Loading...
HomeMy WebLinkAboutH2021-0439 - PermitsCity of Newport Beach - Building Division H2O21-0439 100 Civic Center Drive, Newport Beach, CA 92660 F r. Permit Counter Phone (949)644-3288 rn I S P 1E CT 0, 1 Job Address: 519 DAHLIA AVE Bldg:O Floor: Suite: Description of Work: MECH (2) A/C UNITS *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit: 2019 Legal Description: CORONA DEL MAR BLK 531 LOT 19 Owner: MOSHAYEDI MANOUCHEHR Contractor: ESTES CONSTRUCTION Address: 2505 W COAST HWY #201 Address: P O BOX 2992 NEWPORTT BEACH CA 92663 COSTA MESA CA Phone: Phone: 7141848-0307 Con State Lic: 687207 Issued Date:07/27/2021 Lic Expire: 03/31/2022 Bus Lic: BT30072620 Processed By: a Lic Exp Date: 08/31/2021 MECHANICAL Permit: H2O21 Project No : 1955-2020 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : SECURITY NATIONAL Policy No: SWC1283134 Expire :03/0112022 urnacesSoilers & Compressors Ventilation p to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: ver 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: fall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: p to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee ver 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 p to 1 M BTU/hr: 0 $0.00 up to IOK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: p to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: ver 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $172.28 Other 0 $0.00 0 . $0.00 0 $0.00 $0.00 $0.00 Investigation: Plan Check: 4A7A4025LIssuance: AMERICAN STAND Zoning PC: Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.28 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 NO CONSTRUCTION WORK TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. $0.00 $0.00 $0.00 $38.28 $38.00 $52.00 ON SATURDAYS WILDER 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 Cade: 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 ie 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 licensers, 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). I, as owner of Lib 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 cf Property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ; dIa exempt from ;icensure 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 'rofa�sions Code, is, available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm1. :ignature of Pi opel:y Owner or Authorized Agent Date At—"SED CONTRACTOR'S DECLARATION hqrehy affirm,uMer penalty of perjury that I am licensed under provisions of Chapter 9 (commencin wit Section 7000) of Division 3 of the Business P fessi�is Cot;2� nse is in full force nd effect. 7 7 + icense Class License No Date — V Z ( Contractor Signatu VORKERS' rOMPHISISATION DECLARATION 'ARNING: FAILURE TJ SEGURE 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nereoy affirm under penalty of perjury one of the following declarations: I have 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 the erformance of the work for which this permit is issued. Policy No. have 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' ranee carrier and policy number are: Policy Number Expiration Date of Agent I certify that, in the performairilce of,66e work for w 'ch this p rmit 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 Iat, if I should becomel,��u/plec to work/ertKcomp tion rovlsions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' /oJna.—% 7-7 ignature of Applicant A A .l . DatelX y _� iECLARATION REGA D G CTI LENDI AGENCY �\ 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 (Secton 3097, Civil Code). Ender's Name Lender's Address y 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 ndkd is correct. I agree to comply with all applicable city and unty rdinances and states r ating to building construction. 99 I authorize representatives of this cityor coun a he aboveA-identif d r ert for ins ection ur osas. A / �(�'1 '11--{z ignature of Property Owner or Authorized AgenEs t �;�/ t 1 Ip y Pent Property Owner's or Authorized Agent's Name X g — `C Date A/� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMDRULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ' ElASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMlTCANCELLED PERMITEXTENDED PERMIT FINAL Z CERTIFlC4 T E OF OCCUPA;'KYfSSUED