HomeMy WebLinkAboutH2020-0167 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O20-0167
.' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 6 7 Project No:
Permit Counter Phone (949)644-3288
TIMER REQUIRED ON EQUIPMENT
�'�aar.fs�s Inspection Requests Phone (949)644-3255
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
Job Address: 1260 SOMERSET LN BIdg:1 Floor: Suite:
Description of Work: MECH/CHANGE OUT (E) F.A.0 & A/C UNIT 53.5db (LENNOX; ML14XC1) *TIMER REQUIRED ON EQUIPMENT TO SHU OFF BETWEEN 10PIM 7AM
Inspector Area:3 Code Edit: 2019 P�
Legal Description: N TR 3031 LOT 72 U)
Owner: HYLTON LEONARD I Contractor: ECONO AIR Worker's Comp Insurance -
Address: 10202 PARLIAMENT AVE Address: 555 VANGUARD Carrier: STARNET INSURANCE CO 'y
GARDEN GROVE CA 92840 BREA, CA 92821 Policy No: BNUWC149340 .
Phone: Phone: 714-695-6661 Expire :10/01/2020 '
Con State Lic: 445220 �1
Issued Date:03/0512020 Lic Expire: 02/28/2022
Bus Lic: BT30064026 HERS VERIFICATION REQ
Processed By:! Lic Exp Date: 08/31/2020 0)0
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
1
$20.00
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:
$17.40
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1 M BTU/hr:
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$133.90
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$133.90
PERMITS EXPIRE 180 IJAYS.AFrER 1$SUAFCE 06 MST4VALID INSPECTION
Construction Hours: Monday- Friday; 7190®a.m.fo o6:80p.m.agd Sptgrday from 8:00 a.m. to 6:00 p.m.
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)WNER-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
is 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
'rofessions Code) or that he or she is exempt from licensure and the basis for the allegedexemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of 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,
lusiness 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
nprovements 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
n roved for the purpose of sale).
1, 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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 Pro sions a d my license is in full force
nd effect. ` 1
icense Class License No Date 6 Zil Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($'100,0001, IN ADDITION TO THE
OST 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:
1 ave 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 the
e mance of the work for which this permit is issued. Policy No.
I have and will maintakl'�cetkers' compensation insurance, as requirda by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
isurance carrand D cv nu
ier er are: tai I In
mer P licy Nr Expiration Date
me of Agent w' Phone #
certify that, in the performance f he wor5w�h this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agree
t, if I should becomes bject tot a ork 'sation ions of Section 3700 of the Labor Code, I shall forthwith comply with those prov ns.
nature of Applicant Date T
CLARATION REG DING C DING AGENCY
;reby affirm under enally of perjury th t here 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, I certify to each of the following:
I am the property owner or authorized to act on the property owner' eha .
I have read this application and the information I have pr ided is orrect
I agree to comply with all applicable city and county ordi n e we-rctattrlg to building construction.
I authorize representatives of this city or countyter a entified property for inspection purposes. h, %
nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name rM S/n I�'r7r Date
ACTION DATE BY
DECLARATION OF COMPLIANCE WITH CODEOF
FOR OFFICE USEONLY
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