HomeMy WebLinkAboutH2020-0569 - PermitsNi City of Newport Beach - Building Division III 111111111111111111111111111111111111111111111
G� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 6 9
Permit Counter Phone (949)644-3288
P,�'uti�ys
Job Address: 52 BAYCREST CT BIdg:1 Floor: Suite:
Description of Work: MECH/CHANGE OUT (E) A/C 59.5dB* UNIT PAYNE; CA15NA030) *TIMER REQUIRED ON EQUIPMENT
InspectorArea:3 Code Edit: 2019
Legal Description: TR 12362 LOT 1 UNIT 34 OF PROJECT LOCATED ON AP 442-283-06
TOGETHER
Owner: PEINECKE RHODA Contractor:
Address: 52 BAYCREST CT Address:
NEWPORT BEACH, CA 92660
Phone: Phone:
Con State Lie:
Issued Date:10/05/2020 Lie Expire:
Bus Lie:
Processed By: Lie Exp Date
-nacesBoilers & Compressors
to 100K BTU/hr:
0
$0.00
or 100K BTU/hr:
0
$0,00
ill/Floor Heaters:
0
$&o
at Pumps & Package Units
to 100K BTU/hr:
0
$0.0
or 500K BTU/hr:
0
$0.00
to 1M BTU/hr:
0
$0.00
to 1.75M BTU/hr:
0
$0.00
or 1.75M BTU/hr:
0
$0.00
TOTAL:
,,P910p to 3H�P�:
> 3 Je 5
�Pto30
>30 HP.te 50
1
GLENAIR
PO BOX 800665
VALENCIA CA 91
661-678-0709
978596
12/31 1M0
BT36073118 i
\ •
FEES
1 $21.00
Bathroom Fan:
0 $0.00
Exhaust Fan:
0 $0.00 '
Attic Fan:
0 - ffi'b.00
D wn-Draft Fan:
01, $0.00 0I
sidential,Hood:
�� .1r polo O\rxpire :0111
OHO
MECHANICAL Permit: H2O20-0569
Project No
Inspection Requests Phone (949)644-3255
OFF BETWEEN 10P & 7AM
po
C;�1
ice C]
;.HJS �r 1
3 0
0` TIMER REQUIRED ON EQPMENT
TO SHUT OFF BETWEEN 10 P.M' 7 A.M.
e
0 $0,00 Fire Dampers:
0 $0.00 Gas Line:
,,�� \
0 $0.00 MetalgFir�(; c''e&' 0av6l
A $0.00 htgi,F-e: N`d�
0 $0.00 , Aa�diti rkil Fe �l`�
0 $KTI, Ov'`)
0 $M90 Rodeo ssw
Supplemental Fee: $0.00' Manufacturer:
t
Plaheck Fee
TS:EXPrRk,10o DAYS AFTER /3SVA.VCE
Monday -°, i dey r':00 &.rr;fc ff:30p n
W Other
Zoning PC: $46.25
$0,.00
$0.4'1)t11-g
$0.
$0.00
$0.00
$0.
.
0tibn:
$0.00
I heck:
$18.27
$37.00
$0.00 FeyDue aOermit issuance: $122.52
INSPECTION
from 8:00 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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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
Erim roved 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 Iegalll
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:hftp://Www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000) of Division 3 of the Business and Prows-C de, and my license is in full force
and effect. ` ,�/
License Class License No Date Contractor Signety
NORKERS' COMPENSATION DECLARATION��
YARNING: 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.SECTIOW3706-OPTHe'1•ABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of'consentto self-n sure'for workers' compensation, issued by the Director of Industrial Relations as prowdetlfor.by Se on 3700 ofthe Labor Code, for thi
)erfml oance of,the work for which this ermit is issued. Policy No.
and will main cvinumers' compensation insurance, as required by Section 3700 of the Labor Code, fort mtznce of the work for wFiich, this permit is issued.
carrier andp cv,number are:
is of Agent Gov ., Ph n ,h - ;: •;,` . L,jl-r
certify that, in the performance of the wh' mi' is issued, I n t e plo n rs t�manner so as to beco su'ject to the workers' compensation la oFrCalifornia, and
if I should become subj ct to thew er pensation provisions o io abor Code I s�halAforthwith comply with those provisions. G
rature of Applicant e� ,xt,p,.;s {F1 J K,
c o ..,
I hereby affirm under penalty of is constructiormg a cy th rm c�,@@,� h r Is permit is issued (Section 3097, Civil Code).
Lender's Name L Le y drs
By my signature below, certify to each of the followi
I am the property owner or authorized to act on t pro rty ow behal��.'''" Ir'
I have read this application and the information I� ve rrect*.� ,
I agree to comply with all applicable city and coun ordinances "and state I s relahn tobuilding consfruchon „sl+.,a' !6 %
I authorize representatives of this city or county t ter t e property for inspection pumoses
Signature of Property Owner or Authorized Agent _ t` Print Property Owner's or Authorized Agent's Name `D
ACTLON DATE DECLARATION OF COMPLIANCE WJTH - F FFICE USE ONLY
FEUFRAl REGULATIONS PART B".O 71�4N '" t D
PERMIT EXPIRED I AOMG RULE 40 _ '
` ❑ I SU6 ItTSE3 PTITIOS A'ORFI..A�V to:V19,
(. i �k
PERMITCANCELLED `LPA - 1�1
PERMITEXTENDED :'.•';i�Q AQMD — —
PERMIT FINAL ASBESTOS NOTIRCADON/S NOT APPLICABLE TO
..tPR POSFn DENOLITl7N. it
CERTIF/CATEOF
OCCUPANCYISSUED SIGNATURE-