The URL can be used to link to this page

Home My WebLink AboutH2021-0380 - Permits,�,ywpcF4 City of Newport Beach -Building Division �� MECHANICAL Permit: H2O21-0380 �' a; 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0959-2021 .a. Ii n. Permit Counter Phone (949)644-3288 � Inspection Requests Phone (949)644-3255 �LIYIIN�} Job Address: 2411 ORCHID HILL PL Bldg:1 Floor: Suite: A/C "TAMPER RES CAP REQ" Description of Work: MECH - CHANGE OUT FURNACEIADD Inspector Area:3 Code Edit: 2019 Legal Description: N TR 6407 LOT 9 Owner: HEIMALL BLAKE Contractor: TODD TREMAYNE H.V.A.0 Worker's Comp Insurance - Address: 2411 ORCHID HILL PL Address: 112 E 22ND STREET Carrier: EXEMPT NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Policy No: Phone: 949-244-5475 Phone: 949-350-5554 Expire: Con State Lic: 879537 Issued Date:06/21/2021 Lic Expire: 06/30/2022 Bus Lic: BT30072428 Processed By: Lic Exp Date: 07/30/2021 HVAC Items FEES FurnacesBoilers & Compressors Ventilation 0 $0.00 Other $0.0 Up to 100K BTU/hr: 1 $21.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $38.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $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 : $33.06 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 1 $21.00 Model: YCS48B21SIssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $196.31 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $196.31 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. 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 le 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 Iicensure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 ❑proved 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). ] 1 am exempt from Iicensure 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 911 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.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm unriPr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine fessions Code, and my license is in full force nd effect. 'censE Class _ License No DContractor Signature /ORKERS' COINPENSATION DECLARATION 11 QJ ARNING; 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. herehy affirm !mde� p^-nalty of perjury one of the following declarations: 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 `c•mance ofdl:e wur:c for which this permit is issued. Policy No. 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' compense .rjl,ca carrier and onlicy number are: it of Agent __ certify that, in the if I should bacon Policy Number Date the�whic[,i 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 workers' compensitHpn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. „ nature of Applicant / Date / ILS r CLARATION REGAR61NG CONSTR LEN IN cY :reby affirm under pefnalty of perjury that there is a co coon ding 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: 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 ordinance a laws relating to building construction. I authorize representatives of this city or county to}Pter a above-identifie property for inspection purposes. nature of Property Owner or Authorized Agent A r� Print Property Owner ACTION DATE BY ECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ ]SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: