HomeMy WebLinkAboutH2022-0319 - Permits04�
City of Newport Beach - Building Division H2O22-0319
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
�t�71 z 'ffi-.' a R-OP Ai'
Job Address: 1707 NEWPORT HILLS DR W BIdg:1 Floor: Suite:
Description of Work: MECH: R/R (2) A/C UNITS "TAMPER RESISTANT CAPS & TIMERS REQUIRED" (X2022-2533)
Inspector Area:4 Code Edit: 2019
Legal Description: N TR 7032 LOT 2
Owner: QUARTARARO CANDACE M
Address: 1707 NEWPORT HILLS DR WEST
NEWPORT BEACH CA 92660
Phone:
Issued Date:06/24/2022
Processed
Contractor:
LUXE DEVELOPMENT GROUP INC
Address:
668 NORTH COAST HWY #149
LAGUNA BEACH CA 92651
Phone:
949-302-2800
Con State Lic:
999343
Lic Expire:
12/31/2022
Bus Lic:
BT30077970
Lic Exp Date:
02/28/2023
MECHANICAL Permit: H2O22-0319
Project No : 2193-2021
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance - '
Carrier: NO EMPLOYEES
Policy No:
Expire
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:
2 $78.00
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:
$67.86
Up to I BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
RA-141ssuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
RHEEM
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$235.86
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$235.86
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.
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF SE-UNEEN 10 P.M. AND 7 A.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 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.!
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 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 tha, I i,ave 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
PrY63oi ms Codc, IE 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
LICENSED CONTRACTOR'S DECLARATION
r hereby affirm under nenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession d nd my license is in full force
and effect.
Ucensn Class License No Date Xay — Contractor Signature
4Y::r.KERS' COMPENSATION DECLARATION
FAILURE TO SECURE 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I he, eby'affirm under penalty of perjury one of the following declarations:
hj, e and will maintain a certificate of consent to self -insure
imance of the wore for which this permit is issued. Policy No..
ve 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'
ante carrier and policy number are:
of Agent
for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Number
Date
yhat, in the performance of the wooeor whit 's 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 ogre
that, if I should become subjectto the omp sati revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
✓
Signature of Applicant /� Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under 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).
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.
have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinance ws relating to building construction. Y
I authorize representatives of this city or county t -Ide if ed. property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name t' `v ` Date
AC77ON
DATE
By
DECLAR4TIONOFCOMPLIANCEM7HCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PAR F 61 OF TITLE47 AND
AQMD RULE 141
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO;
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS NORFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION,
PERMIT FINAL
%
^13 -
C&4FIFICATECIF
SIGNATURE:
OCCUPANCYISSUED