Loading...
HomeMy WebLinkAboutH2020-0482 - Permits (3)rkwlo� City cf Newport Beach - Building Division 1111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O20-0z ryf, 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 4 8 2 a. i� Permit CDunter Phone (949)644-3288 Project No TIMER REQUIRED ON EQUIPMENT �'"�°�'� TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Inspection Requests Phone (949)644-3255 Job Address: 2001 COMMODORE R) BIdgA Floor: Suite: Description of Work: MECH/CHANGE OUT A/C UNIT 55dB* (TEMPSTAR; N4A760GKA101) `TIMER REQUIRED TO SHUT OFF BETWEEN 10PM & 7AM *STOP WORK I20-. nspector Area:3 Code Edit: 2019 Legal Description: N TR 3082 LOT 38 Owner: BROOKES Address: 1609 LINCOLI I LN Contractor: Address: BREEZY AIR 13582 SISKIYOU ST Worker's Comp Insurance - NEWPORT BEACH, CA 92660 WESTMINSTER CA 92683 Carrier: EXEMPT Policy No: NO EMPLOYEES Phone: Phone: 714-606-0814 Expire Con State Lic: 1025139 Issued Date.08/28/2020 Lic Expire: 03/31/2021 Bus Lic: BT30062167 AS bbidi i r° Processed By: Lic Exp Date: 02/28/2021 « 1.; EXPOSE ALL STRUCT ; ELECTRICAL, Mumma nmma s Boilers &Compressors Ventilation FEES .A n ECHANIC AL C0OIVIP BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: $00N her BTU/hr: 0 $0.00 F1, > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 $q.00 ps & Package knits >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 BTU/hr: 0 $0.00 Over 500K BTU/hr: 0 $0.00 >50 HP: 0 Air Handling Units $0.00 Residential Hood: Comm. 0 $0.00 Additional Fee: $0.00 Investigation: $21.00 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 Hood: $0.00 Repair/Alter/Add: 0 0 $0.00 $0.00 Plan Check: Model: Issuance: $37.00 $18.27 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.2° i OTAL : $143.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $143.52 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.;n.:o S:�o p.rn,an9 Saturday from. 8:00 a.m. to 6:00 p.m. OWNER -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, al ,c requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the ps: isions of the Contractom' State License Law (Chapter 9 (commencing with Section 7000) of C-rvision 3 of the Business a,o�j 'rofessions 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 t f lot 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 U portions of the work, and the structure is not intended or offered `p, 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 o� operty, 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 pro' irlg that it was not built or mproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code! The Contractors' S-.ate 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 residencein 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 that I have built as an owner -builder W it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7r71.4 of the Business and 'rofessions Code, is available upon request whe Is appp - is bmitt�ed or at the followleginfo.ca.gov/calaw.html. O Signature of Property Owner or Authorized Agent 22 foll!w��leginfo.ca.gov/calaw.htmi. site:ht://www.D `' P l Z-7 / Z G ZO .ICENSED CONTRACTOR'S DECLARAI FJN 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 Code, a-nl my license is in full force Intl effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLPFS (ST00,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 37110 of the Labor Code, for thl erformance 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 ISSUE-. My workers' 'ance carrier and policy number are: - -_ ier Palic Number y . --- - Expiration Date _ is of Agent Phnne it ;ertify 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' compensatio I laws of California, and if I should become sijbject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of q8 /27_/1020 3reby 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 coo ty enter the above -identified property for inspection purposes. nature of ProDertv Owner or Authorized Aaen ACTION DATE BY / 1 DECLARAUQALQ REGULATIONS P 1403 PERMIT EXPIRED 1 SUBMITTED PERMITFINAL 6 ©ASBEST CERTIFICATE OF I,�1, U C / PROPOSED OCCUPANCY ISSUED J V SIGNATURI COMPLIANCE WITH CODE OF FEDERAL 3T 61 OF TITLE 40 AND AOMD RULE TO IS NOTAPPP`+LICCAABLE TO / / t � -- --i FOR OFFICE USE ONLY v 3 0 N N ry N O t Op C '^ 00 ai C a 3 a m O w 3 � i o W N N y, � O L C W 3 m 3 0 C o c 0 is O C i _n C L d V � � a o a a O C O � u v v v a a m _ IJ N C � c y _ °1 T N Oro O aL+ o � N a v