Loading...
HomeMy WebLinkAboutH2020-0702 - Permits (3)w,. � City of Newport Beach -Building Division IIIII�IIIIIp11111p11p111111111p111111111111111 MECHANICAL Permit: H2O20-0702 �' G� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 7 0 2 Project No : 1408-2020 i`. Permit Counter Phone (949)644-3288 0µ e� > Inspection Requests Phone (949)644-3255 i GiYi]Y� Job Address: 3514 SURFVIEW LN Bldg:Q Floor: Suite: Description of Work: MECH - R/R FAU & A/C CONDENSER. TAMPER -RESISTANT CAP & TIMER REQUIRED Inspector Area:6 Code Edit: A tot9l Legal Description: N TR 6228 LOT 3 Owner: KATZ ROBERT Contractor: CAPISTRANO HVAC Worker's Comp Insurance - Address: 3511 SURFVIEW LN Address: 2301 MOULTON C-13 Carrier: FALLS LAKE FIRE & CASUALTY CCRONA DEL MAR, CA 92625 LAGUNA HILLS, CA 92653 Policy No: FLA01415200 Phone: Phone: 949-481-9605 Expire :05/0412021 Con State Lic: 910228 Issued Date: Lic Expire: 09/3012021 Bus Lic: BT30073651 Frocessed 6y Lie Exp Date: 12/31/2021 5 Lz :KViAC Items _ FEES FurnacesBoilcrs & Compressors Ventilation Other Up to 10OK BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 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 I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNox 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' 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 L) all of or L) 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 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 legall) 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 Busi'IPss and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 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 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C ' aci License No Ct ( 0 �a- Date Contractor Signature NORKERS' COMPENSATION DECLARATION - NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO E HUNDRED OUSAND DOLLARS ($100,001(, IN ADDITION TO'. F:= COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby.afffrm under penalty of perjury one of the following declarations: 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 th- lauur Code, fur :e of the work for which this permit is issued. Policy No. 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 carrier and poll number} are: X5 �0 k.R_ = Y CC4�1- �J Policy Number 1(-tA- 6 ly \`' � - 6 � Expiration Date of Agent JI 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 iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant " Datg� IECLARATION F ONSTRUCTION DING AGENCY hereby affirm under penalty perjury that there("there(is,4 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 Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 and state laws relating to building construction. I authorize representatives of this city or county ter a nspection purposes. ignature of Property Owner or Authorized Agent . above-identi ed perty for iPrint Property Owner's or Authorized Agent's Name ON/ Date 0- ACTION DATE Ry DECLARATION OFCOMPLIANCE V#7THCOOE OF FEDERAL REGULATIONS PART 61 OF TITLE40ANO AQMD RULE 1403. ❑ 1 SUBMITTEOASDESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL Q,.20-7! /r../l_. C€RTIFFCAT€OE OCCUPANCYISSUED n o A �n A wNr� n Wa NS op S a ❑ 5no- ❑ 5 n ❑v x 5ana 0 2 O ❑ m v m 7 N z D y n a ? m r- w w J N n❑ f0 y 3 2 onm O.d n D O £ m 2 N M -Q 3 I'c i c oa m m 3 " m o mN o. J o^< a m M N oa a Q oxa J A M m A m cOamm m m 3 Ea n° a •n m m a 'm �* N c❑ N m o❑ c m a C o -° £ c c -o 2❑ < R o c m T 3 N °-' me c w 3 N< ° J m w O O F m<� w m m' T m 'm n' m �. 