HomeMy WebLinkAboutH2020-0644 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O20-0644
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 8 8 6 4 4
Project No : 1070-2020
� Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 1307 MARIAN LN BIdg:1 Floor: Suite:
Description of Work: MECH FURNACE & A/C *TAMPER PROOF CAP REQ*
Inspector Area:3 Code Edit:
2019
Legal Description: N TR 1645 LOT 27
Owner: HARRINGTON TIMOTHY
Contractor:
Address: 1307 MARIAN LN
Address:
NEWPORT BEACH CA 92660
Phone: 714-335-2447
Phone:
Con State Lic:
Issued Date:11103/2020
Lic Expire:
/�
Bus Lic:
Processed By: wJ` �
Lic Exp Date:
BEST QUALITY HEATING & AIR INC
130 A E COLLINS AVE
ORANGE CA 92867
714-759-0167
949468
06/30/2022
BT30060260
0813012021
Worker's Comp Insurance -
Carrier : HARTFORD CASUALTY
Policy No: 57WECDE6068
Expire :05110/2021
HVAC Items
FEES
$
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $21.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0 60
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
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$18.27
Up to 1M BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$37.00
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:
$46.25
TOTAL:
$122.52
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$122.52
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 mason(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 Bdsiness 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 6f
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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).
111, 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).
❑ 1 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 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
Professions Code, is available upon request when this application is submitted or at the following Web site:htip://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTPAt:TOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencIn 'th Section 7000) of Division 3 of the Business n rof ions Cade, and m icense is in full force
al,i �fsc" O J Contractor Si
License Class License No Dat — Signature
W'OrKERS' COMPENSATION DECLARATION
WARNING: FAILURE TIC �CCJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSANO DOLLARS (E100,000), IN ADDITION TO THE
COSr OF COMPENS .TION. DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have and wil' maWain 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 IN
ormance of the Work for which this permit is issued. Policy No.
have and will ,nair,i:.in 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' compensatio
su a carrier and policy number are:
arrier Policy Number Expiration Date
Name of Agent Phone #
1 certify that, in the perf rmance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
that, if I should becom s ject to t workers' compensati rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi i s.
Signature of Applicant Date / f ^ _3 �' 2 U 9,0
DECLARATION REGAR ING CO TRUCTION LENDIN AGENCY ��
I hereby affirm under pe Ity of ped ry that there is a construction lending agency for the performance of the work for which this permit is issued ( coon 3097, Civil Cade).
Lender's Name Lender's Address
By 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 co ty ordinances and state laws relating to building construction.
I authorize representatives of this city or count o enter pie above -identified party for inspection purposes.
7
Signature of Property Owner or Authorized Agent Gam- Print Property Owner's or Authorized Agent's Name CASA 5 Dat —�
ACTION GATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ lSUBMfT(EDASBESTOS NORRCATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
P€AM7T EXTENDED
❑ ASBESTOS NOTiRCARON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
C€RTiFICATEOf
OCCUPANCYISSUED