HomeMy WebLinkAboutH2018-0273 - Permitsyr City of. Newport Beach -Building Division H2O18-0273
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644^'88
Job Address: 517 VIA LIDO SOUD BIdg:1 Floor: Suite:
Description of Work: MECH REPLACE A/C UNIT @ THE ROOF,
InspectorArea:1 Code Edit: 2016
Legal Description: N TR 907 LOT 450
Owner: FASH VICTORIA
Address: 517 VIA LIDO SOLID Contractor:
Address:
Phone:
NEWPORT BEACH, CA 92663
MECHANICAL Permit
Project No :
H2018-027Scc
Inspection Requests Phone (949)644-3255
TIMER REQ ON EXISIING UNIT, TAMPER RESISTANT CAP REQ" EXISTING UNIT- YORK CMB036
Phone:
Issued Date:0018 Con State Lic:
Lic Expire:
Processed B ; Bus Lic:
Lic Exp Date:
irnacesBoilers & Compressors
0
I to 100K BTU/hr:
0
$0.00
'er 100K BTU/hr.
0
$0.00
all/Floor Heaters:
0
$0.00
at Pumps & Package
Units
to 100K BTU/hr:
0
$0.00
er 500K BTU/hr:
0
$0.00
to 1M BTU/hr:
0
$0.00
$33.00
$0.00
VAV Box:
to 1.75M BTU/hr:
0
$0.00
er 1.75M BTU/hr:
0
$0.00
Ventilation
ALICIA AIR CONDITIONING
26824 VISTA TERRACE
LAKE FOREST CA 92630
949-770-2495
525314
02/28/2020
BT20102054
09/30/2018
Up to 3HP:
0
$0.00
> 3 HP to 15 HP:
1
$33.00
>15 HP to 30 HP:
0
$0.00
>30 HP to 50 HP
0
$0.00
>50 HP:
0
$0.00
Air Handling Units
Comm. Hood:
0
UP to 10K CFM:
0
$0.00
Over 10K CFM:
0
$0.00
VAV Box:
0
$0.00
TOTAL: $132.21
Worker's Comp Insurance -
Carrier : SERVICE GROUP
Policy No: WC034126504
Expire :07/01/2018
Bathroom Fan:
0
$0.00
Fire Dampers:
Exhaust Fan:
0
$0.00
Gas Line:
Attic Fan:
Down -Draft Fan:
0
$0.00
Metal Fireplace:
Residential Hood:
0
0
$0.00
$0.00
Record Mgt Fee:
Comm. Hood:
0
$0.00
Additional Fee:
Repair/Alter/Add:
0
$0.00
Model:
Supplemental Fee: $0.00 Manufacturer
Plan Check Fee: $0.00
__I'T0 FIELD INSPF,'(-:7•pP,'
REVIE Id NDAP.PI CIVA.L
moom
• •
oo•°
omo °
o° 0 oomoo0
°
Other
0 $0.00 $0.°O°
0 $0.00 00Op0O $000010 m)
0 $0.00
$0.00
$0.00 Investigation • ° $0 dli °
Plan Chgek:°•• $28.1°
24VNA937-037-30 •issuance: °OOp
CARRIER
Zoning PC: $37.50
Fee Due at Permit Issuance: $132.21
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.
• • • • ' - • • r : applicable item(s)
OWNER -BUILDER DECLARATION y applicant for
' State License Law (Chapter 9 any st renting with Section uanc . Division 3 of the Business and
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 checkmates) I have placed next to a
(cO
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair an strvr Din , with to its issuance, also requires the app
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violatiQrtons of Section 7031.5 by any
work, and the structure isnt onot tended or offered for r a permit subjects the applicant
ale (Section 7044,penalty of
not more than five hundred dollars ($500). all of or U p builds or improves the property, provided that the
❑1, as owner of the property, or my employees with wages as their sole compensation, will do (_)
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort,
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comPl44, Busirless and Professions will
Code: The Conracforsen of rSta a Licenseoving that t as not Law doesor
not
Im roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70
apply to an owner of property who builds E!I'Fnproves 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: applicable law, Section 7044 of the Business and
By my signature below I acknowledge that, except for my personal residence in which I must have resided for , least one year tadr to completion of the improvements Datecovered by this permit, I cannot legs
PrlofessionsuCode, is avaela letuponnrequest when this appl cationes submitted,onstructeorlat the following licensed
stors. I
e a http://www.leginfounderstand
cat gov/calaw.html,of the app'
Signature of Property Owner or Authorized Agent Section
and m license is in full force
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenII Contrf t torhe 6 i nature iness and Pro I s
e,
.400
R TO
and effect. License No - S
License Class
HE
WORKERS' COMPENSATION DECLARATION
WARN G: FAILUISEOF COMPRSTHRON, DAMAGES AS PROVIDED FOR IN SECTION 370610E
COST THE LABOR CODE, IINTERESTEAND ATTORNEY'S FEESRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO T
I jal:y affirm.underRenalty of perjury one of the following declarations:
Gave 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
e e th0 work for which this permit is issued. Policy No.
• •••
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' compensa I
Expiration Date
C r3rid�p� licy number are: policy Number phone #'
Agent not
y that, iq the performance of the wo for whi nsat eroviss issued
Section113700 of employ
he Labor Code, I hall forthwith comply with hose
Ihould bed"pubject to the workers' cDrrlpyF o' �E
�t/1/f n _
Wre of Opt
SCARATIp A DING CONSTRU I N . I DING AGENCY ni
reby affirm under penalty of perjury th here is a construction lending
ider's Name
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 p Ovided is correct.
I agree to comply with all applicable city and county or ncesa tate
I authorize repress atives hio
s city or county to ant /�/r,/fib
ACTION I DATE
for the performance of the work for which this permit is
Lender's Address
to building construction.
x inspection purposes.
or
$Y/,ttDEfAaEGULATIONSPART@IOFIllLtauN+.L
AQMDRULE 1403.
) SUBMfTTEDASBESTOS ND7IFICATfONTO:
E3 EPA
El AQMD
PO ASBETOSIVOiT RONiSNDTAPPllCA81-E TO
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CERTIFICATEOF SIGNATURE:
OCCUFANCYISSUED
to the workers' compensation laws of California, and
(Section 3097, Civil Code).