HomeMy WebLinkAboutH2020-0127 - Permits0� nar4 City of Newport Beach - Building Division IIII�IIIIIIII�I IIIIII�IIIIII�IIIIIIIIIIIIII MECHANICAL Permit: H2O20-0127
,.,u'* & 100 Civic Center Drive, Newport Beach, CX92660 -. H 2 0 2 0 0 1 2 7
-,4,;- Permit Counter Phone (949)644-3288 Project No:
p''*" Inspection Requests Phone (949)644-3255
Job Address: 2612 CRESTVIEW DR BIdg:1 Floor: Suite:
Description of Work: MECH - R/R 2 FAUs, 2 NEW A/C CONDENSORS W/ DUCTWORK. TIMERS & TAMPER -RESISTANT CAPS REQUIRED
Inspector Area:2 Code Edit:
2019
Legal Description: N TR 1102 LOT 60
Owner: OWEN ROBERT
Contractor:
Address: 2612 CRESTVIEW DR
Address:
NEWPORT BEACH CA 92663
Phone:
Phone:
Con State Lic:
Issued Date:02/18/2020
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
NEXGEN A/C INC Worker's Comp Insurance -
700 N VALLEY ST STE K Carrier: OLD REPUBLIC GEN INS CO
ANAHIEM CA 92801 Policy No: A1CWA0001401
657-2084987 Expire:01/29/2021
1011173
02/29/2020
BT30055503
06/30/2020�
]3
HVAC Items
FEES
-
FurnacesBoilers & Compressors
Up to 100K BTU/hr. 2
Ventilation
t�,.
>�,
Over 100K BTU/hr:
0
$40.00
$0.00
Up to 3HP:
2 $40.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0LJ 40�
$0.00
Wall/Floor Heaters:
0
$0.00
> 3 HP to 15 HP:
>15 HP to 30 HP:
0 $0.00
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
$0.00
Heat Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Attic Fan:
Down -Draft Fan:
0 $0.00
0 $0.00
Metal Fireplace:
Record Mgt Fee:
0 $0.00
p to 100K BTU/hr:
Over 500K BTU/hr:
0
0
$0.00
$0.00
>50 HP:
Air Handling Units
0 $0.00
Residential Hood:
Comm.
0 $0.00
Additional Fee:'
$0.00
$34.80 Investigation:
$0.00
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Hood:
Repair/Alter/Add:
0 $0.00
0 $0.00
Model:
Plan Check:
$0.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
4A7L6036AIssuance:
AM STANDARD
$0.00
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$156.30
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $156.30
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7.00 a.m.fo 6:30 W.aad Sa«°urdzf�from g.10 6.°m„. to 6:00 p.m.
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WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated beldw by the checkmark(s) I have placed next to the applicable item(s)
>ection 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
e 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
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�
A more than five hundred dollars ($500).
] I, 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,
usiness 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 704 , 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).
] 1 am exempt from licensure under the Contractors' State License Law for the following reason:
�y 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:http://Www.legLnfo.ca.gov/calaw.html.
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 700 )of Division 3 of the Business a Professions de, and cerise is in full force
nd effect. D % / / �/
.icense Class �� License No .I l (—/ Date Y Contractor Signatur
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN 700000 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:
I have nd will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director
o nce of the work for which this permit i5 issued. Policy No.
ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the
"ur ce carrier and Bolicv_numbSGare: �f .. r„ d 1 d
'F3r
Policy Number
ie of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any
if I should become subject t9 the workers' csation ions of Section 3700 of the Labor Code, I shall
nature of Applic
CLARATION RE ING CONS R CTIO DI CY
veby affirm under penalty of perju t at there is a cons uction lending agency for the performance of the work for wl
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 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 state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
inatnre of PmDertv Owner or Authorized Agent J Print Property Owners or
ACRON I DATE I v BY
PERMIT FINAL
IES AND CIVIL FINES UP TO ONE HUNDRED TH ND DOLLARS 1$ 1,
Industrial Relations as provided for by Section 3700 of the Labor Code, for
:rformance of the work for which this ermit is/I sued. My workers' compensatiol
Expiration Date Z
Phone #
so as to become subject to the workers' compensation laws of California, and agre
h comply with those provisions.
D /
h this permit is issued (Section 3097, divil Code).
:E} I 9MB0T-EDASBESTOS NO77FICATIONTO.'
❑ AQMD
❑ ASBESTOS MOUFTCA710NIS NOT APPLICABLE TO
• .PRQ,V@SEDDEMOLITION.
mSIGAKTURF. °
Date
OCCUPANCYISSUED