HomeMy WebLinkAboutH2019-0335 - Permits+�r City of Newport Beach - Building Division MECHANICAL Permit: H2O19-0335
t 4a 100 Civic Center Drive Newport Beach, CA 92660 H 2 0 1 9 . 0 3 3 5 Project No: 2076-2018
g Permit Counter Phone (949)644-3288 _ 42-C)l - U.3 ��
Inspection Requests Phone (949)644-3255
20� Sic%Y,
Job Address: 213 VIA JUCAR BIdg:1 Floor: Suite:
Description of Work: MECH REPLACE A/C @ THE SIDE YARD "TAMPER RESISTANT CAP REQ" DUCT REPAIR (2 ZONES) IM
0
$0.00
er 100K BTU/hr:
A' d
Inspector Area:1 Code Edit:
2016
0
du 4
Legal Description: TR 907 LOT 718(AND SWLYI/2 LOT 719
to 100K BTU/hr.
0
Owner: WESTON GARRETT
Contractor:
AIR MAX
Worker's Comp Insurance - ° • °
Address: 213 VIA JUCAR
Address:
27260 LOS ALTOS
Carrier: STATE COMP.INS ....
NEWPORT BEACH, CA 92663
$0.00
MISSION VIEJO CA 92691
Policy No: 9170882 mq o o e • a m e""
Phone:
Phone:
626-255-2299
Expire :12/08/2019 •°°
° •
0 $0.00
Con State Lic:
1015725
_ ° • <
Issued Date:06)(11/ 19
Lic Expire:
07/31/2020
•m•
>15 HP to 30 HP:
Bus Lic:
BT30065145
t�Tn! TTOFTELFJIN"il:f�`IVI` «® •`
Processed B
Lic Exp Date:
11/30/2019
REVIEW AND APPJ(Q.VAL ®� °
rnacesBoilers & Compressors
to 100K BTU/hr:
0
$0.00
er 100K BTU/hr:
0
$0.00
ill/Floor Heaters:
0
$0.00
at Pumps & Package Units
to 100K BTU/hr.
0
$0.00
:r 500K BTU/hr:
0
$0.00
to I BTU/hr:
0
$0.00
to 1.75M BTU/hr.
0
$0.00
sr 1.75M BTU/hr.
0
$0.00
TOTAL: $181.59
Plan Check Fee: $0.00
Fee Due at Permit Issuance: $181.59
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.
FEES
m . ° `x m
Ventilation
Other 1 m"°
°...,°
Up to 3HP:
1 $19.00
Bathroom Fan:
0 $0.06
Fire Dampers:
0
$0.00
°"`
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
0
$0.00
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0
$0.00
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee:
$0.00
Investigation:
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$49.59
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
2 $38.00
Model
38VMA060HDS3-1
Issuance:
$35.00
Over IOK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
VAV Box:
0 $0.00
Zoning PC:
$40.00
TOTAL: $181.59
Plan Check Fee: $0.00
Fee Due at Permit Issuance: $181.59
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.
INER-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 thepheckmark(s) I have placed next to the applicable item(s)
action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or rapair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
ifessions 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
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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
)rovements 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
)roved 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
)ly 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:
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 legalll
I 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
rfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Pro0 y,QTvner or Authorized Agent Date
;�Wpf D COIJJ"CTOR'S DECLARATION
?reby affirm umdeTp salty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu loess and Professions Code, and my license is in full force
A effect pp �.
elSge,Class ` License No aG C� Contrato 'gnature
DRKERS' COMI3�NSATION DECLARATION
iNINCr, FAILURE TS` CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
iT OF COMPENSATOM, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
eby�affirm underpenalty of perjury one of the following declarations:
.I,hava and will'maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
f&mance of tlTtr+y 9JVor which this permit is issued. Policy No.
,; ave -and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
00cg carrier and.polf cy number are:
rrierli .... Policy Number Expiration Date
me of Agent Phone #
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become subject to the workers' compensation provisions of Section 3700 of the L bor Code II forth comply with_ a provisions.
matuel:07N$=�IRDING
lice 'A � e
CLA CONSTRUCTION LENDING AGENCY r penalty of perju that there is a construction lending agency for the performance of the work for which this permit is is u (Section 3097, Civil Code).
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.
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 tojenter the above -i ntifii prop ny for inspection purposes.
..,...,,.e ,.f D... ,, n--.,. hrl�a.l Anonf «�'/��M /l Print ProDertv Owner's or Authorized Agent's NPrne a
ACTION BY
.111 .,...,..:....-.,.... _____.
FEDERAL REGULATIONS PART Of OF TITLE40AND
AQM0 RULE 1403.
D I SUBMfTFEDASBESTOS NO71FICATION TOr
EPA
❑ AQMD
PEFMITEXPIRED
PERMITCANCELLED N I
PER 41TEXTENDED
P
0 ASBESTOS NOT[FICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
PERMITEINAL y 11 V
CERTWCATEOF
OCCUPANCYISSUED