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HomeMy WebLinkAboutH2021-0383 - Permits(9) City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 48 Description of Work: 7AM MECHANICAL Permit: H2O21-0383 Project No : Inspection Requests Phone (949)644-3255 CHANDON BIdg:1 Floor: Suite: MECH CHANGE OUT (E) F.A.U. & A/C UNIT 53dB* (GOODMAN; GSX14-0481K) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & Inspector Area:6 Code Edit: 2019 Legal Description: TRACT 14565 LOT 3 OF PROJECT 936.46 LOCATED ON AP 461-241-15 Owner: HANAN BULTER Contractor: DYNAMIC AIR SERVICES INC Address: 48 CHANDON Address: 25652 COMMERCE CENTRE NEWPORT COAST, CA 92657 LAKE FOREST CA 92630 Phone: Phone: 949-340-3917 Con State Lic: 753286 Issued Date:06/22/2021 Lic Expire: 02/21/2023 Bus Lic: BT30064634 Processed By: Lic Exp Date: 10/31/2021 HERS VERIFICATION REQ .� z CD Worker's Comp Insurance - 0 Carrier :,INS CO OF THE WEST Policy No: WSD505412401 rn Expire :03/01/2022 0 i TIMER REQUIRED ON EQUIPMENT 0 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 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 : $46.25 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $36.54 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $161.79 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $161.79 PERMITS EXPIRE 180 DAYS AFTER 13SUANCE OR LAST liALID INSPECTION Construction Hours: Monday -Friday 7:00 a.m.tc• 6:20 p.m.o nd Saturday fmm.8:A0 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 :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 of the Business and Drofessions 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). ❑ 1 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7,900) of [vision 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Data �i Contractor Signature` .L WORKERS' COMPENSATION DECLARATION 7� NARNING: 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 COST OF COMPENSATION, DAMAGES -AS PROVIDED FOR IN SECTION'-37M OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent toself-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, poperfrf ante of the work for which this permit is issued. Policy No. �.rI ve and will ryaw%in 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' compensatior I##1f6Ls"`ural7ce carrier nd p cy number re: Date of Agent certify that, in the performance of th wafk 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 I, if I should become su Jett to the w rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proZection nature of Applicant Date CLARATION REGA I NS ENDING AGENCY :reby affirm under pe alty rtury that there is a construction lending agency for the performance of the work for which this permit is issue 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 countyo rdinances an tate laws relating to building construction. /p G I authorize representatives of this city or countytgknter the ab e-identifie�ertyfor inspection purposes. x �� �. , , 119 1 of Print Property Owner's or Authorized ACTION DATE BY DECLARATION OFCOMPLIANCE MTHCODEOF FOR OFFICE USE ONLY FETIFPAL RcGUL ATIONS PART 6I OF TITLE40 AND =41) RULE '1403. PERMIT EXPIRED _ I..UDMITTED ASBESTOS N071FICATION TO: J EPA ❑ AQMD PERMIT CANCELLED PERMIT€.XT€NDED P❑ROASBE7 O_`11 077ROC�A77ON 19 NOT APPLICABLE TO PERMIT FINAL / — I ^Z I CE,RTIFICATEOF S13NATU:2E. OCCUPANCYISSUED