HomeMy WebLinkAboutH2020-0020 - Permitsv�/ � City of Newport Beach - Building Division IIII�IIIIIIIIIIIII IIIIIIIIII 1111111111111 MECHANICAL Permit: H2O20-0020
100 Civic Center Drive, Newport Beech, CA 92660 H 2 0 2 0 0 0 2 0 Project No
`.,. Permit Counter Phone (949)644-3288
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�N���s Inspection Requests Phone (949)644-3255
Job Address: 246 WALNUT ST BIdg:1 Floor: Suite:
Description of Work: MECH NEW (2) PACKAGE UNITS *TAMPER PROOF CAP REQ*
Inspector Area:3 Code Edit:
2019
......
Legal Description: TR 772 LOT 18 BLK 4 ALL
(EX NELY 10 FT) THEREOF AND NELY 11
....
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FT LOT 19
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Owner: WEMMER JENNIFER
Contractor:
DYNAMIC AIR SERVICES INC
Worker's Comp Insurance -
e
Address: 246 WALNUT ST
Address:
21088 BAKE PKWY #104
Carrier: OAK RIVER INS
m m
e e
0 $0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
• e e e
NEWPORT BEACH, CA 92663
Over 100K BTU/hr:
LAKE FOREST CA 92630
Policy No: DYWC912320
> 3 HP to 15 HP:
0 $0.00
Phone:
Phone:
949-340-3917
Expire :03/01/2020
$0.00
Wall/Floor Heaters:
Con State Lie:
753286
>15 HP to 30 HP:
....
Attic Fan:
IssuedDate:01/10/2020
LicExpire:
02/28/2021
Heat Pumps & Package
Units
BusLic:
BT30064634
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
Processed By:
Lie Exp Date:
10/31/2020
Up to 1 OOK BTU/hr:
2
$40.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$0.00
Over 500K BTU/hr:
0
mm°®
Air Handling Units
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 6:00 a.m. to 6:00 p.m.
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
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:
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 1 OOK BTU/hr:
2
$40.00
>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:
$59.16
Up to 1 M BTU/hr:
0
$0.00
up to 1 O CFM:
2 $28.00
Repair/Alter/Add:
0 $0.00
Model:
MPB03654MIssuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over IOK 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:
$203.66
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$203.66
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 6:00 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). -
U I, as owner of the property, or my employees with wages as their sole compensation, will do U 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).
11 1, 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 ofgoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
.. .
❑ I am exempt [q � lieensure under the Contractors' State License Law for the following reason:
ly glyv pnature 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 V4t64*e 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.htmi.
$igfiatylR of Property Owner or Authorized Agent Date
LICEUSED CONTRACTOR'S DECLARATION
=helebpaffirm under Unalty 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. ....
LFCAMELClass • • License No Date Contractor Signature
CC VIPENSATION DECLARATION
NI44: FAILURE•TO SURE 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 OPCOMPENSAT10WIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
neb= affirm under p@natty of perjury one of the following declarations:
....
r Rave and V/ l rVaintain 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
ormance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
Date
is of Agent Phone #
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 tobecome subject to the workers' compensation laws of California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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
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.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of PmDertv Owner or Authorized Aaent Print Prooertv Owner's or Authorized Aoent's Name
ACTION DATE BY
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FEDERAL_ REGULATIONS PART 61 OFTITLE40AND
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❑ ISUB T EDASBESTOS NOTIFICATIONTO:
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❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION
PERMITRNAL 2
CERTLFICATE OF
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SIGNATURE:
Civil Code).
FOR OFFICE USED
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