calaw.htmi. ('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 Sectio 000) f Division 3 of the Business and Pr ofe y license is in full force and effect. License Class License No Date ,.,.: _ Contractor Signatu ORKERS' COMPENSATION DECLARATION a —'� 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 ATTORNEY'S 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 th pP � rmance 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' rance carrier a policy numb ��tt,, ier I(_ �.1 C)�Pofj,/Number. - Expiration Date is of Agent L/ 1 certify that, in the pertormance of the work for wliifi this e " "sissued, i shall not em y-persartYr if I should become subject to the work provisions of the Labor Code, I lature of Applicant manner so as to become subject to the workers' compensation laws of California, and forthwith comply with those provisions. m. l,s,7A :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, 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 prcpe owners behalf. I have read this application and the information I have I)rovidbq is correct. I agree to comply with all applicable city and county ordinan Te ating to buildin constr _- I authorize representatives of this city or county jo er the Adentifie Inspection purposes. of Property Owner or Authorized ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY `— FEDERAL REGULATIONSPART 61 OF TITL.EW AND AOMORULE14Q?• e PERMtTE7CPiRED ❑ ISUBMITT;FUASBESTOSNonFI(;aTTONTo; ❑ EPA • • : e PERMIT CANCELLED ❑ AOMD• • ••: • ••• PERMIT EXPENDED ❑ A56E5FD5 NOARCAAONIS NOT APPL}CABLE TO PROPOSED DEMOLITION. •• •e• • • • •s• •• • PERMIT FINAE CERTIFICATEOF SIGNATURE: • • : : : s OCCUPANCYISSUED • • • e e • e