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
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CE,RTIFICATEOF
S13NATU:2E.
OCCUPANCYISSUED