HomeMy WebLinkAboutH2020-0013 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O20-0013
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 0 1 3
Permit Counter Phone (949)644-3286 Project NO
Inspection Requests Phone (949)644-3255
Job Address: 4 SEA COVE LN
BIdg:1 Floor: Suite:
Description of Work: MECH/FAU &
A/C C/O "TAMPER RESISTANT CAP REQ" (A/C LOCATION REQUIRED
BY HOA)
Inspector Area:8 Code Edit: 2019
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Legal Description: TR 9676 LOT
3 UNIT 12 OF PROJECT LOCATED ON AP 442-361-31
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TOGETHER
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Owner: REDMOND PATRICK J
Contractor:
LIONS HEATING & AIR
Worker's Comp Insurance
-
Address: 4 A COVE LN
Address:
10100 VENICE BLVD #501
Carrier: STATE COMP
• ° ° . °
EWPORT BEA H, CA 92660
CULVER CITY CA 90232
Policy No: 9260306
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Phone: 949-233-6191
Phone:
310465-0630
Expire :09/06/2020
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Con State
Lic: 1057295
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Issued D te:01/08/2020
Lic Expire:
08/31/2021
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Bus Lic:
BT30070545
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Processed By. ---
- Lic Exp Date: 01/31/2021
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HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr: 1 $20.00
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: 1
$36.00 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: $0.00
Up to 1 M BTU/hr: 0 $0.00
up to 1 OK CFM: 0
$0.00 Repair/Alter/Add: 0
$0.00
Model: ML14XCI
Issuance: $35.00
Up to 1.75M BTU/hr: 0 $0.00
Over 1 OK CFM: 0
$0.00 Supplemental Fee:
$0.00
Manufacturer: LENNOX
Over 1.75M BTU/hr: 0 $0.00
VAV Box: 0
$0.00
Zoning PC: $41.50
TOTAL: $132.50 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $132.50
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.
DWNER-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 (_) 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).
❑ 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 signatti"66Jow 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)
sellstructu"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
Rrofessions bode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Siglfature of 1518�4@y Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I"reby affirT.LWgler penalty of. perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect.
6iaense Class • • • License No Date Contractor Signature �S�S
11VORKER6�COMPENSATION DECLARATION T
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
CpaS1 OF COMPERSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hei•aby affigrfl upellr penalty of perjury one of the following declarations:
2b have anrf 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
anc�bffil5yoork forwhich this permit is issued. Policy No.
-�1( • • • .
.ap hav\f 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' compensation
nsurayr ce carrier and policy number are:
Policy Number
of Agent
Date
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 of California, and agree
t, if I should become subjecttotha0kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant)n / 7 C1 JMJ��, l�S�� Date',Q_` I- N
CLARATION REGtRDING CONSTRUCTION LENDING AGENCY
;reby affirm under enalty 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)
Ider's Name Lender's Address
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 correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. OS�F
I authorize representatives of this city or county to enter thq aQye-ideetified property for inspection purposes.
ACTION DATE BY
DECLARATION OF COMPLIANCE WITH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART rig OFTITLE40AND
AQMD RULE 9463.
PERMIT EXPIRED
❑ /SUBMITTED ASBESTOS NOTIFICATION TO.,
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS NORFICARONIS NOT APPL/CABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCOPANCYISSUED
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