HomeMy WebLinkAboutH2022-0322 - PermitsCity of Newport Beach - Building Division Q20__ 2
b 100 Civic Center Drive, Newport Beach, CA 92660 A �' 5 1,
Permit Counter Phone (949)644-3288 �'� "� P LC it
MECHANICAL Permit: H2O22-0322
Project No: 0916-2022
Inspection Requests Phone (949)644-3255
Job Address: 29 RIDGELINE DR BIdg:1 Floor:
Suite:
Description of Work: MECH: R/R (3) ROOF MOUNT
A/C UNITS & INSTALL (2) ROOF MOUNT HEAT PUMPS(TIMERS PROHIBITED) *TAMPER RESISTANT CAPS REQUIRED*
Inspector Area:6 Code Edit: 2019
Legal Description: N TR 9861 LOT 5
Owner: HECHT BEN
Contractor: D L S HEATING & A/C
Worker's Comp Insurance - ", • P ° °
Address: 29 RIDGELINE DR
Address: 8542 LARTHORN DRIVE
Carrier: STATE FARM ••a• aaaaec
NEWPORT BEACH, CA 92660
HUNTINGTON BEACH CA 92646
Policy No: 92GOK7865 °°•° E
Phone: 310-867-3056
Phone: 714-231-8002
Expire:01106/2023
Con State Lic: 584220
Issued Date:06/27/2022
Lic Expire: 0113112024
Bus Lic: BT98040420
° • ° ° ° °
Processed By:
Lic ExpDate: 12131/2022
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HVAC Items
FEES
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FurnacesBoilers&Compressors
Ventilation
Other °°�°
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Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
3 $66.00
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:
2
$44.00'.
>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:
$95.70
Up to I BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
4TTR6061C1000B
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TRANE
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$295.70
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$295.70
PERMITS EXPIRE 180 DAYS AFTF,R ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.rrf�to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
\\) TINIER PRO__ HIEITE®
DINNER -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 ofi
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 (_) 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).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not
apply 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).
LJ I 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 legal
sell a structure thit 1"ve 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 Codb•}s•§v9ilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. _
Signature of Propel Owner or Authorized Agent ate
LICE1ISED CAWACTOR'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 C e, and license is in full force
�pdejfgbt. 9
Licensee Class • • License No Date 60 Contractor Signature
IRKERS' COMPENSATION DECLARATION
?J4UQ: FAILURE TO.$ctORE 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
nr OF GOMPENSP.TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
!re%y affirm under penalty of perjury one of the following declarations:
•e
and �!II r�r2tain 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
ICcE
of the+ or9 forwhich this permit is issued. Policy No.
nd 41rnvlh1ain 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' compensatiol
arrier'911d policy number are:
Tier Policy Number Expiration Date
ne of Agent Phone #
certify that, in the performance the wo or which this milt is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
I, if 1 should become subje o t o rs' compensatio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant - Date
CLARATION I -yRDRIMS CONSTRUCTION LENDING AGENCY
ereby affirm under Oenalty 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 propert owner's b alf.
I have read this application and the information I have pr ided is co act.
I agree to comply with all applicable city and county mantes state laws relat' to building construction.
I authorize representatives of this city or county to nter e o identified pr erty for inspection purposes.
of Property Owner or Authorized
Print Property Owner's or Authorized
Civil Code).
S X
ACTION
GATE
BY
DECLARATIONOF COMPLIANCE WITH CODE OF
FOR OFFICE USE
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMDRULE 1407.
PERMITEXPIRED
❑ I SUBMITTEDASBESTOS NODFICATIONTO:.
- ❑ EPA
❑ AQMD
❑ ASBESTOS N07IRCAIIOMIS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED