HomeMy WebLinkAboutH2019-0553 - Permits�� t»�r City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111
�Q 0 , 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 5 3
Permit Counter Phone (949)644-3288
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Job Address: 2827 CATALPA ST BIdg:1 Floor: Suite:
Description of Work: MECH (1) A/C CHANGE OUT AND (1) NEW A1C *TAMPER PROOF CAP REQ*
NEIGHBOR LETTER ATTACHED
Inspector Area:8 Code Edit:
2016
Legal Description: N TR 5018 LOT 63
Owner: BEEMER RUSSELL& JULIA
Contractor:
AIR BROTHERS MECH INC
Address: 2827 CATALPA ST
Address:
3540 W CHRISTIN CIR #1
NEWPORT BEACH, CA 92660
ANAHEIM CA 92804
Phone:
Phone:
714-329-4876
Con State Lic:
1034383
Issued Date:09/1212019
Lic Expire:
1213112019
Bus Lic:
BT30065843
Processed By:
Lic Exp Date:
1213112019
MECHANICAL Permit: H2019-0553
Project No : 0792-2018
Inspection Requests Phone (949)644-3255
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M, AND 7 A.M.
Worker's Comp Insurance -
Carrier : EVEREST NATL
Policy No: 7600020018191
Expire :0210912020
i aGIOF'
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTUlhr:
0
$0.00
Up to 3HP:
2 $40.00
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
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$34.80
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
RA1748160AIssuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1OK 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:
$41.50
TOTAL:
$151.30
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$151.30
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 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).
❑ 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,
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
Erroved 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).
❑ 1 amexempt vom iicensure under the: Contractors' State License Law for the following reason:
E} my signature Lwow ; 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 legal)
sell a structure thct I tsve 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
Professinns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED COATI RACTOR'S DECLARATION
I hemb*j affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing /RTO
ecti n 7of Division 3 of the Business and rof ' s B e, and m ' ense is in full force
and e*f=ct. 1 2.11
Contractor Si
License :,lass License No Date\ Signature
nRKFRS' COMPENSATION DECLARATION
WARNING: FAILURE T7 sort -RE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYCRIMINAL PENALTIES AND CIVIL FINES UP TO E H OR TH USAND DOLLARS ($100,000t, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I nereby 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 IN
pe mrance of the work for which this permit is issued. Policy No.
V
Pk 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' compensatio
finsuNince carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the perfor ermit is issued, I shall not employ any person in any manner so as to become subject to t" workers' compensation laws of California, and agre
that, if 1 should become so o wo e c pensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proves/lglfs�j /) G
Signature of Applica Date / I / 12 1
DECLARATION REG ST TION LENDING AGENCY
I hereby affirm under pe al perjuryat there is a construction lending agency for the performance of the work for which this permit is issue (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.
I have read this application and the information I have provided is co act.
I agree to comply with all applicable city and county ord}'�. a a to laws relating to building construction.
I authorize representatives of this city or county to an(dr t e-' entifi roperty for inspection purposes.
Signature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Agent's NaZate
ACDON DATE l Y DECLARATION OF COMPLIANCE
IMTN CODEOF /
AND
FOR OFFICE USf N[Y
FEDERAL REGULATIONS PART 6f OF TtTLEdO
AOMD RULE 1403.
PERMIT EXPIRED
❑ 15UBMfTTEQAS@ESTOS NOTIFICATLON TDf
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTiRCATiONfS NOT APPLICABLE TO
PROPOSED DEMOLITION.'
SIGNATURE:
PERMITHNAL
07/23/ZO
s "v`
CERTIFICATE OF
OCCUPANCYtSSUED
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