HomeMy WebLinkAboutH2020-0559 - PermitsCity of Newport Beach -Building Division III 1111111111111111111111111111111111111111111111
100 Civ-, Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 5 9
Permit Counter Phone (949)644-3288
Job Address: 20072 BAY VIEW AVE BIdgA
Description of Work: MEC:H - NEW A/C CONDII
Inspector Area:3 Code Edit
Legal Description: N TH 1499 LOT 40
Owner: WAGONER PHILIPPA
Address: 20072 BAY VIEW AVE
NEWPORT BEACH, CA 92660
Phone:
Issued Date:09/3012020
91)ate,
ntracto
dress:
Ph
Con State,l.0
Processed By:
HVAC Items
FurnacesBoilers & Compressors
Ventilation
Up to 100K BTU/hr:
0
$0.00
U1 to 3HP:
Over 100K BTU/hr:
0
$0.00
> 3HP to 15
Wall/Floor Heaters:
0
$0.00
>15 HP to 30
Heat Pumps & Package
Units
>30 HP to 50
Up to 100K BTU/hr:
0
$0.00
>50 HP:
Over 500K BTU/hr:
0
$0.00
Air Handling
Up to 1 M BTU/hr:
0
$0.00
up to 10K CF
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CF
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
MECHANICAL Permit: H2O20-0559
Project No
Inspection Requests Phone (949)644-3255
If applicable:
SISTCA E UIR r�0% Oro 100% f8 ti.
hom:
WNE rs Comp Insurance
A Carrier:
No:
949-929-2058
P1
iscard Sian
Ca11 VJF9
$21.QOD����� (,q��tfed)
0
$02NO�xhaust Fan:
0
$0.00 Attic Fan:
Q _ ,
$0.00 Dow n-Draft—Em
• (no \No' N Z'Lu.
0 $0.00 Fire Dampers: 0
0 $0.00 Gas Line: 2---
0 $0.00 ace: —0
0.00 Record Mgt Fee: )insp-
Hood: 0
$0.00
Comm
H �.o
0 Plan Check:
$B0lModel ASU36RLxelssuance:
ental Fee:0 Manufacturer: FUJITSU
$0.00 Zoning PC:
DOTAL: $122.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $122.52
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 A.mRo 6:30'p.Mfl °a°nd Saturday from 8:00 a.m. to 6:00 p.m.
$0.00
$18.27
$37.00
$46.25
nml lwI\
I hereby affirm under penalty of perjury that I an; exempt from the Contractors State License Law for the reason(s) indicated below by the checkmark s I crave clfon 7031.5, Business and Professions Code: Any city «coon that r permit to core () placed nerd to th applicable kem(s)
perk to file a signed statement that the or she is licensed y squires a tenet alter, improve, demolish, or repay any structure, prior to its issuance, also r- mires the applicant for
Pursuant the b to the provisions of xe Contractors State License Law (Chapter 9 (commencing with Section 7000) of Divis n 3 of the Business
des m th Code) «that the ll she is exempt from licensee and the basis for the alleged exemption. Any violation of Section 703t.5 by any applicant for a perk subjects the app <:am to a civil pen
more then fee hundred dollars (4500).
1, as owner of the Property, Of my employees with wages as their sote compensation, VAR do U all of or U portions of the work, and the structure is not intended or offered for f - Is (Section 7044,
tines" and Professions Code: The Contractors' State License Law does not apply to an ownw of property wFw, through employees' or. personal effort builds Or
zovements are n «offered for sale. It howevw, the Or improvement P!�'QS,.U4M4 +*Vrovided that t,.
coveI w ft y a of sale). building prwemeol is sold wdhin one year of completion the Owner�ui" '. �-- �"'al provig het it wasnot built or
I, as PIOPKIY, am exclusively contracting with licensed Can - -
to an owner of property who bulls or improves t. f 1 (won 7044, Business and Professions Contractors' State i erue Lacy does not
am exempt from licensure "�E { air ory State License o=i�sed Contractor pursuant to ��ense Lev}.
y signature below I e that, e d0� ,
a structure that 1 have badh as . ' for my personal reside wnichh I l e, 11 w at least one year prior to c the' pv,2rod I is d, Fcannet legal)
dessions Code, is available upo reque" id it lies noty m cis entirety by If:ereed contactors. I udgirstwhd th a0 WC tay. n 7044 f the Bush " ss and
nabne of Property 6Mner «Au ad Agent sppticatr°n miffed o fheirksWng Web sole:into)/�Trhto ag.gw/calaw.hhnl. /
TENSED CONTRACTOR'S CLARA --
[ eby ffect U undeMerlasspenalty of pe' that, license deense No hssrYd •
[effect License Class - fxavi,ionis of Chapter 9 (commencing with S6bton7000) of Di+3tai� of chess and Professions Code, mid, ;, license is cull force
License Na Date Contractor Signahae P
)RKERS' COMPENSATION CL 'Ali ATLON r+
.m��•raa�, snh, nAwGFS A.S DEDF TIONAGC OFTNE lABO'R COtIt: CllFAEST.AtN�AnONNEYs IV
IiMWL PFrNLTES AIID CM. RIFS UP M era: HUNORM THOUSAAD DOLLARS, iA000 wMEII- ITO1
hereby affirm under penalty of perju oneof the declar>kirxe`.
I rare and will m work
for a e of m f-unsure' for workers' compenserion, issued by the Director of IndretrW Relations as provided for fry Section 3700 I the tabor (�de, for
edarance of the soak for which this erk No f.
have and will maintain wafers' c , as required b'y$ectioonn 37DO of the Labor Code, for the performance of the work for which this hsumnce carrier and policy number arepermit is sued, i. y wodcers' pensaf
lamer Policy Number_ . ��.— �..w N Y'1
iI any mangy ti become subject to_tf�q ftwhsatahtr xsol
I spat forthwith cmrrhohrvdrHata.NubjecY
'eby affirm under penal erjury the there is a eo m9 agency for the performance of the work for which this perk is issued
Nam fSectioR20g -CAP a .
sy signature below, I certify to each of a following: Lender's Address �—�"�
1 am the property own« «authorized tioperty- ,.e„a . - Insp. 1111 c.�
I have read this application and the fnf LlafitVlhave provided is cameo. I agree lo comptywith at appGeaWe cityudy ordi and s�te1a•Asfe�r�To 6u'�6nonsautha¢e represerdatves oT tds city or ti P1OPos�• �
caters of Property Ownw «AWror¢edA Prat Property Owner's«Auft&ed Agent's Nadhe.' �ti 11h q fM4
ION DATE 8Y EC nON OF COMPWNCE WRH CODEff FEDERAL FOR OFFICE USE ONLY
REGUDITIONS PART61 OF TRLE 4DAN0 AOMD RULE
UAS3ESTOSNOTIFICAT.CNSNOTAPPUCASIE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYLSSUED SIGNATURE: _