HomeMy WebLinkAboutH2020-0115 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111
o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 1 5
Permit Counter Phone (949)644-3288
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Job Address: 1718 DOVER DR BIdg:1 Floor: Suite:
Description of Work: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* AND FURNACE
Inspector Area:3 Code Edit:
2016
Legal Description: N TR 3004 LOT 47
FEES
Owner: NAIK EKTA
Contractor:
OWNER/BLDR
Address: 1718 DOVER DR
Address:
AUTH AGENT:
NEWPORT BEACH, CA 92660
Ventilation
ANUJ GUPTA
Phone:
Phone:
Con State Lic:
O/B
Issued Date:02/12/2020
Lic Expire:
$20.00
Up to 3HP:
Bus Lic:
Bathroom Fan:
Processed By: a
Lic Exp Date:
0 $0.00
MECHANICAL Permit: H2020-01 15
Project No: 2799-2019
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
m
Carrier: .e a meeeeco
Policy No: e °
Expire : TIMER REQUIRED ON EQUIPMENT
. m
TO SHUT OFF BETWEEN 10 P.M. -AND 71tM•°.;
ee °
m e m om•on
e oe
m
mmmmco
AC Items
FEES
....
,nacesBoilers&Compressors
Ventilation
Other °emm°e
mmm.
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
ar 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
ill/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
st Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
to 100K BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$0.00
�r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$34.80
to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
NH4A448AKAlssuance:
$35.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
COMFORT MAKER
�r 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $151.30
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m.to 5:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
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 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
kimprovements 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
irc){iroved 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
ap y 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 is
onaI residence in which I must have resided for at least one year prior to completion of the improvements covered b this permit, I cannot legal
sell a structure that f have built as an owner -builder if it h not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section4 of the Business and
Professions Coderis erailable upon request when this plication is submitted or at the following Web site:http://wm.leginfo.ca.gov/calaw.html.
StWaili (I of Propgrty QWner or Authorized Agent _ Da7te l_' Il- " � so
LICENSED CONJRA>rTOR'S DECLARATIO
I atrgb? affirm under penalty of perjury that I. am liarensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, and my license is in full force
and effect.
1 iraoawClass ........ License No _ Date Contractor Signature
RWRS' COMPENSATION DECLARATION
NIN(h FAILURE90 SSCURE 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
T.QF.1CbMPENSA710N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rplIjx jffirm und& penalty of perjury one of the following declarations:
I*have and wig rneelatain 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
grl,Tyrpce of th2 fVork'for which this permit is issued. Policy No.
have and willintain 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' compensatiol
rance carrier and policy number are:
Policy Number
Date
me of Agent rnune
certify that, in the perform nce 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 agre
t, if I should become sulb ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant u Date �_'Z•�LD �D
CLARATION REGARFrING 18MTRUCTION L NDING AGENCY
?reby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S ction 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 hav provided is correct.
I agree to comply with all applicable city and county rdinances and state laws relating to building construction. % -/
I authorize representatives of this city or county to #ter the above -identified property for inspection purposes. / U V P��11 I A
mature of Pronertv Owner or Authorized AGent „ t / -- Print Property Owner's or Authorized Agent's Name r ate
ACTION I DATE BY
PERMIT FINAL
CER TfFICATE O€
OCCUPANCYISSUEO
PART 010F TITLE40AND
AQMD RULE 1403.
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIRCAAONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
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