HomeMy WebLinkAboutH2020-0178 - PermitsCity of Newport Beach Building Division 111111111111111111111111111111111111111111111111
100 Civic Center Drive. Newport Beach, CA 92660 H 2 0 2 0 0 1 7 8
Permit Counter Phone (949)644-3288 TIMER REQUIRED ON EQUIPMENT
Job Address: 464
Description of Work:
Inspector Area:3
Legal Description:
ALL IN BLK
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
MECHANICAL Permit: H2O20-0178
Project No :
Inspection Requests Phone (949)644-3255.
62ND ST BIdg:1 Floor: Suite:
MECH/INSTALL. NEW A/C UNIT 59.5dB` (TEMPSTAR; NH4AA; 60) INSTALL TIMER ON EQUIPMENT TO SHUT OFF BETWEEEN 10PM & 7AM
'AGREEMENT W/PERMIT
Code Edit: 2019
TR 772 LOT 7 BLK 22 AND NLY 2 FT LOT 6 AND SLY 2 FT LOT 8
Owner: MCMAINS MICHAEL Contractor:
Address: 460 62ND Address:
NEWPORT BEACH, CA 92663
Phone: Phone:
Con State Lic:
Issued Date:03/13/2020 Lic Expire:
Processed By:
Lic Bus :
: �. a'%Tr)/ Lic Lic Date:
SKY HEATING AND COOLING
769 N GLASSELL ST
ORANGE CA 92867
714-883-0623
1046281
12/3112021
BT30065983
02/28/2021
Worker's Comp Insurance -
Carrier: NORGUARD INSURANCE
Policy No: SKWC149863
Expire :0210112021
NJ
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
1
$36.00
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:
$31.32
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK 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: $143.82
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$143.82
PERMITS EXPIRE 180 DAYS AFr;$ I3S4ANCEj?R LAy T V, ftJD IgSFECTION
Construction Hours: Monday - Friday 7:00 agn-, o %30p.JJ.an& ja&Irda�V h orgl 8:00 a.m. to 6:00 p.m.
oV o 0 0�
0 0 o
)WNER-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
he 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 of1he Business and
'rofessions 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
of more than five hundred dollars ($500).
1, 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,
lusiness 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
nprovements 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
nproved 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:htip://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7004) of Division 3 of the Business and r fessio s emend my license is in full force
nd effect: zz
.icense Class License No Date 0,%, 1 � Contractor Signat-
VORKERS' COMPENSATION DECLARATION
IARNING: 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
DST 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:
7 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 the
er_Vrmance of the work for which this permit is issued. Policy No.
have and will m 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 an polic number are: �l
ier J`v �sn , "1 Palienu b r 1 Expiration Date
of Agent
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 subject to the workers' compensation laws of California, and agree
t, if I should becomes ject to rl mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro sions
nature of Applican Da
CLARATION REG CONSTRUCTION LENDING AGENCY
3reby affirm under a 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:
1 am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and ate laws relating to building construction.
I authorize representatives of this city or county te/er t ad property for inspection purposes. ' � /
nature of Property Owner or Authorized Agent lv' Print Property Owners or Authorized Agent's N�Qie G' '9
AC77ON
DATE
BY
DECLARATIONOFCOMPLFANCEMTHCODEOF
FORD€FICEOSEONLY
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