The URL can be used to link to this page

Home My WebLink AboutH2020-0307 - PermitsI ,k City of Newport Beach - Building Division H2O20-0307 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 'ix rrux'`}r Job Address: 206 HARBOR WOODS PL BIdg:1 Floor: Suite: Description of Work: MECH INSTALL A/C UNIT @ THE PORCH "TAMPER RESISTANT CAP REQ" Inspector Area:8 Code Edit: 2019 Legal Description: TR 12164 LOT 4 UNIT 51 OF PROJECT LOCATED ON AP 442-291-39 TOGETHER Owner: LONG JOFFREY Contractor: DEPENDABLE GRAHAM AC Address: 17045 CHATSWORTH ST Address: 2952 CENTURY PLACE GRANADA HILLS CA 91344 COSTA MESA CA 92626 Phone: Phone: 714-546-1653 Con State Lic: 472690 Issued Date:06111/2020 Lic Expire: 04/30/2022 n Bus Lic: BT01013104 Processed By: AV Lic Exp Date: 1213112020 MECHANICAL Permit: H2O20-0307 Project No : Inspection Requests Phone (949)644-3255 INSPECTOR Worker's Comp Insurance - Carrier : FALLS LAKE FIRE AND CASUALTY Policy No: FLA000131 Expire :07/01/2020 4"CTBIFCTTOFIELD INSPFCI'UK i REVIEW AND APPRO V" FEES HVAC Items Furnaces Boilers & Compressors Ventilation 0 $0.00 Other $0.00 Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 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: $17.40 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AHA424AO03 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $113.90 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 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) iection 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 IS 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 nproved for the purpose of sale).- ] .. 1, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall) ell 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. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ect' n 7 0) of Division 3 of the Business and P IS, and my license is in full force nd effect. icense Class. _ License No )(e S Contracto4onature VhRKERS' COMPENSATION DECLARATION 'APNING: FA.LUAF �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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm`under penalty of perjury one of the following declarations: J I have a;;Swiilmaintain 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 th etfcrmance of the work for which this permit is issued. Policy No. anu 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' carrier and policy number are: Policy Number Expiration Date lameof Ager,t Phone # 11 ca,tify that, A toe 7erformance of the wo permit is issued, I shall not f in any manner so as to become subject to the workers' compensation laws of California, and agree �.: t, i. I should te3aloe su workers' sation provisi on 3700 of the Labor Code, I shall forthwith comply with those provisions �) ignature of Ap ant�%4r</ 'ECLARATIO R GARDI ION LENDING AGENCY 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). Ender's Name Lender's Address y 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 ordin d state laws relating to b ing construction. 6 I authorize representatives of this city or county tcid perty for inspection purposes.... �1�� / B / / f _ of Property Owner 01%l1f prized Agent Print Property Owner's or Authorize&<gent's Name LCiLi //tne(A- ti ACT70M DATE BY DECLARATION OFCOMPLIANCEMTHCOOEOF FOR OFFICE USE WLY9 FEDERAL REGULATIONS PART 61 OFTI7t.E40 AND AQMD RULE 1403. PERMIT EXPIRED I SUBMITTED ASBESTOS NO71FICATLON TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N0I3RC4770MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF SIGNATURE; OCCUPANCYISSUED l