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HomeMy WebLinkAboutH2020-0527 - PermitsCity of Newport Beach - Building Division IIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIullllllll�llll k4 +P 100 Civi: Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 2 7 E« ", Permit Counter Phone (949)644-3288 - t, s Job Address: 3720 LILAC BIdg:1 Floor: Suite: Description of Work: MECH - R/R A/C CONDENSOR. TAMPER-RESISTANT CAP & TIMER REQUIRED Inspector Area:4 Code Edit: 2019 Legal Description: TRI1949 LOT 3 UNIT 61 OF PROJECT LOCATED ON AP 458-652-11 TOGETHER FEES Owner: GOLDMAN JULIE Contractor: DPL AIR CONDITIONING INC Address: 3720 LILAC Address: 2536 FENDER AV STE E CDM CA 92625 FULLERTON CA 92831 Phone: Phone: 714-609-9795 Con State Lic: 801191 Issued Date:09/21/2020 Lic Expire: 01/31/2022 `` Bus Lic: BT30056884 Processed By: Jl Lic Exp Date: 10/31/2020 eo c oo° o° "Mt-bF(A TICAL Permit: H2O20-0527 a 1° ° ° ° ProjectAo : 0740-2020 o ° ° a IrlppGct[pnfte,Auests Phone (949)644-3255 c oa o 0 0 o c o 0 0 • eo ©aa omo 000 Worker's Comp Insurance - Carrier: NORGUARD INS Policy No: DPWC177015 Expire :07/20/2021 HVAC Items FEES FurnacesBoilers & Compressors 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 $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 1 M BTU/hr: 0 $0.00. up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: ASX161ssuance: $37.00 Up to 1.75M BTU]hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMANA Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $122.52 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $122.52 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. •o e•e e • ee ea o00 e o o nt o e o 0 �m •o o • 0 0 • • e o e • c •• awo • e• • •o• TIER -BUILDER DECLARATION _ I hereby a10rm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indioeted below by the checkmarli(s) I have placed next to the applicable i::rm(s) Won 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 spi accent far permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor6' State License Law (Chapter 9 (commencing with Section. 7000) of pivist m 3 of the B� :mass and Bsslons 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 app93ant to a cIV penalty of more than Sive hundred dollars ($600). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for safe (Section 7.94, Ines and Professions Code: The Contractors State License Lew does not apply to an owner of property who, through emplayeae or personal effort, builds or improves the property, provide:: that the rovemems are not Intended or offered for sale. If,,hmaver, the building or Improvement Is sold within one yearof completion, the Owner -Builder will have the burden of proving that it was nc� OUR or •nvM Fnr e,n nurn,uubmin\ _..._ 1, as owner of the property, am exclusively =treating with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law ass Not ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to theContraotors' State License Law). I am exempt from licensure under the Contmctore' State License Law for the following reason: ny signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements. covered by this permit, I r, Gnat ret a structure that I have both 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, Scatter, 70" of the Busine::; and resalons Code, Is available upon request when this application is submitted or at the following Web sfto,.Mo:flwwwAginfo.mgovfcalaw.hbnl. utture of Property Owner or Authorized Agent Date hereby e6irm underpenahy of perjurythat 1 am licensed under proAsians of Chapter 9 (commending with Scalia 00 of Division 3 oftha Business a roiessians Cod r my license is f. full force Ind rMe, Cis i / a! flit g .laene Class l.i'e•�o License No C C`J� C1 Date Contractor Si natu YORKERS' COMPENSATION DECLARATION 1ARNMa: FAILURE TO SECUREWORKER& COMPENSATION COVEAAOE rs UNLAWFa4 AND SHALL SUanECT AN EMPLVTERTO CWMMAL PENALmEa ANO CML FRIES UP TO ONEHUNDRED THOUSAND DOLIARa 1$10%000), IN AUL TIONTOTHE Mn MCaePMMrON DANAGESMPROVIOEOFORMSECnoNS7NOFTHELHSORCOOE,MTEREST,ANOAT7OWI OPEES. hereby affirm under penalty of poury one of the following declarations: 31 have and will maintain a certificate of consent to self -Insure for workers' campenatlon, Issued by the Director of industrial Relation as provided for by Section. 3700 of the Labor 1:ode, for th Spaces of the work forwhich this permit is issued. Pal)cy Na. I ave 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 sued. My workers' - )mpensatki alliance ewar /an�d policy number are: ;abler 4.J 1 l Policy Numbs,.--,O-P-14—/C, 0 (O '3V6- 1 Expiration Date fame of Agent Phone # .. al certify that, In thrr.�Ubjocl, nce t tis for vfiich this pemttt is Issued, t shall not employ arty person in airy manner so as to become subject to the workere'aompensatiort Yaws of CRlifom a, and ogre hat, If I should boon to rs' compensation provision of Section 37!10 of the Labor Code, I shall forthwith comply with those provtsiona. Ilgnalure ofApplica 4�r/o21f)ECLARATION REONSTRUCTION LENDING AGENCY hereby affirm undarpanalty, 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). .enders Name Lender's Address - iy my signature below, I comfy to each of the following: - am the property owner or authorized to act on the property owners behalf. - have read this application and the information 1 have provided is coned. agree to comply with all applicable city and down n esnd tate lam relating to building construction. 1 authorise representatives of this oily or cou, enter abr dentified property for Inspection purposes. _ nriL ir� vu.eu ,; ♦al/.� EMS N077FIMION TO: NOTAPPLICABLE TO OCCUPAA'CYISSUED