HomeMy WebLinkAboutH2022-0052 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111IN 1111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 5 2
i, . ,. Permit Counter Phone (949)644-3288
Job Address: 442 REDLANDS AVE BIdg:1 Floor: Suite:
Description of Work: /CHANGE OUT (E) (2) A/C UNITS 45.5clB & 47.75dB(DAIKIN; DZI7VSA; 3 & 3.5) W/SOME DUCT WORK
Inspector Area:3 Code Edit : 2019
Legal Description: FIRST ADD TO NEWPORT HEIGHTS ELK 24 LOT 13
Owner: SLAVIN Contractor:
Address: 442 REDLANDS AVE Address:
NEWPORT BEACH, CA 92663
Phone:
Phone:
Con State Lic:
Issued Date:02/01/2022
Lic Expire:
Y Y�
Bus Lic:
Processed By:
v
Lic Exp Date:
MECHANICAL Permit: H2O22-0052
Project No :
Inspection Requests Phone (949)644-3255
D G L AIR CONDITIONING AND HEATING Worker's Comp Insurance -
1235 W. COLLINS AVE Carrier: PACIFIC COMP
ORANGE CA 92862 Policy No: WA00696301
714-279-9480 Expire:05101/2022
622345
06/30/2023
BT30072731
08/3112022
HVAC Items
FEES
Furnaces Boilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
0 $0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
2 $78.00
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 :
$67.86
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1M BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
1 $22.00
Model:
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$257.86
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$257.86
PERMITS EXPIRE 180 !JAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 5-:00 a.m.to 5:3C p.m.and 3a:urday from 8:00 a.m. to 6:00 p.m.
DWNER-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 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
not 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 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).
❑ 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 ContractorsState License Law).
❑ I am exempt from Iicensure 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 that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:http://www.leginfo.ca.gov/calaw.htm1.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing 'withhSSection 7000) of Division 3 of the Business and rofessi e, and my In full force
and effect / �ZZ
License Class License No Da`�[ Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU THOUSAND DOLLARS 1S100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will 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
performance of the work forwhich this permit is issued. Policy No.
have and will ainta o workers' compensation insurance, as re Lined by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
rance carrier an licly number are./
ier Poli b - Expiration Date
ie of Agent Phone #
certify that, in the performance of the ork fo hich this permit is iss shall n ploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree
if I should becomes ject tot r compensation pro of 0 of the Lab ode, I shall forthwith comply with those provisions. /
lature of Applicant pa{e� ! Z z
hereby affirm under �56altyldrperjury 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 ordinances an ws relating bu ' g construction.
I authorize representatives of this city or county tq ester the ntified prope _ I pection purposes.
ed L
ignature of Property Owner or AuthorizAgent X s_�G Print Property Owner's or Authorized Agent's Name X Ce-.�Ie�� y
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
- Fi-_DERAL RcGb,A OONSJ-ARl, u1'OF TIRE40 AND
AWAD RULE''403. -
PERMIT EXPIRED
El ' SUBtli7 rE7 4SBESTOti h 07'RCARON TO:
❑ EI'A
El AQMD
PERMITCANCELLED
PERMITEXTEIYDED
❑ ASBESTOS N077FICA770N IS NOT APPLICABLE TO
Pt?JP7SFD DEMOLITION:
PERMIT FINAL
CER7 FICATEOF
SIC -'NATURE
OCCUPANCYISSUED