HomeMy WebLinkAboutH2018-0586 - PermitsCity of Newport Beach m Building- Division ° IIII��Ilf IIIIIIIIIIIIIIIII�I�lllljllll MECHANICAL Permit: H2O18-0586
t1't. 100 Civic Center Drive, Newport Beach, GA 2680 ° e m H 2 0 1 8 0 5 6 Project NO
Permit Counter Phone (949)644-3284 • ° ° • m
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Inspection Requests Phone (949)644-3255
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Job Address: 1319 BALBOA BLVD E Bldg: i Floor: 1 • •b°uite: C • e
Description of Work: MECH - RIR AIC CONDENSOR *TIMER & TAMPER-RESISTANT CAP REQUIRED* *NEIGHBOR LETTER ON PLAN*
Inspector Area:1 Code Edit: 2016
Legal Description: P M 216-28 PAR 1 UNIT 4 OF PROJECT LOCATED ON AP 048-170-42
TOGETHER
Owner: WHEELER MARIANNE Contractor:
Address: 1319 E BALBOA BLVD UNIT C Address:
NEWPORT BEACH CA 92661
Phone: Phone:
Con State Lic:
Issued Date:09/20/2018 Lic Expire:
Bus Lic:
Processed By: Lic Exp Date:
nacesBoilers & Compressors Ventilation
RIGHTIME HOME SERVICES
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
951-276-9744
765074
06/30/2019
BT30063826
07/31/2019
to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $18.00
Bathroom Fan:
0
,. $0.00
:r 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0
, $0.00
II/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0...,
$0.00
at Pumps & Package Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0
. $0.00
to 100K BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0
$0.00
-r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0
$0.00
to 1M BTU/hr:
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0
$0.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
ar 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Worker's Comp Insurance -
Carrier: LIBERTY INS CO
Policy No: WA763D508631017
Expire :10/01/2018
d '
a
TOTAL: $104.16 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $104.16
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.
Other
Fire Dampers: 0
$0.00
$0.00
Gas Line: 0
$0.00
$0.00
Metal Fireplace: 0
$0.00
Record Mgt Fee:
$0.00
Additional Fee:
$0.00
Investigation:
$0.00
Model:
Plan Check:
Issuance:
$15.66
$33.00
Manufacturer: -MA V-A&-
^'�`a,�,, �►-�
Zoning PC:
$37.50
TOTAL: $104.16 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $104.16
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.
OWNER -BUILDER DECLARATION .. ... . . ... . • ...
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasonis)'ndiCajedbclo w bthe .checHmark(s) I have placed next to the applicable item(i—) _
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish ,.or repau ar6j struct%re, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (CRapter9 (cofimenEifig with Section 7000) of Division 3 of the Business and
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portlgll9 ofiffe VIC$ find the structure isnot 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, Proughemployee i' or personas Ad, bjlilds 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 Ow@4r-BullBgr will rave the burden of proving that it was not built or
im 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' State License Law does not
Apply 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).
n I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 legall)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions d , license is in full force
and effect.
License Class License No Datkk Contractor Signatu
WORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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
3eirfrrmance of the work for which this permit is issued. Policy No.
A e 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' compensatioi
U e ca ' r and policy number are: 4' a"" °
rri Policy Number Expiration Date
Name of Agent Phone #
❑1 certify that, in the performance of the work f hich this permit is issued, I shall not employ any person in any manner so as to become subject
to the workers' comp
nsation laws of California, and agre
:hat, if I should become ub'e r er ' mpensation pro ' ' 3700 of the Labor Code, I shall forthwith comply with thos Dpr
ata Y..ns�G L�
Signature of Appe � t J Tom_ U
DECLARATION RE RD ION LEN AGENCY y ,
hereby affirm under penalty of -perjury that there i construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the f lowing:
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' ect.
I agree to comply with all applicable city and q u y o sand state law abuileli - g construction. ep
I authorize representatives of this city or count th - entified grope ' pection purposes. /�/_
Sianature of Property Owner or Authorized Aaen �� Print Propertv Owner's or Authorized Agent's Name/Nv (/►�(� 4'4 -Date C Q
ACTION DATE f1
U ULAM IJVIM VI- UV1KrWMJ.U. M.," I., VI-
FEDERAL REGULATIONS PART 61 OF 771LE40.AND
AQMDRULE 1403.
PERMITEXPIRED
❑ i SUBMITTEDASBESTOS N07lFICATION T0:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
[3 ASBESTOS M017HCA170MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
FERMITF1NAt �/�� /'7�
CERTIFICATEOF
SIGNATURE.
OCCOPANCYISSUED