HomeMy WebLinkAboutH2022-0232 - PermitsCity of Newport Beach - Building Division III III 111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 3 2
}µ Permit Counter. Phone (949)644-3288
Job Address: 10 RUE CHATEAU ROYAL BIdg:1 Floor: Suite:
Description of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ*
Inspector AreaA Code Edit: 2019
Legal Description: N TR 7788 LOT 65
Owner: PANNIER FAMILY INVESTMENT
Contractor:
Address: 10 RUE CHATEAU ROYAL
Address:
NEWPORT BEACH, CA 92660
Phone: 9491759-0972
Phone:
Con State Lic:
Issued Date:05/03/2022
Lic Expire:
Bus Lic:
Processed By:rExp
Date:
MECHANICAL Permit: H2O22-0232
Project No: 2370-2021
Inspection Requests Phone (949)644-3255
TINIER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN t0 P.M. AND 7 A.M.
HUIE MECHANICAL Worker's Camp Insurance -
11552 ARROYO AVE 'Carrier: BENCHMARK
SANTA ANA CA 92705 Policy No: CST5023024
714-389-2228 Expire :01/19/2023 - -
598140
07/31/2022 9 a.
BT30078617
04/30/2023 °
dV°f `C t
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other °,,,°°;
•=°
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1
$22.00
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
Investigaliok °' $0.00- °
Over 500K BTU/hr:
0
$0.00
- Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$19.14
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
R4A51ssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
SEER
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$52.00
TOTAL:
$131.14
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$131.14
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.
)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
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
lot 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 U 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).
I 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 legally
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 request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htm[.
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 Gtion 7000) of Division 3 of the Business and Professions Code, and my licensg.S in full force
and effect. s� /nN ✓ �`
License Class.... License No Date ri "'3,-�o7ZDonfractor Signature
WORKERS' COMPENSATION DECLARATION
MR4IING: FAILI/FE•rOSF�CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPF.NSR- DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES-
6 hereby affirm wader penalty of perjury one of the following declarations:
• 1•have and rvnlifnVintain 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 thl
p jfdhyance olth%work for which this permit is issued. Policy No.
• • ve and Will T&Iptain 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' compensatior
ifyr;urawe carrree and policy number are:
Policy Number Expiration Date
enj of Agent^ •. rnonen
( S.,4fy that, in'tth 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
.,�i �I*shouldp'ecgm®subjec to the workers' em ensa' ovi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L' 2
nature of Applicant Date 7 `� 7 • AB Z 7--
nature REGAR& STRUCTION LENDING AGENCY
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S tion 3097, Civil Code).
tder'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.
I have read this application and the information I have provided is correct. ,
I agree to comply with all applicable city and count Vrordinances and state laws relating to building construction.
I authorize representatives of this city or county to ove nter e� }f'e p perty for inspection purposes. Jl `4n` ,_fUl�r r�
mahve of Pmnertv Owner or Authorized Aoent Print Property Owner's or Authorized Agent's Name ,S T"U rY i� ate 7 y ^��
ACTION
DATE
BY
DECLARATION OF COMPLIANCE INITN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TITLE40 AND
AQMD RULE 14022
❑ I SUBMITTED ASBESTOS NO71FICATION TO:
❑ EPA
❑ AQMD
PERMIT EXPIRED
PERMiTCANCELLED
PERMIT EXTENDED
❑ ASBESTOS N017RCA71ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
/L
CERTIFICATE OF
DCCUPANCYISSUED