HomeMy WebLinkAboutH2020-0419 - Permits$ ��^,,•r� City of Newport Beach -Building Division III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 4 1 9
:. Permit Counter Phone(949)644-3288
Job Address: 3403 FINLEY AVE BIdg:1 Floor: Suite:
Description of Work: MECH - A/C CONDENSOR
Inspector Area:1 Code Edit: 2019
Legal Description: CANAL SECTION BILK 434 LOT 2 -
Owner: SPIELER NORMAN
Contractor:
Address: 5550 TOPANGA CANYON BLVD 3350
Address:
WOODLAND HILLS CA 91367
Phone:
Phone:
Con State Lic:
Issued Date:08/19/2020
Lic Expire:
pressors
Bus Lic:
Processed By;
Lic Exp Date:
TIMER REQUIRED ON EQUIPMENT
HUT OFF BETWEEN 10 P.M. AND 7 A.M.
AMERICAN WEST SERVICES
921 BAYWOOD DRIVE
NEWPORT BEACH CA 92660
949-683-7410
748965
05/31/2022
BT98041665
03/31/2021
MECHANICAL Permit: H2O20-0419
Project No : 2830-2019
Inspection Requests Phone (949)644-3255
a7JB ECT TO FIELD z.E,VJEW AND APPROVAL 'S
Worker's Comp Insurance - ....
Carrier: STATE FARM
Policy No:92GKH3474
Expire :03/08/2021 ° a
as a
INSPECTOR °° o
o e ° o
°oao ooaao
° oaao ao
HVAC items
FEES
°
FurnacesBoilers&Con
pressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1
$21.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
° ° a ° $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 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: $18.27
Up to 1M BTU/hr:
0
$0.00
up to 1 OK CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
YCG36B21slssuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
YORK
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC: $46.25
TOTAL:
$122.52
Plan Check Fee;
$122.52
Fee Due at Permit Issuance :
$0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LASTVALID 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.
NER-BUILDER DECLARATION "
II herebye firm"underpenaltyof'perjury that I am exempt from the Contractors' State License Law for the reason indicated below by the checkmark(s) t have, placed nextto:the Ipplicable Itein(s)
.ion 7031.5, Business and Professions Code: Any :clty or countythat raquiret' a permit to construct; alter; -improve, demolish, or, repair any,Shucfi re; prior to'itsiissuanca, also reql i res the applicant for
)emitt to file aligned statement that he or she islicensed pursuant to the proviatons ofthe :Contractors' :State LicenseLaw (Chapter 9 (commencing with Section 7000) of:Divisior 3. of the Businessand
essions Code) or that he or aheJs. exempt from:licensure and the basis for the alleged' exemption. Any violation of Section 7031,5 by any appiicahtfor a permit subjects the',appiic i it to-a.cfvll penalty of
none than five hundred dollars ($500).
I, as owner of the property, or myemployees with. wages as their sole compensation; will_dost_) all of or?(j portions oftthework, and the structure is not intended oraffersd'for sale (Section 2044,.
iness and Professions Code: The Contractors' State License Law does notappty tol an owner of property who, throughsemployees' ar;parsonal effort' builds orimproves the propecp, provided that the
'ovements are not intended or offered for sale. If, however. the: building or improvement is sold within one.year'of completion, the Owner Bulklerwill have theburden a? proving the` it not built or
'ovad for the purpose of sale).
1, as owner of the property; am exclusively contracting.with.lcensed Contractors to construct the project: (Section 7044;: Business and Professions. dodo: The: CCMractors'State Uf"ease-Law does not.
y to an owner of property who builds orlmproves::thereon, and :who Contractsfor the projects with a licensed Coniractor,pursuant to the Contractors'State License Caw).
I ami exempt from licensure under the Contractors' State License Law"for the following reasons_
nyeignature below[ acknowledge: that, except for. my personal: residence In which 1 most never resided for at least one'year prior to: completion of the improvements cove
red �by this permit, l cannot'legell
a structure that have built.as-anowner-builder If It not. been constructed an Its entirety by licensed contractors.]: understand ihata copy of the ::applicabte"law, Section 7044 of he Business and
essionsCode; is available upon request when this applicationIs submitted or the following Web siteihftp:fMavw.Iegihfo.ca-goV)calaw2htmi.
More of^Property Owner or Authorized Agent ,Date _
ENSED CONTRACTOR'S DECLARATION
-eby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing th S.4 tion 7000) of Dtvislon 3 of the Business' d P fessfonsd'pde, and y c rise is In full;force
effect yy !! '] ( // .�(1//
rise Class 4� .J b License No !S t? ,5 Date 'zU Contractor Signature /' /� �/n Q/11
RKERS'"C MPENSATION DECLARATION
411413;FAILURE TO6ECUREWOMERS': OOMPENSATION OOUERAGEIS UNLAWFUL, ANO$HALL susiacT AN7emPL0T `ORIMINAL PENALTIES AND OML FINES OF TO ON HUN RED THOUSAND DOCLFRS($V' 000),.INADDITION TOTHE
-
r OF COMPENSATION, DAMAOE6 AS PROVIDED FOR;IN SECTION 370S OF THELAOMOODE,INTEREST, AND`ATTORNErS FEES.
eby:affirm under penalty of perjury one of the following: declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation; issued by the Director of Industrial Relegons.as;;provided for. by: Section'3700 of ire Labor Code, for IN
Srmance:of the work for which this,permit Is Issued,- PolicyNo.
have and will maintain :workers' compensation insurance; as required by Section 3700: of the Labor Code, for the,performance:ofAhe work for+which this permit is issued. My workers' compensatlo"
once cateraf� polio umber
ler olicy Number � 2 f 41 :F `- �, Y S Expiration Date: �% " 3 _7 �
to of Agent ) %TJ11 1( 61 (I -Al Phone 9' rf G f?' V 9
certify that, In theperfohnence of the: worl:lforwhich this permitlis issued, t shell not employ any person -:In any manner soes tD become`subjeot tb't to workers"00rnpensation'lawc of California, and.agre
Infonnatiortl
BY
QCCrIPANCY135UED- SfGNA7tIREs'
sri