HomeMy WebLinkAboutH2022-0024 - PermitsCity of Newport Beach - Building Division H2O22-0024
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 2437 FRANCISCO DR BIdg:1 Floor: Suite:
Description of Work: SFR MECH: (2) A/C UNITS AT SIDE YARD. TAMPER RESISTANT CAPS REQUIRED.
Inspector Area:3 Code Edit: 2019
Legal Description: N TR 3282 LOT 16
Owner: MAMARI TALAL
Contractor:
Address: 2437 FRANCISCO OR
Address:
NEWPORT BEACH, CA 92660
Phone: 949-735-5535
Phone:
Con State Lic:
Issued Date:01/27/2022
Lic Expire:
(� T
Bus Lic:
Processed By: 'JJ
Lic Exp Date:
MECHANICAL Permit: H2O22-0024
Project No : 1144-2021
Inspection Requests Phone (949)644-3255
OWNER/BLDR Worker's Comp Insurance
CHARLES S./TALAL MAMARI Carrier
O/B FORM ATTACHED Policy No: °
818-681-4685 Expire
O/B
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 1 OOK BTU/hr:
0
$0.00
Up to 3HP:
0 $0.00
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:
2 $108.00
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:
$93.96
Up to 1M BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
ADVE(36&60)CNI
Issuance:
$38.00
Up to 1.75M BTU/hr:
0
$0.00
Over I OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
AC PRO
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$52.00
TOTAL:
$291.96
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$291.96
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.
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, priorto 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
Professions Code) or that he or she is exempt from Iicensure 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 J 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).
Ul
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
apply to an owner of oroaerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
n I Pm exempt from Iicensure under the Contractors' State License Law for the following reason:
By my signature ba;on 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 Iegall;
se:: 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 Busi ess and
Pmfersions Code, Is available upon request when t i applicataDJ of or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Sionature of Property Owner or Authorized Agent Date Z % 2 T—
LICcNSED CONTRACTOR'S DECLARATION
I herebv affirm u.Tder 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 effort.
License Class _ License No Date Contractor Signature
NIORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECnRE 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
CO.T: JI COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hJ; eb; affirm under penalty of perjury one of the following declarations:
❑ I have and 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 th
oerformance of the work for which this permit is issued. Policy No.
have 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'
ranee carrier and policy number are:
Policy Number
Date
me of Agent rIIUIW n
I certify that, in the 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 agree
t, if I should become subject to the workers' coat pens3tpens no9.pfovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'.nature of Applicant X /-�—�' Date / 72 7 e 7
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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).
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 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 state laws relating to building construction.
I authorize representatives of this city or county to enter the b ediproperty for inspection purposes.
mature of Property Owner or Authorized Agent ie -�'Ls+ Print Property Owners or Authorized Agent's Name '1Gliti'7i'r L L� i Ji.' r4-ll r Date
AC77ON
DATE
BY
DECLARATION OFCOMPUANCE WITH CODE OF
FOR
FEDERAL REGULATIONS PART 51 OF TITLE 40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
CERTIFICATEOF
jr
OCCUPANCYISSUED
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