HomeMy WebLinkAboutH2020-0224 - PermitsUGCity of Newport Beach - Building Division100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 2 4
Permit Counter Phone (949)fi44-3288 "�^�lO
MECHANICAL Permit: H2O20-0224
Project No : 0740-2018
Inspection Requests Phone (949)644-3255
Job Address: 906 BELLIS ST Bldg:1 Floor: Suite:
Description of Work: MECH NEW A/C UNIT ON GROUND `TAMPER PROOF CAP REQ* TIMER REQUIRED & NEIGHBOR LETTER ATTACHED
Inspector Area:8 Code Edit :
2016
Legal Description: N TR 4893 LOT 14
Owner: DENNIS KENNETH L
Contractor:
AIRSMITHS INC
Address: 906 BELLIS ST
Address:
1474-A POMONA ROAD
NEWPORT BEACH, CA 92660
CORONA CA 92882
Phone:
Phone:
951-735-5225
Con State Lic:
783449
Issued Date:05/04/2020
Lic Expire:
0813112020
(�'�/j`
Bus Lic:
BT95002015
Processed By: {DLic
Exp Date:
10/31/2020
Worker's Comp Insurance -
Carrier: OAK RIVER INSURANCE
Policy No: AIWC030566
Expire :07/01/2020
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.11.,
HVAC Items
FEES
Other
Furnaces Boilers & Compressors
Ventilation
0 $0.00
$0.00
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
1
$36.00
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
$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:
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$31.32
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
4TTR402516OL100
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
TRANS
Over1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$41.50
TOTAL:
$143.82
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$143.82
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.
)WNER-BUILDER DECLARATION ,
I herebyaffirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, of 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 forthe alleged 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License taw 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 ricensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that except for my personal residence In which 1 must have resided far at least one year prior to completion of the improvements covered by this permit: I Cannot legall
ell a structure that I have built as an owner -builder if B 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:hltp://www. leg;infD.ciLgov/caIaw.html. of Property Ownerol-Authonzed Agent Date
-ICENSED CONTRACTOR'S DECLARATION �
hereby affirm under penalty of perjury that I am licensed antler provisions of Chapter 9 (commencingY"MSClion 7000) ofDivision 3 of [he Business d Prof e' ode, and my license is 1IIforce
he effect .1.icenss Class License No Dat4a`Dontractor Signature ---v,
VORKERS'COMPENSATION DECLARATIONIARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOMINAL PENALTIES AND CML PINES UP TO ON HUN REO THOUSAND DOLLARS p 100,0001, IN AW2M0N TO THE
DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNey's FEES.
hereby 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
e rmance of the work for which this permit is issued. Policy No.
I 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' compensatio
,,[(have
s ance carrier and policy number are:
Policy Number Expiration Date
of Agent
I certify that, in the perform nce a work for which t ' permit is issued, 1 shall not employ any person in any manner so as to become subject to t e workers' compensation laws of California, and agree
t, if I should become subj t the,,orkkeers' compen Lion provisions of Section 3700 of the Labor Cade, I shall forthwith Comply with those pro 'si s.
(nature of Applicant ' Y Date !' &Z�2-D
CLARATIONREGAR G NSTRUCT NDINGAGENCY
:reby affirm under pe I of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (4ec6n 3097, Civil Code).
lder'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 an cou ordinances and state laws re g to building construction. _
I authorize representatives of this city or cou ent e a lve�i en[ifietl Car perty for Inspection purposes.
nature of Property Owner or -Authorized A ent _7 I Pint Property Owners or Authorized ADent's Name
ACTION i OATEN /I l BY
CERTiFIG4TE OF
OCCUPANCYISSUED
OFTITLE40AND
Q I suBMFTTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NONRC4TlOf1/S NOTAPPUCABLE TO
PROPOSED DEMOLITION,
SIGNATURE:
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