The URL can be used to link to this page

Home My WebLink AboutH2020-0491 - Permitsr City of Newport Beach - Buildingd Division H2O20-0491 ' o : 100 Civic Center Drive, Newp4C B^ach, Cr Seo..,: H Permit Counter Phone(949)644-3288 MECHANICAL Permit: H2O20-0491 Project No: Inspection Requests Phone (949)644-3255 Job Address: 1416 DOLPHIN TER BIdg:1 Floor: Suite: Description of Work: MECH INSTALL A/C UNIT @ THE SIDE YARD, "TIMER, TAMPER RESISTANT CAP, & NOISE AGREEMENT REQ" Inspector Area:2 Code Edit: 2019 Legal Description: N TR 1700 LOT 24 Owner: DANCY JACQUELINE ALICE Contractor: Address: 1416 DOLPHIN TER Address: CORONA DEL MAR CA 92625 Phone: Phone: Cs n State Lic: Issued Date:09/01/202 c Expire: FEES BuLic: Processed By: Lic Exp Date: JAMISON HEATING & COOLING SVCS 2481 SANTA YSABEL AV FULLERTON CA 92831 714-397.4132 1015392 06/30/2022 BT30065676 01/31/2021 INSPECT® •es• °oee• Worker's Comp Insurance - e • • e Carrier: NORGUARD INSURNACE Policy No: JAWC137132 ° Expire :05/29/2021 ' ° ° ° ° ° • ° S4TBJECT TO FIELD INSPF.,CTQI?V 99 ° EEVIE`rVANDMPItQVAL ° 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. HVAC Items FEES FurnacesBoilers & 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: 1 $38.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >16 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: $33.06 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4TTL6042A1Issuance: $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: $154.31 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $154.31 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 checkmmik(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 ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property whobuildsor improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt frgrpJigensure under the Contractors' State License Law for the following reason: By my signature b li w I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Profes'slops Codg,16'av able upon request when this application is submitted or at the following Web site:htt //www.le info.ca. ov/calaw.htmi. aP P q PP 9 P� 9� 9 Siggaturp of Prope"Owner or Authorized Agent Date LIPL•y$ED CONYRACTOR'S DECLARATION Zeby affirm ur der pe alty of perjury that I am licensed under provisions of Chapter 9 (commencing w tm ion 7000) of Division 3 of the Bu ess and Professions Code, and my license is in full force affect. 0 .... 0 Litensttlass _ License No to �1 l ! Il.V Contra ontr for ignature APMERS' CLMR IMSATION DECLARATION l/ NARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI S U TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 0090OFCOMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby ;firm under penalty of perjury one of the following declarations: �1'hays and will,plapdain 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 vrIbitrbAnce of tit Vgrt-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 workers' carrier and policy number are: Policy Number Expiration Date is of Agent Phone If - 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 sub t to the workers' compensation laws of California, and if I should become_subject toyw workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th6L�J ovlslons T % ` nature of Appli nt `r ar6� -( L r�T CLARATIO ARDING CONSTRUCTION LENDING AGENCY Ireby affirm nder penalty 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, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. 1 have read this application and the information 1 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 c' o �to e tef t ve-identified property for inspection purposes. C,�y",;, f ,; nature of ProDertv Owner or Author! eP�t �i/4/� Print Property Owner's or Authoriz d A e s Name U wi-f✓ (�1 ACTION PERMITEXPlRED PERMITCANCELLED PERMITEXTENDED PERMIT..FINAL CERTIRCATE OF OCCDPANCYfSSUED BT1F��51'J ❑ t SUBMITFEDASBESTOS NODFICA77ON TO: EPA ❑ AQMD ❑ ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR