The URL can be used to link to this page

Home My WebLink AboutH2020-0259 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O20-0259 o"t 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 5 9 Project No: 0584-2020 F Permit Counter Phone (949)644-3288 0�i 'CM e. Inspection Requests Phone (949)644-3255 Els4w� Job Address: 2810 CATALPA ST BIdg:1 Floor: Suite: Description of Work: MECH -A/C CON DENSOR. TAMPER-RESISTANT CAP & TIMER REQUIRED InspectorArea:8 Code Edit: 2019 Legal Description: N TR 5018 LOT 69 FEES Owner: OMIYA CINDY Contractor: SUMMIT AIR HEATING & ELECTRICAL Ventilation Worker's Comp Insurance-VbAtl� Address: 2810 CATALPA ST Address: 8781 VALLEY VIEW ST Carrier : NEWPORT BEACH, CA 92660 BUENA PARK CA 90620 0 Policy No: Phone: 714-408-6008 Phone: 714-657-2458 Bathroom Fan: Expire Fire Dampers: Con State Lie: 861833 $0.00 Over 100K BTU/hr: Issued Date:05/20/2020 Lie Expire: > 3 HP to 15 HP: 0 $0.00 Processed By:- T -Lie Bus Lip: Exp Date: Gas Line: ® �•J HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 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: $17.40 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: GSX141ssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $113.90 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction aHours:Monday - Fr�dgy Z.`00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. o ' a e e c u c u c e e« e e c 6 e' W c eco � G eee 4B0 6 G •ems YB •GW 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 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 Business and Professions Code, is available upon requestwhen this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.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 Profess' s Code, and my license is in full force and effect. n License Class License -No Date �.Qt� ` �� Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND 84ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE NDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 )erformance of the work for which this permit is issued. Policy No. have 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 workers' rance carrier and policy number are: Policy Number of Agent Date I rtify that, in the performance ofie 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 Zithat, I should become subject to Orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of Applicant Dater DECLARATION REGA NS RUCTION LENDING AGENCY I hereby affirm under penalt f p that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owIs 's behalf. I have read this application and the information I have provide correct. I agree to comply with all applicable city and county ordin and state laws relating to building construction. I authorize representatives of this city, or county nt ve-identified property for inspection purposes. n� ISignature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name �/I 11 Y r5c, O rt-j—o-010 AMON DATE BY DECLARATION OF COMPLIANCE NITR CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 01 QF TITLE40AND AW,.D RULE 1403. 0 • • :•• .•• • ❑ tSUBMITTEDASBESTOB 4ONIF"lON TOr � • • . ❑ EPA • • s P€RMITEXPIR€D PERMIT CANCELLED • .". • • • . c ❑ AQMD PERMITEXTENDED ❑ ASBESTOS N071RCA71ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. •.• ••' ••• PERMITRNAL ' 3' CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: +•: :•• : • ••' • •• ,.