'm m n m .". ,p £ C/� f° m e f. o ^ m n 3 0 2 3 N x m 3 d m w o 0 3 3 a 0 m M o N O, J J c c ,. m a J as o .+ m< m w' N m ,°. < N ,�, a rt N n< 1p d a A u 2 S c mi m w s c m D a ? '° » -da 3 �. =. » m 3 m .J,r a c C m n< a J d ofD, d J 7 .d-. N. 0' n C N °' z n a O 0 3 C' 3 Q w. N ,• .°„ = c ❑ 40 d 0 N A d v D O 3 �. c N C O n N = A O n £ y G° rt O b '� rt C ID w O w 9 6 3 = O < _ J ., 3 0 - m m w, 0 m 0 d oa d O d oa T a s C F c C J N a C N s 0 d 00 o A N _ N 2 d N n O c D r1 °- a !U O C Q N J J a d oa v r�F N vJi J° fD n n rt irSi' m w O a _. c .^. w d u o oFi - o O 6 0 �n N N O?< �' a J n d O. w N C O Z N N n N S w N w F. " 3< n a, d �, s '^ �, p n �^ fD v o F I^ ,» d In ; i dC J In d m In oJi 'o. d c o C o: m ,'^f 1D 0 J° d n a m, r w N- 3 w v�i ° as in m a m 3 n 3 n a n a Fi °' m °' 91 `c' O O m d n I n O w ui N d T 2,w f0 ry d °' �n' 3, F O m ,_ m 0 °' m N D ^' o T n u• 0 o w T o_ m O a m n d f° o ry d 3o .�'. �� w T m °- °—' O c N rt. ua 0 J c J fD d o N n o w' c In n `� I�' 3 9 Qd c o d n n ,, -.o nnn T T T A �;F nnn T T T m (P n n n n T T T a m d O n n n T T T A N >> Ii N N N W N F` S] X V W N F` a n W N F+ .O d N W N F-` a N N v m m T m O ti _" 00 X Ort A A A C W A A A G < JJ A A C . -O J� A A C !U £ 'JJ A C K S n N n j R V N (D I 7 C�� � N� O�� D fD 0 3� D N G� p�� > N n 0 m m .di Oi .�d^ •cn-e M M A o M n n -{ O. pG n n n -{ 6 �„ n n .- a n n a o n ry 0£ n d ? N O0 E n Q 2 x o n a T == o n OO S S O n O1 in 2 2 0 n J 0 n ° M I N O n N O 'x, c� N N N O c N O N C N O N O tU O. N O N O v N On 3 O N '� m O2 m m lD 0 �-+ m V N 4�- d '^ ti• J 7 n 2 2 9 0 J m m n} m m O N O < ry O S O ^ S i N d <y� N N N 3 U N O= d N° t2n n d N d n= N n= d_ L 2 d 'O T O_ 0. W 0 J N u 2 > D S N fp — N N n J 0p N d V d d s� „ N d of O d W 0 O T N O O° 2 ° 0 2 E C s° n n 0 3 ti. W 2' N J N n C (D 2 2 C ° 2 S C `f ❑ n C O' d ❑❑❑ 'T Z M .O 0 2 0 y U N F+ n N 3 n d 0 3 £ 3 J- N n 3 M J IV A A m N J \ y. ' M I O N d d '! d F+ O N° J N- N An N J IV u, N d N d 2 d �mm c F - n O { 'n O 'O N fD H A ty d O H •'A n O n N O N O d m O O S W N N A^ N v d n N p O c { WO O IU 3 O fD C w Ol Q N N O. N O N 3 O M» d N O_ H N 1+ y w, rDY N n O- 3 ^ i J N N N v' u' J O an d �O O �60 n ? O 0 3 in 0? A _ a 3 > R J° O A x O N A n x O O N Wrnfb = N a3 nm O -m o° ? o d �' o Jm n UT = O 0 2 J J j J m < o m ° J N m n u N w N c N J 0 6 �. m O N — N d O M m pj A m m a c .nd. = 9 o '° o o'a N o= 11 vJ� O� n A d O d T d T m v •11 -O 0 4+ j a o N tli (U O rt fD d 2 J Q d Ct n �. <_ o a d o. d d d N on z O J n O O F° m o. 3 D S O ° O C< d d S J 2 M < d 'm _ S J m d s a o n o d 3 x x m_ m o J> > 3 _ d n O fi ti o- u n M o ° O M' d rt w N d J O 9 0 c (U J O ti J N 2 O M N j N d 3 k o 3 o 0 N m o Q d 3 , 0 o J Z