The URL can be used to link to this page

Home My WebLink AboutH2020-0263 - Permits+ City of Newport Beach - Building Division MECHANICAL Permit: H2O20-0263 a' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 6 3 Project No: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 219 NATA BIdg:1 Floor: Suite: Description of Work: MECH -NEW A/C CON DENSOR. TAMPER-RESISTANT CAP REQUIRED InspectorArea:8 Code Edit: 2019 Legal Description: N TR 7052 LOT 19 Owner: ZAHN EMILY Contractor: SPC HEATING & A/C Worker's Comp Insurance - Address: 219 NATA Address: 7108 KATELLA AVE #401 Carrier: NORGUARD NEWPORT BEACH, CA 92660 STANTON CA 90680 Policy No: SEWC076030 Phone: Phone: 714-264-2322 Expire :05/30/2020 Con State Lic: 1001872 Issued Date:05/26/2020 Lic Expire: 03/31/2021 Bus Lic: BT30071976 Processed By:Nllzz�lLic Exp Date: 05/31/2021 I1PCTo1 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 Woo $0.00 _ Over IOOK 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: $17.40 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A41ssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TEMPSTAR Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $113.90 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday Tall a.5$a°to 6:30,`p.ht.Pnd,7ghyJdy from 8:00 a.m. to 6:00 p.m. o G < e o 0 o c c e o k(, GOA p 6 C OGD ( E®€ G - < U 0 € O € -. GB -OGp p U pOG Q � ii •pp )WNER-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, priorto its issuance, also requires the applicant for he 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 'rofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 m roved 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 Ipply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 ;ell 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 Irofessions 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 -ICENSED CONTRACTOR'S DECLARATION hereby affirm under 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 Ind effect. .icense Class License No Date ' ' 5�2e Contractor Signature a YORKERS' COMPENSATION DECLARATION 1ARNING: 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 the mance of the work for which this permit is issued. Policy No. •��I I 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 !sur nae carrier and policy number are: ,/ er l�10r'G b.arC Policy Number SSW c-o�6o3a Expiration Date bI Zd7 �— lame of Agent Phone # 71 certify that, in the pert rmance 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 tat, if I should becomes ject to\�Le` workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant N/ / Date ) )ECLARATION REGARDING CONSTRUCTION LENDING 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). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owne& 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. I authorize representatives of this city or county o eD`te�th�bo�ve-identified property for inspection purposes. Iignature of Property Owner or Authorized Agent 7!X Print Property Owner's or Authorized Agent's Namei �Qs��n l-6v,6cv Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDEKGUL ATIONS PART 610E 71TLE40AND ` A�pQMDQULP1403. a•W •ISdaUtt3EDASISTOStilOTIFICATIONTO. iso Q• EP4: `•` �• P€RMITEXPIRED i i PERMITCANCELLED `,` ❑ AQMD PERMITEXTENDED El ASBESTOS M017RCAIIONIS NOT APPLICABLE TO „PR(:POSNDDE6fOL1T.GN>+ ' ` ` ` ` ° • ` ` SIGNOUR&� : 9• PERMfT FINAL C'3 Zo CERTIRCATEOF OCCUPANCYISSUED , . a a • . +