The URL can be used to link to this page

Home My WebLink AboutH2019-0384 - PermitsCity of Newport Beach - Building Division 0� i 100 Civic Center Drive, Newport Beach, CA 92660 o Permit Counter Phone (949)644-3288 4A .gnu+ Job Address: 512 TUSTIN AVE Bldg`1 Floor: Suite: Description of Work: MECH - FAU CHANGE OUT Inspector Area:3 Code Edit: 2016 Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 36 LOT 4 ii iiiiii i384 Owner: KNIGHT RICHARD Contractor: KEMNITZ A/C & HEATING INC Address: 512 TUSTIN AVE Address: 188 TECHNOLOGY SUITE C NEWPORT BEACH, CA 92663 IRVINE CA 92618 Phone: Phone: 949-453-8500 Con State Lic: 695874 Issued Date:06/28/2019 Lic Expire: Bus Lic: 09/30/2020 BT30010593 Processed By: Lic Exp Date: 07/31/2019 rnacesBoilers & Compressors Ventilation to 100K BTU/hr: 1 $19.00 Up to 3HP: 0 er 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 all/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 at Pumps & RW-egs Units >30 HP to 50 HP 0 AoJDDR BTU/h`r9 6 $0.00 >50 HP: 0 er 50011 BTU/hc...6 0 $0.00 Air Handling Units Eto �1dM 8TL1/hr. ` 6 $0.00 up to 10K CFM: 0 .to.1.75M BTU/h'r: 0 $0.00 Over 10K CFM: 0 or 2,:75M BTU./hr ° . .. °0 $0.00 VAV Box: 0 . . . . . ° TOTAL: $54.00 MECHANICAL Permit: H2O19-0384 Project No : Inspection Requests Phone(949)644-3255 Worker's Comp Insurance - Carrier: NORGUARD INS Policy No: KEWC038134 Expire :0210412020 rr $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Comm. Hood: 0 $0.00 $0.00 Repair/Alter/Add: 0 $0.00 Model Issuance: $0.00 Supplemental Fee: $0.00 Manufacturer: $0.00 Other $0.00 $0.00 Investigation: $0.00 Plan Check: $0.00 $35.00 Zoning PC: $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $54.00 . . . . . 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 improved 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 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 legally 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:http://www.leginfo.co.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -- License Class License No Dae Contractor Signature'VI on n 0 WORKERS' COMPENSATION DECLARATION NARNING: 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. '- hereby 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 Cade, for the 3e rmance of the work for which this permit is issued. Policy No. Pf�ave 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' compensatior Ins rance carrier and policy, umber are: ��J� q �/ Oarrier N,, aJULo. a/ Policy Number 6__Je -r1Q/ 1 90 Expiration Date Name of Agent Phone # 131 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws gf.California, and agree that, if I should become su� pbjj9c�t to thee workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • • • • • • ° ° ° o Signature of ApplicarY'@ti�9/<t'O�wt^ Y�tV4-- - Dat rA0/0.3/i c'1 •••••• .•0000 DECLARATION RE"A ING NST CTIO L NDI G 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 (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. 00 I have read this application and the information I have provided is correct. • • • • • • o ° ° I agree to comply with all applicable city and county ordinances and state laws relating to building construction. • • • . o I authorize representatives of this city or county to/pLn er the a�bpve-identified property for inspection purposes. ,, ,f • • . ° o cl,.^°h rm nr or, n=ff%i rn.,°er „r Anfhnrlvcd Anent/ Y 1Id, J/ n.., W Print Prooertv Owner's or Authorized ADent's Name' Y/ D1te - .. ACF/ON I DATE I BY PERMIT FINAL CER77FfCATEOF OCCDPANCYISSUED ❑ t SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOBRCABONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: