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HomeMy WebLinkAboutH2018-0304 - Permits�� vrr4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII MECHANICAL Permit: H2O18-0304 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 3 0 4 Project No: 1241-2016 Permit Counter Phone (949)644-3288 9ct �^,r; ��yb Inspection Requests Phone (949)644-3255 Job Address: 407 38TH ST Bldg:1 Floor: Suite: Description of Work: MECH INSTIL LINES FOR FUTURE A/C UNITS @ THE ROOF DECK & THE SIDE YARD "TAMPER RESISTANT CAP InspectorArea:1 Code Edit: 2016 INISFKM i R Legal Description: CANAL SECTION BILK 438 LOT 15 Owner: GUO JACK Contractor: M S CUSTOM HOMES INC Worker's Comp Insurance - Address: 1817 VISTALOMITAS DR Address: 15333 CULVER DRIVE STE 968 Carrier: EXEMPT FULLERTON CA 92831 IRVINE, CA 92604 Policy No: Phone: Phone: (949) 279-1841 Expire Con State Lic: 997076 5TJBJFCTTO FIELD INSPECTOR'S Issued Date:05/15/2018 Lic Expire: 09/30/2018 REVIEW AND APPROVAL Bus Lic: BT30061337 Processed By. C-;,__��$6 Lic Exp Date: 11/30/2018 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to IOOK BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1 OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $33.00 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 ° c Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 o a ° e e Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investiga4ibn: ' $0.01.7 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check' $44.`3.7°° Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CSA1BE-18K/42K %.Isjuance: ° $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: NORDYNE/MAYTAG° Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PU., $379$@ TOTAL: $165.87 Plan Check Fee: $0.00 Fee Due at Permit Issuance: son°°° $165.87 ° ° 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. 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 ie 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 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved.for the purpose of sale).. q, 1, 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 pply 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: Iy 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.leginfo.ca.gov/calaw.html. signature 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 with Se tion7 00) of Division 3 o4theBu s aOCode, an m is nse is in full force nd effect.icense Class License No D Contrnatur YORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER UP TO ONE HND DOLLARS ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi erformance of the work for which this permit is issued. Policy No. 11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Isurance carrier and policy number are: arrier Policy Number Expiration Date a f Agent • • Phone # fi7y that, iD ormanc of the work for which his permit is issued, I shall not employ any person in any manner so as to become sub ct to thew rkers' compensation laws of California, and afire, a if f'S'ho� g t�)jot t �tff�ngq s�,comper tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p�ovisio , DMID REGMIDINgrCONSTRUCTION LENDING AGENCY ••• affirm un er penal•tf of perjury that there is a construction lending agency for the performance of the work for which this permit is Name ... . Lender's Address IF ffIA the properjy owner or authorized to act on the property owner's beha . • �h2 read thjs application and the inf rm a provided js come • I agree to con$pl?wKh all applicable d -county ordinaenczes ands a laws relating to building construction. • Y autkorize repre ae tetiv of thi or co O e-' ified property for inspection purposes. ACTION DATE / I BY IPERMIT€XPIRED I I I I PERMIT CANCELLED I I I PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED ❑ ISUBMiTTEDASBESTOSNO7IFlC4T(ON7(): ❑ EPA ❑ AQMD ❑ ASBESTOS NODRCATTONIS NOTAPPLICABL.E TO PROPOSED DEMOLITION. SIGNATURE: (Section 3097, Civil Code). rteN15*11104