HomeMy WebLinkAboutH2021-0656 - PermitsCity of Newport Beach - Building Division H2O21-0656
100 Civic Center Drive, Newport Beach, CA 92660
5 n. Permit Counter Phone (949)644-3288
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Sob Address: 2601 BUNYA ST BIdg:1 Floor:
Suite:
Description of Work: MECH CHANGE OUT (2) A/C UNITS *TAMPER PROOF CAP REQ*
Inspector Area:4 Code Edit: 2019
Legal Description: N TR 4893 LOT 63
Owner: STEWART TONY
Contractor:
ZALAR HOMES
Address: 2601 BUNYA ST
Address:
8146 PAWTUCKET DR
NEWPORT BEACH, CA 92660
HUNTINGTON BEACH CA 92646
Phone:
Phone:
714-853-9696
Con State Lic:
1071867
Issued Date:11/1712021
Lic Expire:
12/31/2022
Bus Lic:
BT30074051
Processed By:
Lic Exp Date:
01/31/2022
MECHANICAL Permit: H2O21-0656
Project No : 0912-2021
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier : EXEMPT
Policy No: no employees
Expire :
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $44.00
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:
$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:
NH4A41ssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
DAY & NIGHT
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.
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).
I, 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,
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 legally
sell a structure Ihe" 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://www.leginfo.ca.gov/calaw.html.
Mg.ILIJre of Pmpertv Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I Fereby affirm order penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine sslons o e, and-rny lice ' ' ull force
ana effect. i
License Class_ License No Date /1 (7 1Z1 Contractor Sign _
WORKERS' COMPENSATION DECLARATION
wARNiNG: FAILUNF'1 O 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
CCFT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
liI he�eby affirm under penalty of perjury one of the following declarations:
I have an6 wih 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 tht
perfaraance of the work for which this permit is issued. Policy No
` I 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' compensation
insurance carrier and policy number are:
Policy Number
1e of Agent
Date
cemfy 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 agre
t should becomes lect tot anon prov Section the Labor Code, I shall forthwith comply with those provisIlens. /
Signature of Applicant �_-/ _� Datel A//� /
DECLARATION REG TRUCTION LENDING AGENCY
_ —
I hereby 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).
Lender's Name Lender's Address
By 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 cou er a above -id tifie rty for inspection purposes.
Signature of Property Owner or Authorized. Print Property Owner's or Authorized Agent's Name 'T:)PL1L) 2 `% Dat // 7 �
ACTION
DATE
BY
DECLARATION OF COMPLIANCE INITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION,
PERMIT FINAL
WUrvry
CERT1FiCATEOF
It I
SIGNATURE:
OCCUPANCYISSUED