HomeMy WebLinkAboutH2019-0236 - PermitsCity of Newport Beach = Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
'. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 2 3 6
h Permit Counter Phone (949)644-3288
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Job Address: 109 26TH ST Bldg:1 Floor: Suite:
Description of Work: MECH INSTL A/C UNIT @ THE ROOF DECK "TAMPER RESISTANT CAP REQ"
InspectorArea:1 Code Edit: 2016
Legal Description: NEWPORT BEACH CITY BILK
26 LOT 31
Owner: THON CARL F
Contractor:
Address: 2800 OCENA LN
Address:
CORONA DEL MAR CA 92625
Phone:
Phone:
Con State Lie:
Issued Date:04/25/2019
Lie Expire:
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Bus Lie:
Processetl'By:---- //J
Lie Exp Date:
HUGO'S CUSTOM SHEET METAL INC
650 S GRAND AVE UNIT 112
SANTA ANA CA 92701
714-835-5958 ,
749916
07/31/2020
BT30067050
04/30/2020
MECHANICAL Permit: H2O19-0236
Project No:
Inspection Requests Phone (949)644-3255
8✓
30" WIDE X 36" DEPTH
Worker's Comp Insurance -
Carrier: HARTFORD REQUIRED FOR
Policy No: 57WECADI PBS
Expire :0412212020 A/C DISCONNECTS
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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.
HVAC Items
FEES
• a
m..mm
FurnacesBoilers&Compressors
Ventilation
Other m. m
••••mm
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
0 $0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00• a
Over 100K BTU/hr.
0
$0.00
> 3 HP to 15 HP:
1 $35.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
_
$0.60 m
Wall/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
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=�
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Heat Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
m m ¢
• -
Up to 1 OOK BTU/hr.
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee:
$0.00
Investigation ®
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$30.45
Up to 1M BTU/hr:
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
NH4A460AKAlssuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TEMPSTAR
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$40.00
TOTAL:
$140.45
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$140.45
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.
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 str-icture, 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
)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
lot 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 U 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
mprovements 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' State. 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 Imust 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
lrofessions 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 (comme0cing with Section 7000) of Division of the Business and Profession de, - md`y Ilc�trs is in full force
Ind effect. ....✓\'r"�1 nn
.icense Class • License No tem 'G�� E ctor Signa ,
y(RKaRS' C4jeENSATION DECLARATION
FARNING!FAILURE TO S�EJYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A D CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
*OT or, COMPENSATISN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hePebi affirm under penalty of perjury one of the following declarations:
L h2 ve and wi.rhaiptain 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,
oaripmrIance of the work for which this permit is issued. Policy No.
r• %and will thaipfain 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' compensatiol
utir, a carrier aqd policy number are:
;aYdAr;• _ Policy Number Expiration Date
re of'Agent "' ` ` • Phon
••00
C
ertify that, in -Ne performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
�if i should $ecah subject to the woIj%A' (IoMwilulLon provisions of Section 3700 of the Labor Code, I shall forthwith. comply with tho
:reby affirm under penalty 9Klftuj thatthat is a construction lending agency for the performance of the work for which this
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 at 'a
laws relating to building construction.
authorize representatives of this city or county,EcBPILEI�he ova j. ntifj,;�}.pTtfperty for inspection purposes.
AC77ON
PERMITEXPIRED
PERMITCANCELLED
PERMITEX7ENDED
PERMIT FINAL
CERTIRCATEOF
OCCOPANCYISSDED
DATE
11 ISUBMITTEDASBESTOSNOBRCATIONTO:
❑ EPA
❑ AQMD
ASBESTOS i\ -/tom PROPOSED DEMOf7TQN.AONIS NOT APPLICABLE TO
SIGNATURE:
workers' compensation laws of California, and
(°2<`//en
(Section 3097, Civil Code).
OFFICE
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