HomeMy WebLinkAboutH2019-0249 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 2 4 9
�,.. Permit Counter Phone (949)644-3288
er.
MECHANICAL Permit: H2O19-0249
Project No : 1260-2018
Inspection Requests Phone (949)644-3255
Job Address: 2 CAPE ANDOVER BIdg:1 Floor: Suite:
Description of Work: MECH REPLACE 2 A/C UNITS @ THE SIDE YARD "TAMPER RESISTANT CAP REQ, TIMER REQ ON UNIT #2"
InspectorArea:3 Code Edit: 2016
Legal Description: N TR 15012 LOT 7
Owner: RABBITT CRIS & SHELLY
Contractor:
Address: 2 CAPE ANDOVER
Address:
NEWPORT BEACH, CA 92660
Phone: 424-247-4110
Phone:
Con State Lie:
Issued Date:04/29/2019
Lie Expire:
A.
Bus Lie:
Processed By: /
I f
Lie Exp Date:
c
SKY HEATING AND COOLING Worker's Comp Insurance -
769 N GLASSELLST Carrier: NORGUARD INSURANCE
ORANGE CA 92867 Policy No: SKWC010873
714-883-0623 Expire :02/01/2020
1045281
10/31/2020
BT30065983 F TTBTE CT TO FIELD IN SPFCTOW S
02/28/2020 REVIEW AND APPROVAL
PERMITS EXPIRE 980 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
� x$0.80
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
2 $70.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
$OeBQ
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:
Mo..30
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
4A7A4048LIssuance:
" $35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AMERICAN STANDA
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
° $48.100 °
TOTAL:
$205.90
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$205.90
PERMITS EXPIRE 980 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.
u••
)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 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
ot 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
nproved 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).
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 (commencln with Section 7000 of Division 3 of the Business and Professio my license is in full force
nd effect.
icense Class License No te C tractor Signature
YORKERS' COMPENSATION DECLARATION \
A.RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby atrum under penally of perjury one of the following declarations:
I ha.4•0nd will maintain a certificate of consent to self -insure for workers'
pgrfgrnenoe of the work for which this permit is issued. Policy No.
compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
• Carrier • _•: Policy Number Expiration Date
• Name oPAgent Phone #
• 1 certify th�tf 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
•
that, if I should b ome sub' rk s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr/gvisions. ,���/ lq
�• ignaturq of pplicant �D.�Ce
ECLA JQ REGAR CONSTRUCTION LENDING AGENCY
'.hereby at,m, ()nder p n y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
Gender's bane• Lender's Address
By my sipbfle 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 appliq#e city and county ordinanckiLqw6state laws relating to building construction. ���fff
I authorize representatives of I city or count r t dentified property for inspection purposes. ���GU 4#1110 ���/
Signature of Prooertv Owner or uthorized ADent Print Prooertv Owner's or Authorized ADent' ame V D �7
ACTION DATE BY
ULCLAHAIJUNUt-CUMPLIAN(I--MiHCUDLUF
FOR OFFICE USEONLY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMDRULE 1403.
PERMIT€XPIRED
❑ 1 SUIBMETTEDASB€STOS ND➢FICATIONTO:
❑ EPA
❑ AQMD
PERMITCANCELCED
PERMITEXTENDED
❑ ASBESTUS NOAHCAT)ONTS norAPPLICABLE TO
PROPOSED.DEmouvom
PER64ITFINAt'j
CERTIFICAT€OF
OCCUPANCYISSUED
SIGNATURE: