The URL can be used to link to this page

Home My WebLink AboutH2019-0581 - Permits„cwro r City of Newport Beach - Building Division III IIIIIIIIIIIIII IIIII IIIIIIIIII IN IIIIIIIIII III MECHANICAL Permit: H2O19-0581 og d 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 8 1 Project No ' Permit Counter Phone (949)644-3288 "`ct $ t�ttP�lY'�R 0 Inspection Requests Phone (949)644-3255 Job Address: 20 HILLSDALE DR BIdg:1 Floor: Suite: Description of Work: MECH - R/R FAU & A/C CONDENSOR. TAMPER RESISTANT CAP REQ'D Inspector Area:8 Code Edit : 2016 Legal Description: TR 11785 LOT 1 UNIT 14 OF PROJECT LOCATED ON AP 442-301-69 TOGETHER Owner: BALBONI PAUL Address: 20 HILLSDALE DR NEWPORT BEACH, CA 92660 Phone Issued Date:09/25/2019 Processed Contractor: FOLGER HEATING & AIR INC Address: 8842 LUSS DR HUNTINGTON BCH CA 92646 Phone: 714-334-4433 Con State Lic: 763312 Lic Expire: 04/3012020 Bus Lic: BT30047641 Lic Exp Date: 06/30/2020 Worker's Comp Insurance - Carrier : NORGUARD INS CO Policy No: FOWC912842 Expire :1010112019 INSPECTOR HVAC Items FEES Furnaces Boilers & Compressors Ventilation 0 $0.00 Other $0.00 Up to 100K BTU/hr: 1 $20.00 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 : $17.34 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4A7A6061JIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AM STANDARD Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $133.84 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $133.84 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) 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 ie 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 7 1 am exempt from Iicensure 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 Section 7000) of Division 3 of the Business and sions Code, and my license is in full force nd effect. icense Class License No Date ontractor Signature CORKERS' COMPENSATION DECLARATION '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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby a under penalty of perjury one of the following declarations: 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 th i mance of the work for which this permit is issued. Policy No. 7ave 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' compensatio in ance carrier and policy number are: mer Policy Number Expiration Date Name of Agent Phone # I certify 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 that, if I should become s the worl,e ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican Dm 4I/-� C> DECLARATION REGAR15ING CONSTRUCTION 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 coupAy ordinances and state laws resat ng to building construction. I authorize representatives of this city or county ter t ve-identified pr rty for inspection purposes. Signature of Property Owner or Authorized A e Property Owner's or Authorized Agent's Name LcDate ACTION DATE t BY DECLARATION OF COMPLIANCE $'i7TN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART fit OFTITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBETTEDASBESTOS NO7IFICATION TO: ❑ EPA ❑ AQMD P€RMITCANC€LLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL (OP 0 wk,% F6" CERPRCATEOF OCCUPANCYISSUED SIGNATURE: