HomeMy WebLinkAboutH2021-0662 - PermitsCity of Newport Beach - Building Division III IIIIIIIIpIII IIIIIIIIII111111p1111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 6 6 2
Permit Counter Phone (949)644-3288
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Job Address: 1532 KEEL DR BIdg:1 Floor: Suite:
Description of Work: MECH INSTALL (2) A/C UNITS @ THE SIDE YARD "TAMPER RESISTANT CAP REG"
Inspector Area:6 Code Edit : 2019
Legal Description: N TR 6152 LOT 115
Owner: DOYLE JOHN M Contractor:
Address: 1532 KEEL DR Address:
CORONA DEL MAR, CA 92625
Phone: Phone:
Con State Lic:
Issued Date:11/19/ 21 Lic Expire:
Bus Lic:
Processed By:CLC_Lic Exp Date:
SHAWN LAMBERT H V A C
P O BOX 1866
HUNTINGTON BEACH, CA 92647
714-887-9465
1006434
08/31/2023
BT30059278
05/31/2022
MECHANICAL Permit: H2O21-0662
Project No: 1503-2020
Inspection Requests Phone (949)644-3255
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Worker's Comp Insurance -
Carrier : STATE FARM FIRE ®+
Policy No: 90EKK2132- - ,P
Expire:03/OS/2022
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HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
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Other
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Up to IOOK BTU/hr:
0
$0.00
Up to 3HP:
2 $44.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
°' °' °
$0.50
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:
$38.28
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
AUD60W/A-Dlssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AC PRO
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$172.28
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$172.28
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.
/NER-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)
ction 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
fessions 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 C_) 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
Irovements 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 legally
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
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Pa R0 owner or Authorized Agent Date
:ENJSED CONTRACTOR'S DECLARATION
tmbl affirm yp�P,r&nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and essions Code, an�nse is in full force
i effect.
ense.Class • License No ate Contrac r gnature
ORRERS' CT.M.P• NSATION DECLARATION
$NINGe 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
6T4F COMPENSF,TjON, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
xeLyr affirm CW: phalty of perjury one of the following declarations:
ihave and wilFinaintain 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,
Ighh4nce of the wok for which this permit is issued. Policy No.
,have and will'fiaimain workers' compensation insurance, as required by Section 3700 of the Labor Code,
dance carrier and policy number are:
Tier` • • Policy Number
of Agent
for the performance of the work for which this permit is issued. My workers'
Date
zrtify f�iiat, 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 subject to the workers' compensation laws of California, and
if I shou%1 beyome�iiJyject,fgt4e,wo/kersa cWffensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosNprovv�s., ^
:reb 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).
Y P Y P 1 rY 9 9 Y P P ( )
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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county proinances and state laws relating to building construction.
I authorize representatives of this city or county to rprf',' aboyz-idlefj�roperty for inspection purposes. // - J j�' fit
nature of Property Owner or Authorized Pge Print Property Owner's or Authori ent's Name 1 G' L✓
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTN CODEO
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMDRULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATIONTO:.
❑ EPA
❑ AQMD
PERMtTEMPIRED
PERMITCANCELLED
PERMITEXTEPiDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
I—a'f-Z—
CERTIFICATEOF
OCCUPANCYISSUED