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HomeMy WebLinkAboutH2018-0733 - Permits0City of Newport Beach - Building Division Illliiilliiiliilllllllllllllillll!IIgIIIII MECHANICAL Permit: H2O18-0733 ` 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 7 3 3 Project No: 2866-2017 F Permit Counter Phone (949)644-3288 '�N � c', , Inspection Requests Phone (949)644-3255 c oexu Job Address: 719 ORCHID AVE BIdg:1 Floor: Suite: Description of Work: MECH - (2) A/C CONDENSORS *TIMER REQUIRED ON #2• TAMPER-RESISTANT CAPS REQUIRED ON BOTH Inspector Area:5 Code Edit : 2016 Legal Description: CORONA DEL MAR BILK 741 LOT 19 Owner: 719 ORCHID LLC Contractor: Address: 7191/2 ORCHID AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Ventilation Con State Lie: Issued Date:11119/2098 Lie Expire: Bus Lie: Processed By: Lie Exp Date: QUALITY AIR 293 N STATE COLLEGE BL #3008 ORANGE CA 92868-5718 714-718-2946 908428 1 2131 /2 01 9 BT30026429 01/31/2019 qN 3�""T R Worker's Comp Insurance - Carrier : STATE COMP Policy No: 9017366 Expire :07104/2019 HVAC Items FEES FurnacesBoilers&Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 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 \1ybN/Ftgor Heaters- 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 14ddVPrsmps & Pac6ge Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 L2p Jo 1@OK BT oRir:o- 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 ®6dr°500K BTU/hr: 0 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $33.06 3PW1bABTU/oo 0 $0.00 up to1OKCFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A41ssuance: $35.00 00 611.75M ETU/fic= 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TEMPSTAR QvftP4.75M BTU/hr: a 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 0 0 0< o C 0 0� TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $146.06 a 0000 e •os�co m PERMITS EXPIRE 160 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 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 Irofessions 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 lot more than five hundred dollars ($500). 1, 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, 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 Tlprovements 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 m roved 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' Stale 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.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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ind effect. .icense. Class License Noat Contractor Signal YORKERS' 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 DOLLARS ($100,000), 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: 1 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 IN ertofmance of the work for which this permit is issued. Policy No. 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: Policy Number Expiration Date ie of Agent Prone S 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 dalilornis, , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applic- I CLARATION REGARDING CONSTRUCTION LENDING AGENCY ;reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 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 eAter the above -identified property for inspection purposes. AC77ON DATE I BY I PERN7ITEXPIRED I I I I PERMIT CANCELLED I I I PERMIT FINAL CERTIFfCATEOF OCCUPANCYISSOED FEDERAL REGULATIONS PART 01 OF TIILE40AND AQMO ROLE 1403. ❑ ISOBWTTEDASBESTOSNOTIFICATIONTOr ❑ EPA ❑ AQMD ❑ ASBESTOS N017flCAT70NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE., 3097, Civil Code). • • Date FOR OFBCIFUSEONLY ••oo ,nd ac�rrt • o a e000� •ooe� • �o •o • • o 0 ••oue •