The URL can be used to link to this page

Home My WebLink AboutH2019-0040 - PermitsCity of Newport Beach - Building Vyi&-ion MECHANICAL Permit: H2O19-0040 'I 100 Civic Center Drive, Newport Beach, CA 92660 `• `a „ Ft2- 0 to 9 a 0 9 4 9 Project No: 1293-2018 Permit Counter Phone (949)644-3288 • • • '•' •, • • a ® �„� • a atry • Inspection Requests Phone (949)644-3255 _ . B O 41u 6 33•J e9 � Y p • a a� y ` a • es aaa ® •ae e•� Job Address: 1915 HOLIDAY RD Bldg:1 Floor: Suite: Description of Work: MECH -A/C CONDENSOR *TAMPER -RESISTANT CAP & TIMER REQUIRED* Inspector Area:3 Code Edit: 2016 Legal Description: N TR 3763 LOT 59 Owner: KINSTLER LYNDSAY Contractor: ACCOLADE AIR INC Worker's Comp Insurance - Address: 1915 HOLIDAY RD Address: 22622 DUNKENFIELD CIR Carrier: MARKEL INS NEWPORT BEACH, CA 92660 LAKE FOREST CA 92630 Policy No: MWC0108620 Phone: Phone: 714-709-6672 Expire :0311512019 Con State Lic: 1005513 Issued Date:01/17/2019 Lic Expire: 0713112019 Bus Lic: BT30063080 Processed By: Lic Exp Date: 05102/2019 a .•, rrz, : y�� HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 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 >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: $16.53 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A460AKAIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TEMPSTAR Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53 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. iWNER-BUILDER DECLARATION •• ": ;.: 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License LaS, f4r the seasor-(syingIc4tSq 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, 91tP•r.ljnl1rave, demolish, oJ•rtflair any structure, prior to its issuance, also requires the applicant for m 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 of more than five hundred dollars ($500). , ... • •. . . s I, as owner of the property, or my employees with wages as their sole compensation, will do (_) �II rjf or ) portioN1 of Qle work, and he'stmcture 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 Zmpertf who, throw nprovements are not intended or offered for sale. If, however, the building or improvement is sold wiliIii l ene year of c'c nproved for the purpose of sale). ] I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra( 7 I 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 1 must have resided for at least or all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.le ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700C nd effect. icense Class License No Da ( I IORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEI DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Directoi rmance of the work for which this permit is issued. Policy No. ah ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the sur rice carrier and policy number are: Policy Number 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 becom`e subjeo� to the workers' co n_satio rovisions of Section 3700 of the Labor Code, I shall lature of Applicant5n 4y' 7%� :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work 1 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 a aws relating to building construction. I authorize representatives of this city or county toe/pterrtthe above-iden ed p arty for inspection purposes. .nature of Property Owner or Authorized Agent m 4I4Q 14-1 Print Property Owner '.or'personal effort, builds or improves the property, provided that the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot iderstand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and Professions Code, and my li nse is full force Contractor Signatu ,LTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,0 , M ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agre h comply with those provisions. Dat&t-- i this permit is issued (Section 3097, Civil Code). ACDON DATE - BY DECLARATION OF COMPLIANC€iMTH CODEOF FOROFHLEUSEONLY FEDERAL REGULATIONS PART 61 OF 7ITLE40AND AWO RULE 1403. PERMITEXPIR€D ❑ I SUBA f iTEDASBESTOS NO77FICATION TO: ❑ EPA PERMITCA.NCELLED ❑ AOMD PERMITEXTENDED ❑ ASBESTOS NOBRCABONIS NOT APPLICABLE TO PROPOSEDDEMOfITION PERMfTFINAL CERDFICATE OF SIGNATURE: OCCUPANCYISSUED