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HomeMy WebLinkAboutH2018-0614 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O18-0614 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 6 1 4 Project No : 0437-2018 Permit Counter Phone (949)644-3288 4'�cspyv Inspection Requests Phone (949)644-3255 Job Address: 3410 CATAMARAN DR BIdg:1 Floor: Suite: Description of Work: MECH INSTL (2) A/C UNITS @ THE SIDE YARD "TAMPER RESISTANT CAPS REQ" Inspector AreaA Code Edit: 2016 t �` Legal Description: N TR 6152 LOT 8 La Owner: LI LAN Contractor: CAFORIO DEVELOPMENT GROUP LLC Worker's Comp Insurance - Address: 3410 CATAMARAN DR Address: 11966 JACK BENNY DR #101 Carrier: STATE FUND CORONA DEL MAR, CA 92625 Ventilation RANCHO CUCAMONGA CA 91739 Policy No: NA121702500 Phone: 714-756-0730 Phone: 909-681-3435 Expire :01/20/2019 Up to 100K BTU/hr: 0 Con State Lic: 1024233 2 $38.00 Issued Dat^e:10/01,/2018 0 $0.00 Lic Expire: 03/31/2019 Processed" �Lic Bus Lic: Exp Date: BT30064036 08/31/2019 .CTT CT ToFInDINSPF.r,^TOR':C > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 A/ 1 ROVAI, 0 $0.00 ° ° ° $0.00 Wall/Floor Heaters: ° HVAC Items FEES °••• FurnacesBoilers&Compressors Ventilation ° Other •°•° . Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.09.- O.OQ°°Over Over100K 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 o • Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 °• ° o •®•O° Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation:- $0.00• °e, Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Checks $33.46 ° • ° ° Up to 1M BTU/hr: 0 $0.00 up toIOKCFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CSAIBF-48Klssuance: o•°°o• $35.00 ° ; Up to 1.75M BTU/hr: 0 $0.00 Over IOKCFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAG °•°••. Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning Pts°°•° $40NLO•, TOTAL: $146.06 Plan Check Fee: $73.06 Fee Due at Permit Issuance: $73.00 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 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 structure, ,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). 1, 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 Tlprovements 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall3 yell 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:hftp://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 (commencing with Section 7000) of Division 3 of the Business and Professions Code and y license is in full force Ind effect. .!cense Class License No Date Contrac 'gnature YORKERS' COMPENSATION DECLARATION 1ARNING: 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 ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I he rid� o"lJQtain 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, p,7fo of the work -for which this permit is issued. Policy No. and wYl*in ritain 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' carrier'AIMdolicy number are: P f N b Ex !ration Date ne of Agent ,edify that, N the G !'If t DO ME is ure of Ap nt o Icy um er p Phone # 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' compensation laws of California, and theers' co p satin provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. u /6 //, V *4&GA9BINQjCONSTRLI03IOKLF 11G AGENCY dFMBPpL�lalty of perjury that there is a construction lending agency for the performance of the work for which this permit is I Lender's Address (Section 3097, Civil Code). By.my slgnatura6ak5W,d 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 and state laws relating to building construction. I authorize representatives of this city or county to a abov fie d op fo p tion purposes. ` 1 / Signature of Prope eror- thorized Agent r rint ro ert Owner's or Authorized A 's Namg- �r `1 al ate I(a A ON DATE RY DEC RATION OF COMPLIANCEMOT CODE FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 01 OF 7ITLE40AIVD P€RMITEXPIRED AQMD RULE 1$03. ❑ I SUSMITTEDASBESTOS NO7IFICATION TOr P€RMITCANCELLED ❑ EPA PERMITEXTENDED ❑ AQIWD ASBESTOS PERMITFINAL /-/y •�.� PROPOSED DEMOLITION. RflNlS NOTAPPLICABLE TO OCCUPANCYISSUED SIGNATURE: