HomeMy WebLinkAboutH2019-0639 - PermitsCity of Newport Beach -Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O19-0639
A ! 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 6 3 9 Project NO 1368-2019
Permit Counter Phone (949)644-3288 - /!
INSPECTOR
SPE /1 _T tR Inspection Requests Phone(949)644-3255
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
Job Address: 208 42ND ST BIdg:1 Floor: Suite:
•...
Description of Work: MECH/INSTALL ROOF TOP A/C UNIT 51 dB` (AC PRO; 4AC16L36P-50A) *TIMER
REQUIRED TO SHUT OFF BETWEEN 1OPM & TAM
HIGH DENSITY
• •° 00,
Inspector Area:1 Code Edit: 2016
Legal Description: CANAL SECTION BILK 141 LOT 5
......
Owner: VICKERS WILLIAM JR. W Contractor:
FOLGER HEATING & AIR
INC
Worker's Comp Insurance - °.. °. ° �•°000
Address: 3412 SEASHORE DR Address:
8842 LUSS DR
Carrier: NORGUARD INS CO ° ••0�0
NEWPORT BEACH, CA 92663
HUNTINGTON BCH CA 92646
Policy No: FOWC018285 . • m ®• 0
Phone: 949-887-5900 Phone:
714-334.4433
Expire :1010112020
Con State
Lic: 763312t�°�
a O4 p
NO CONSTRUCTIG
Issued Date:10/18/2019 ' Lic Expire:
04/30/2020
NOM
Bus Lic:
BT30047641
Processed By:- c9'w \ Lic Exp Date: 06/30/2020
ON THE WEEKFNIp
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 $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 $0.110
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 1M BTU/hr: 0 $0.00 up to IOK 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: $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 7:00 a.m. to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m
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 Division3 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 U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business arW�Prq csions 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 nbt intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
jtryp13ved for *@ parpose of sale).
❑ I as ownerbttfie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
p'-to
an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
i am exerrfl)t frgq11;I licensure under the Contractors' State License Law for the following reason:
�Y fiy signatLre 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 legaly
sell a structurerthatl 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
Rrefessions Sods, p•available upon request when this application is submitted or. at the following Web site:http://www.leginfo.ca.gov/calaw.html.
;jarla?ure of Property Owner or Authorized Agent Date
WgC USED CdNTRACTOR'S DECLARATION �
I iteregy affirrp jlpda'Aenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion 7000) of Division 3 of the Business and P fessions Code, and my license is in full force
and effect. ' --�..
«@dBPClass•• License No Date G� �` Contractor Signature.
IWAKERS' 0(4 ENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY RTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
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 the
AZrosmance of the work for which this permit is issued. Policy No.
q��r�v6\ epi--
ve 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
ura ce carrier and policy number are:
'tier Policy Number Expiration Date
ne of Agent Phone #
certify that, in the perfor ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agree
I, if I should become s to the wor on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' ns. p
nature of Applicant L�\Uc^C Date
CLARATION REG ADING CONSTRU LENDING AGENCY
Ireby affirm under�enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (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 p vided is correct.
1 agree to comply with all applicable City and county o finances and state laws relating to building construction.
I authorize representatives of this city or county to a/,.�'f�r-'�r tl abov i entified roperty for inspection purposes.
nature of Property Owner or Authorized Agent / \ - Print Property Owner's or Authorized Agent's NamPc
ACTION DATE BY
DECLARATtONOFCOMPLIANCEMTHCODEOF
FOR OFFICE USE ONIJ
FEDERAL_ REGULATIONS PART 61 OFTITLE40AND
AQMDROLE 7403.
PERMITEXPIRED
❑ ISUBUTTEDASBESTOSNO7IFICATIONTO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
P€RMITEXTENDED
El ASBESTOS NORFICATIONIS NOT APPLICABLE TO -
PROPOSED DEMOLITION.
PERMITFINAL --7--?-0 !✓
CERTfFICATEOF
OCCUPANCYISSUED
SIGNATURE.
C�> a) O UL 1== )
W U U E O c0 4- Q
O O
O a O O N O a
(n UOa)
Z CO
C U
D WN m
W -0 O •o O C 'O
J a o a n ca O O O
cu a)
W L N p C
Q Q
O O L U)Y._
O U a)Q 0,U
Z W coo o '(n 3 V,
O mooN�
V = o.m Mn �0o o�
(� 0- O � s 0 CU 14�
ZOO �� �S�n3O 'l
Q � � � m 0
0 CUO ZU 0 E o oZ
Z '�'AA Ucg co (D a)
U.v/ ," L O L Q O
O U O o o .0
O o��,oa�0
Z (D (D aEca�z� Z
Mn
cri � as CD CU a o i,;
G^ r Lv) cu (n
W H N 0)L O m `' p> CL a
�co (D O tfw
O Z C N "O O O
Z O ON
� a) 0
O U3+x_0 �� a Z y O
V:3 O cD Z tf >, Q v
O a) Q d 12
L
Q � v o °o p E c 3 3 e
o oQ Co L 3 ao
LO
o
rn
x
z
co
v
N
rn
N
C)C)
W
�
o
W
my
`O
porn
o
O
W
z >
a q
m
O U
(
azX�
W
>Am�
z
Woo
Pa
3
>4
H
,�
C--
4)
U
o
U
G
0
0
C�> a) O UL 1== )
W U U E O c0 4- Q
O O
O a O O N O a
(n UOa)
Z CO
C U
D WN m
W -0 O •o O C 'O
J a o a n ca O O O
cu a)
W L N p C
Q Q
O O L U)Y._
O U a)Q 0,U
Z W coo o '(n 3 V,
O mooN�
V = o.m Mn �0o o�
(� 0- O � s 0 CU 14�
ZOO �� �S�n3O 'l
Q � � � m 0
0 CUO ZU 0 E o oZ
Z '�'AA Ucg co (D a)
U.v/ ," L O L Q O
O U O o o .0
O o��,oa�0
Z (D (D aEca�z� Z
Mn
cri � as CD CU a o i,;
G^ r Lv) cu (n
W H N 0)L O m `' p> CL a
�co (D O tfw
O Z C N "O O O
Z O ON
� a) 0
O U3+x_0 �� a Z y O
V:3 O cD Z tf >, Q v
O a) Q d 12
L
Q � v o °o p E c 3 3 e
o oQ Co L 3 ao
o
Eo
a
o,
c
3
0
i
>
0 N Q) (1)
C
W
U U
O N
Q
Uj
_
O O
O
N -
- 0
V� N
Z
U
N
C-
LO
LUN
"0
Qj
CL
°
W
dd
H Uo
N
U,Q
OL VV
M
Q
LU
�G
N
W m
~
g
U
O
az��
E. 0 o°v
_
0
a) .2)
Q=
°
D O
CC=s
C
cU6
z�Z�
�
z
C
�,
�=o
-m
�0
(n
O�
_
c-2
��>aa)C
��
p
OC7ti�
atom
wjAmm
o
v
Z
0
�
Q
��v
E
�,.
cz
W p a
Z
��
U
L U) c0
O N
A° rl
m
u-
Q
CL
0
j
O L •Q
C O U-
O
Ci
v-
D
Z
>-
.0 ,U
U
E ca
n.-0
LD
LU
®
��
o'U'
>
O
0
U U
N Um)
U U
w
N O
-�
p m
co
CD
0-
O
O
h�Ml
d
Z
O
O
' d
-j
z
� O-
�'
y
3
0
i