HomeMy WebLinkAboutH2021-0351 - PermitsCity of Newport Beach - Building Division III 11111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 O 2 1 0 3 5 1
•- n.. Permit Counter Phone (949)644-3288
u
Job Address: 616 POINSETTIA AVE BIdg:1 Floor: Suite:
Description of Work: MECHINEW A/C (2) "TAMPER RESISTANT CAP REQ"
Inspector Area-4 Code Edit : 2019
Legal Description: CORONA DEL MAR ELK 643 LOT 18
Owner: PAM CAPITAL MANAGEMENT INC
Address: 13600 MARINA POINTE DR #1208
MA A D REY CA 90292
Phone:
Issued
Processed
Contractor:
D L S HEATING & AIC
Address:
8542 LARTHORN DRIVE
HUNTINGTON BEACH CA 92646
Phone:
714-231-8002
Con State Lic:
584220
Lic Expire:
01/31/2022
Bus Lic:
BT98040420
Lic Exp Date:
12/3112021
MECHANICAL Permit: H2O21-0351
Project No: 0535-2019
Inspection Requests Phone (949)644-3255
IPNIVI EC 1 ®R
Worker's Comp Insurance -
Carrier: STATE FARM
Policy No: 92GUV4642
Expire :01/06/2022,-
SUBJECT TO FIELD INSPECTOPI'S
REVIEW ANDARPROVAL
AU items
FEES
I
o
macesBoilers &
ompressors
Ventilation
Other
to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $42.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
ar IOOK BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
$0.09
ill/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
at Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
to 100K BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$0.00
ar 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$36.54
to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
NH4A448AKA/NH4
Issuance:
$37.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
DAY & NIGHT
ar 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$161.79
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$161.79
PERMITS
EXPIRE 180 DAYS AFTER ISSUANCE OR LAST
VALID IqSPECTION
Construction Hours:
Monday - Friday7:00 a.m.to 6:30
p.m.and Saturday tlom 8:00 a.m. to 6:00 p.m.
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
)WNER-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
he 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
)rofessions Code) or that he or she is exempt from licensure and the basis for the allegei: exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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 Code: The Contractors' State License Law does not
ipply 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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
;ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.[eginfo.ca.govicalaw.htmi.
3ignature of Property Owner or Authorized Agent Date
_ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ction 7000) of Division 3 of the Business ;andPrOfens Co , a in nse is in full force
rnd effect. 77 11
_icense Class License No Dat 0. 1 Contractor Signature
NORKZRS' COMPENSATION DECLARATION
V..RNIICG: FAILURE TO SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:DST OF COMPENSAI ION, D . ES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm u�i 5pnalty of perjury one of the following declarations:
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
Ae �yunc for which this permit is issued. Policy No.
i
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'
carrier and policy number are:
Number
-,ld o, Agent
Date
certify that, in the performance of a wo for ich this permit is issued, I shall not any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t, if I should become subject to t worker ' ompen ovisions of S 0 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date ( /
CLARATION REGAFJDING CON2TkUCTION LENDING AGENCY
)reby affirm under peillalty 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).
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 pa
I have read this application and the information I have
I agree to comply with all applicable city and county of
I authorize representatives of this city or county to e9M
of Property Owner or
owner's behalf.
led mdte
II lawsrelating to building construction.
ed property for inspection numnsas.
Owner's or Authorized
kv-4
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTNCODE OF
FOROFFICEUS€ONLY
FEDERAL REGULATIONSPART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ L SUBMITTED ASBESTOS N077FICATION TO:
❑ EPA
❑ AQMD
PERMITCA_NCELLED
PERMIT EXTENDED - - ....
..
_
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PEW1Tf AL �,•
—. +7,
CERTIFICATE OF.._
SIGNATURE:
OCCUPANCYISSUED