HomeMy WebLinkAboutH2021-0398 - Permits0Inspection
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIII�IIIIIIIIIIIII MECHANICAL Permit: H2O21-0398
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 9 8Permit Counter Phone (949)644-3288Project NO
Requests Phone (949)644-3255
lls vii nul
Job Address: 115 VIAJUCAR BIdg:1 Floor: Suite:
Description of Work: MECH/CHANGE OUT (2) ROOFTOP (E) A/C UNITS 49.5dB & 44.5dB (CARRIER; 48VL-60/48LL-48) (REPLACE EXP PERMIT H2019-0614)
InspectorArea:2 Code Edit:
2019
Legal Description: TR 907 LOT 703(AND NWLY1/2 LOT 702(AND SWLY 10 FT LOT 704
FEES
Owner: BAUER DOUGLAS
Contractor:
OWNER/BLDR
Worker's Comp Insurance -
�J
Address: 115 VIA JUCAR
Address:
BAUER KATHLEEN
Carrier :
�.
NEWPORT BEACH, CA 92663
Other °•°°
O/B AUTH ATT
Policy No:
P ,
Phone:
Phone:
AgVI- boo -M1V
Expire:
Bathroom Fan:
0 $0.00
Con State Lic:
O/B
•
$0.00
Issued Date:06/3012021
Lic Expire:
$0.00
> 3 HP to 15 HP:
ry
$0.00
Bus Lic:
0 $0.00
Gas Line:
0 $0.00
Processed By:
Lic Exp Date:
Wall/Floor Heaters:
0
V )
>15 HP to 30 HP:
0
$0.00
Attic Fan:
z
Metal Fireplace:
0 $0.00
° °
° ° °
a ° °
Heat Pumps & Package
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 10OK BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0
$0.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
°
40.00
Wall/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
° °
° ° °
a ° °
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
Investigatiolim ° •
°$0.001 ° OC
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 toIOKCFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$37.OQ °°
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 P�®°•m•
$0.OB°
°
•
TOTAL:
$37.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance:
$37.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
f 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.
DWNER-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, 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
ow,ovements 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
Im r ved for the purpose of sale).
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
ag 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).
EjI 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 legally
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 tJa15'applicat}' mined or at a following Web site:http://www.leginfo.ca.gov/calaw.htm].
Signature of Property Owner or Authorized Agent / ./ Date 6/5,9 . off l
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 Division 3 of the Business and Professions Code, and my license is in full force
and effect.
License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have arid' MLl,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 th
performance eM t work for which this permit is issued. Policy No.
arpf,JM 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'
ca'rrier•3nd policy number are:
Policy Number
Date
ne of Agkrt • Phone #
1Ertify tha„ 't1r �nbe•t•F�e performance 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
:ylf I shout?come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
"RATIOq REPARDING CONSTRUCTION LENDING AGENCY
ely 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).
Vrr Name Lender's Address
nysrgnatujP,fleJpW, 1 certify to each of the following:
f em 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" laws relating to building construction.
I authorize representatives of this city or county to egter the b -Identified party for inspection purposes. '/
nt„ro of Prnnod., rn.,npr nr Aufhnri7ad Anpnt f Print Prooertv Owner's or Authorized Agent's Name 14a;th—Leen 1311
Date
Date(
ACTION DATE BYFEDERAL
VL VLNM1NIrMY Vr
REGULATIONS PART BI OF TITLE40 AND
AQMD RULE 1403:
PERM'ITEXPIRED
❑ ISUBMITTEDASBESTOSNO77FICATIONTO:.
❑ EPA
ElAQMD'
PERMIT CANCELLED
PERMITEX
❑ ASBESTOS N077FICAnONISNOT APPLICABLE TO
PERMITFINAL
PROPOSEDDEMOLITTON,
CERTIFICATE OF
SIGNATURE:.
OCCUPANCYISSUED
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