HomeMy WebLinkAboutH2020-0148 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111
c+ 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 4 8
Permit Counter Phone (949)644-3288
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TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
MECHANICAL Permit: H2O20-0148
Project No:
Inspection Requests Phone (949)644-3255
Job Address: 18 FECAMP BIdg:1 Floor: Suite:
Description of Work: MECH/CHANGE OUT F.A.0 & (E) A/C 51dB* (LENNOX-036) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM
Inspector Area:6 Code Edit:
2019
Legal Description:
Owner: GIMENEZ FELIX
Contractor:
Address: 18 FECAMP
Address:
NEWPORT COAST CA 92657
Phone:
Phone:
Ventilation
Con State Lic:
Issued Date:02/26/2020 Lic Expire:
a"
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Bus Lic:
Processed By:
Lic Exp Date:
TRITON AIR INC
1221 PUERTA DEL SOL #300
SAN CLEMENTE CA 92673
949-492-0290
774877
06/30/2020
BT30042558
Worker's Comp Insurance -
Carrier : FALLS LAKE FIRE
Policy No: FLA01124000
Expire :04/01/2020
03/31/2020 HEFTS VERIFICATION RECD
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HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
1
$20.00
Up to 3HP:
1 $20.00
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 :
$17.40
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1M BTU/hr:
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$133.90
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$133.90
PERMITS EXPIRE 180 DAYS AfiTER ISS44MICE•OR LA ,T,VA4ID INSPECTION
Construction Hours: Monday - Friday f:09.19:m.to 6"$0 em and Sotu*fay from 8:00 a.m. to 6:00 p.m.
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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, willdo(_) 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 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 legal
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.ca.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 7000) of vision 3 o the Business and Profe n e, and my license is in full force
and effect.
License Class License No Date 2 � Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 TH'
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 It
peribrmance of the work for which this permit is issued. Policy No.
have and will aintain 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
I surance carrier a 'japlicy number
Carrier VV �Pol oc Amber Expiration Date
Name of Agent _ Phone #
I certify that, in the performance of t e w k for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worke s' compensation laws of California, and agre
that, if I should becomes ject to thew rk rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proms. ^ �� �I
Signature of Applicant D
DECLARATION REG DING _ ON LENDING AGENCY
I 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.
I have read this application and the information I have p a his correct.
I agree to comply with all applicable city and count r vyances and state I -wilding construction. ,G") rri�� a
I authorize representatives of this city or county t atact�e -I n I led propertyerty for inspection purposes. c�
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na �p/biD
ACTION DATE 7;Y
DECLARATIONMPLIANCE WITH CODEOF
FOR OFFICE USE ONLY
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PERMITEXPIRED:
PERMITCANCELLED •
PERMITEXTENDED
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