HomeMy WebLinkAboutH2020-0642 - Permits�wrer�r City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O20-0642
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 6 4 z Project No : 1810-2019
r~ n Permit Counter Phone (949)644-3288
4 yam.
r"�irhuN°a Inspection Requests Phone (949)644-3255
Job Address: 1948 PORT NELSON PL BIdg:0 Floor: Suite: TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. S PEC Y ®F3
Description of Work: MECH (2) A/C UNITS *TAMPER PROOF CAP REQ*
Inspector Area:4 Code Edit : Z0 11�k
Legal Description: N TR 7028 LOT 29
Owner:
RAKUNAS RON & MONICA
Contractor:
N P MECHANICAL INC
Worker's Comp Insurance -
Address:
1961 PORT RAMSGATE PL
Address:
9129 STELLAR COURT A
Carrier: SEPAT. OF INDUSTRIAL
NEWPORT BEACH, CA 92660
CORONA CA 92878
Policy No: 4503-103
Phone:
949-274-0044
Phone:
951-667-4220
Expire:
Con State Lic:
890694
Issued Date:
Lic Expire:
02/28/2021
/� J�
Bus Lic:
BT30053053
Processed By:� / y/ `
Lic Exp Date:
06/30/2021
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $42.00
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 :
$0.00
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$36.54
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
4TTL6042A11ssuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TRANE
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$161.79
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$161.79
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.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) in
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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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).
111, 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 tt.at 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 a!ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signatu.e of Property Owner or Authorized Agent Date
-_ CEN3ED C3N1 kACTOR'S DECLARATION
I herel•y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing"tionDivision 3 of the BusinessVUNDRED
de, a m s Is in full force
ono effect License Class License NoDatContractor Signature
YJORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO S-CLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSA.IJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I Ilereoy affirm under penalty of perjury one of the following declarations:
I have and will mairtain 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 the
p rmance of the work`for which this permit is issued. Policy No.
have and wil' maint&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' compensatiDl
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
ne of Agent
certify that, in the performance of the work for which permit eorkers' cot is issued, I shall not employ any person in any manner so as to become subject to thl pation laws California, and agre
:, if I should becomes bjecl to the ers' mp provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p
rovisi s L/l
nature of Applicant Date
CLARATION REGARPICONSTRUCTION LEND1#G AGENCY
�reby affirm under pe alty 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).
Ider's Name Lender's Address
my signature below, 1 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 ordina ces an . a relating to building construction. , yy�riJea r�
I authorize representatives of this city or cour t me L i' i perty for inspection purposes. Y I` f �d j'Tf `l
nature of ProDertv Owner or Authorized Agent �/ Print Property Owner's or Authorized Agent's Name Dat
ACTION I DATE
I PERMIT EXPIRED I I I
PER
Mff CANCIED
PERMITEXTENDED A
PERMIT FINAL
CERTIRCATEOF
OCCUPANCYISSUED
FEDERAL REGULATIONS PART 61 OF FITL€40 ANU
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: