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HomeMy WebLinkAboutH2018-0548 - PermitsCity of Newport Beach - Building Division H2O18-0548 100 Civic Center Drive, Newport Bead;, CA 92660 'q Permit Counter Phone (949)644-3288 u Job Address: 800 OCEAN FRONT W Bldg:1 Floor: Suite: Description of Work: MECH INSTIL A/C UNIT @ THE ROOF DECK "TAMPER RESISTANT CAP REQ" Inspector Area:1 Code Edit: 2016 Legal Description: EAST NEWPORT LOT 4 BILK 7 AND LOT 5 BILK 7 ELY1/2 OFLOTS Owner: GREUBEL JEROME Contractor: Address: 800 W OCEAN FRONT Address: NEWPORT BEACH CA 92661 FEES Phone: Phone: Con State Lic: Issued Date:081/2018 Lic Expire: Bus Lic: Processed By: Lic Exp Date: LEWIS AIR SERVICES 23121 ANTONIO PKWY#155 RANCHO SANTA MAR CA 92688 949-589-0609 972182 04/30/2020 BT30046705 12/31/2018 MECHANICAL Permit: H2O18-0548 Project No: 0357-2018 Inspection Requests Phone (949)644-3255 CTOR Worker's Comp Insurance - Carrier : OAK RIVER Policy No: LEWC910357 Expire :06/24/2019 S14i.1F-CT TO FIELD INSPF,CTOR'$ REVIEW AND APPROVAL, e e a oa000� ao 0 0 HVAC Items FEES ^ Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ` `° $0.00., ° o 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. Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 a Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 . n.. o Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 . o, e � ° Investiga5ior.n r. $O.OQ . Over 500K BTU/hr. 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $15.65,.. Up to 1M BTU/hr: 0 $0.00 up to1OKCFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4TTV0048A ° Issuanceto%o.$33.00... . Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANE Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 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. )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 Ehelkmark(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 is 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, Usiness 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 n roved for the purpose of sale). I, as -ow ner 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 toanowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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.htmi. 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 (comme mg Ith Sec I n 70 f vision YLUNES sine and Profe io Coda -el y license is in full force nd effect. •` icense Class License No Dat Cognature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN E R TO CRIMINAL PENALTIES AND CI TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPERSATI%, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affrm under penalty of perjury one of the following declarations: �•I`� a and°win maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the mance of'thd 0jork for which this permit is issued. Policy No. !.ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior I once carrlerand policy numbpsr are; _.. �t ` G / Ot Policy Number ^N 00 0 16 Expiration Date O 2C"t I grpa of AgerM ..... Phone # 3 t4fy that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen$ation laws of California, and agree Iatniishould Come subject to th w s' c pefi` nsattl provisions of Section 3700 of the Labor Code, I shall forthwith comply With-tho e provisions. / ignature of pelicano. • vY ���- --e !Ieby affi �pe Ity-ofperjury that there is a construction lending agency for the performance of the work for which this permit is i ued (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. n f 1 have read this application and the information I have provided is correct. I agree to comply with all applic9ble,,city and countyordinance and state laws relating to building Construction. r I authorize representatives of t is r county tor� ooertv ter the a v-idenlifiedrty .propefor inspection purposes. nature of PrOwner or Aut orized ADent Y Print ProDertv Owner's or Aul orized Auenl's Name ACTION DATE BYI rl LAr FEDERAL I PERMITEXP/RED I I I I PERMITCANCELLED PERMITEXTENDED OCCUPANCY/SSUEO OFTI7LE40AND ❑ 1 SUB1WMDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD1 ❑ ASBESTOS IVOURC47IONIS NOT APPLfCABL.E TO PROPOSED DEMOLITION. SIGNATURE: N