HomeMy WebLinkAboutH2020-0547 - Permitsr 'to h City of Newport Beach - Building Division III 1d11111IN IIpIpn111111111pIN11111p
a4 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 6 5 4 7
Permit Counter Phone (949)644-3288
�: 4t
e
Job Address: 21 JUPITER HILLS DR BIdgA Floor: Suite:
Description of Work: MECH - 2 A/C CON DENSORS. TAMPER -RESISTANT CAPS REQUIRED
Inspector Area:4 Code Edit:
2019
Legal Description: N TR 15388 LOT 7
Owner: RING SETHIMOLLY
Contractor: OWNER/BLDR
Address: 21 JUPITER HILLS DR
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone: 714-580-1696
Con State Lic: O/B
Issued Date:09I28/2020
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
MECHANICAL Permit: H2O20-0547
Project No: 0586-2020
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier :
Policy No:
Expire :
� Ir C.
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
2
$42.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 100K BTU/hr:
0
$0.06
> 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:
$36.54
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
24AHA448issuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$46.25
TOTAL:
$161.79
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$161.79
PERMITS EXPIRE iC9 LAYS A.=TEZ /dSUAN:,c ON LAST VALID INSPECTION
Construction Hours: Monday- Wday 7:03 a.m.to 6:3L d.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 'he applicable Rem(s)
ction 7031.5, Business and Professions Code: Any city or county that requires a peril to ConsWct, alter, improve, demolish, or repair any structure, pdorto its issuance, also requires the applicant for
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
fessions 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 peril subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered foi sale (Section 7044,
Iiness and Professions Code: The Contractprs' 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
rovements are n ' tended or offered for sale. If, however, the building or improvement is sold within one yew of completion, the Owner -Builder will have the burden of proving that it was not built or
wove I iNii a of sale).
I, as o e property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not
to an owner of property who bulds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
am exempt from licensure under the Contractors'State License Law for the following reason:
y 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 bl this perk, I cannot legal
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 of the B iness and
fessions Code, is available upon request when this application' submitted or at the following Web sitehrttp:fi .leginfo.ca.govfcalaw.html. G° a L!L a
nature of Property Owner or Authorized Agent D
)ENSED CONTRACTOR'S DECLARATI
weby affirm under penalty of perjury that I am licensed u der pr isi ns of hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
(effect. License Class 'ce a Date Contractor Signature
COMPENSATION DECLARATION
PENALTIES AND CIVIL FINES UP TO ONE NUMBED THOUSAND DOLLAR i (Sr00,000), IN ADOMON TO THE
hereby affirm under penalty of perjury one of the following declarations:
7 1 have and will maintain a certificate of consent to selPinsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ierforance of the work for which this permit is issued. Policy No.
]I 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 issuec. My workers compensa
tnurance carrier and policy number are:
;artier Policy Number Expiration Date
fy that, in the performance of the work forwhich this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensa ion laws of California. and agne
drould become subject to the we ers' compensafl n provisions of Section 3700 of the Labor Code, 1 shag forthwith comply with those provisions_ 4 /
e of Appfican DatX t
IATION REGARDING CO RU TI LENDING AGENCY
affrm under penalty of p rjury tit t ere is ajconshuction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Name Lendei s Address
my signature mow, I cerhry Cowen or ttr�rol rwmg:
I am the property owner or authorized to act on the property
I have read this application and the information I have provil
I agree to comply with all applicable city and county ordinan
I authorize representatives of this city or county t nter the
nature of Property Owner or -Authorized Agent,
TION I DATE I By OEC RA
CENTIFIC4TE0F
OCCUPANCYISSUEO
owners behalf.
fed is correct.
es; and state laws relating to building consWctiorl.
a6Ave-id tilled p aperry for Inspection purposes.
Print Property Owners or Authorized
rOry$NARTO%FTNCE WITH fTLE 4D AAN00DE OF AQVI ULE FEDERAL FOR OFFICE USE Of
VASaESFOSNOTIFICATIONISNOTAPPUCABLE TO
PROPOSED DEMOLITION