HomeMy WebLinkAboutH2017-0444 - Permitst City of Newport Beach - Building Division III 11111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 4 4 4
Permit Counter Phone (949)644-3288
MECHANICAL Permit: H2O17-0444
Project No:
Inspection Requests Phone (949)644-3255
Job Address: 219 DIAMOND AVE BIdg:1 Floor: Suite:
Description of Work: MECH/(2) A/C UNITS 44.5dB & 55dB* (BRYANT; 124ANS- 30& 30)*TIMER REQU N EQUIPME T TQ SHUT OFF BETWEEN 1013M & 7AM
InspectorArea:2 Code Edit: 2016 Oro
Legal Description: BALBOA ISLAND SEC 3 BILK 10 LOT 28`
Owner: BAKMAN/BICKEL Contractor: ATINGi/at%%C a �� Worker's Co nsu
Address: PO BOX 25997 Address: 306 COLLEN P� fy� Carrie RG R
FRESNO, CA 93729 COSTA MESA C,9, Io B91icy No: NAW 3
Phone: ne: 9 6-0064 vv /O Expire :09/24/201
Con State Li 940181 �OQA
Issued Date:08/14/2017 Lic Exp' 1f42
1Q04mac:Processed By: Lic E ic.. 0
." +'� f _
•nacesBoilers Com t' i F�,Ohaust
to 100K BTU/h 0 $0.0 HP:iomFan:
:r 100K BTU/hr: 0 $0.0 > 3 HP to NO�L Fan:
]I/Floor Heaters: 0 >1 30 Attic Fan:
it Pumps & Pack a Units >30 0 $0.00 Down-EraFan
to 10oK BTU/hr: $ 50 0 $0.00 Residentia .
,r 500K BTU/hr: 0 $ 0 r He mg Units Comm. Hood:
to 1M BTU/hr: 0 $0. 0 to 10K CFM: 0 iQ��tepair/Alter/Add:
to 1.75M BTU/hr: 0 $0. Over 10K CFM: 0 �g8++II Supplemental Fee:
)r 1.75M BTU/hr: 0 0.00 VAV Box: 19000
TOT L: 37.8(�,�(� 5�at�e Ian Chec i
114
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0
0
0
Other
$0.00
$0.00
Investigation: $0.00
Plan Check: $31.32
Issuance: $33.00
Zoning PC: $37.50
Fee Due at Permit Issuance: $137.82
}}�/PERMITS X>sR AVS AFTER ISSUANCE OR LAST VALID INSPECTION
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DWNER-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 items)
(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
the 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
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 anyLa plicant for a permit subjects the applicant to a civil penalty of
not mnrp 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 U portions of the
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu ployees
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one yeawfrompletion, the
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to const tt oject (Secti QQy�..4, Business
pply to an owner of property who builds or improves thereon, and who contracts for the je�with a licenn for purall,
I am exempt from licensure under the Contractors' State License Law forth ing reason:1�
',y my signature below I acknowledge that except for my personal reside which 1 must have reATdded for Jea&'fp ear prior t
d the strlure is not intended or offered for sale (Section 7044,
or person effort, builds or improves the property, provided that the
)wner-Buil r will have the burden of proving that it was not. built or
ell a structure that I have built as an owner -builder if it has not be nstructed in its emir ty by liter @tors. I understand th I
'rofessions Code, is available upon request when this ap ' this submitted or at ollowing Web: tp://www.leginfo.ca calaw.h
',ignature of Property Owner or Authorized Agent FA
.ICENSED CONTRACTOR'S DECLA
hereb affirm under penalty of per I m li tp a g/n ovisions of t cin itkQec ion 7000) of Division 3 of the
of the
Y F
nd effect.u
( _.. r._ 0_1����
!cense Class 'e e o Date Contractor Signat
DARNING: FAILURE TNR KERS' CUMPEN',
OST OF COMPENSAES AS PROVIDED F
hereby affirm unalty of ne c
I have and wiain certific of
rformance of thfor -'ch this p i
11 have an'I�I maintwo per
Isurance tarn rind poli n are:
of
ertifyThat{fi the p�
if I should become
of
treby affirm undeF penalty of pt Ur
tder's Name Si
my signature below, I certify to e
I am the property owner or autho
I have read this application and tit
I agree to comply with all applicat
I authorize representatives of this
mature of Prooertv Owner or Authc
ACT7ON
PERMITEXPIRED
PERMITCANCELLED
OCCUPANCYISSUED
is issued.
which this permit is
to act on the property owner';
ormation I have provide a
ty and conty OWI and
by
Code: The Contractors' State License Law does not
S' State License Law).
rJECT M YE CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HL
iT, TO Y'S S Aft
aaf�t
sa- � ued by the Director of Indus elOarovie
A
3700 of the Labor vrr5 ancN66) work f
tact
.,el6k Expiration DaledF
person in any manner so
r Code, I shall for
for the performarCe of the
construction.
in purposes.
Doertv Owner's or
rents covered by this permit, I cannot
law, Section 7044 of the Business and
Date
Code, and my license ipS n full force
DOLLARS ($700,000), IN ADDITION TO THE
_IQ
issued (Section 3097, Civil Code).
By ur�.es+rw �.wr ve
FEDE4?4tREGULATJQAFSPARJ610F TITLE40AND
ALMD JWLE 1 JQ3v
,0 I NTAE&ASNESFOS' 16414ATION TOr
...
❑ AQMD
❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO
PRTP@SED I MOUTION.
S43*TL4.: s •.
3700 of the Labor Code, for
My workers'
laws of California, and