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HomeMy WebLinkAboutH2020-0248 - PermitsCity of Newport Beach - Building Division 11111111111111111111111 11111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 8 2 0 e z a a .'� Permit Counter Phone (949)644-3288 Job Address: 1319 BALBOA BLVD E BIdg:1 Floor: 1 Suite: C Description of Work: MECH - C/O FAU Inspector Area:1 Code Edit: 2019 Legal Description: P M 216-28 PAR 1 UNIT 4 OF PROJECT LOCATED ON AP 048-170-42 TOGETHER Owner: WHEELER MARIANNE Address: 1319 E BALBOA BLVD UNIT C NEWPORT BEACH CA 92661 Phone: 949-463-3147 Issued Date:05/15/2020� Processed Bv: Contractor: GREENSTAR HOME SERVICES Address: 1951 N MAIN ST ORANGE CA 92865 Phone: 949-885-0102 Con State Lic: 795556 Lic Expire: 02/28/2022 Bus Lic: BT30056111 Lic Exp Date: 08/31/2020 MECHANICAL Permit: H2O20-0248 Project No: Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: LIBERTY INS Policy No: WA76313508631019 Expire :10/01/2020 r &Compressors Ventilation FEES URD to 100K BTU/ to 100K BTU/hr: 1 $20.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 .71 1 Fire Dampers: 0 $0,00 er 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 ill/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 at Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: :r 500K BTU/hr: 0 0 $0.00 $0.00 >50 HP: Air 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: .r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $55.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: n , Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 d rr to 6i 00 pir� m o D �mE mC Other Investigation: Plan Check: $35.00 Zoning PC: $55.00 c o G o D U O V OC G O Weiv $0.00 $0.00 $0.00 $0.00 $0.00 OCA 9UG O Weiv $0.00 $0.00 $0.00 $0.00 $0.00 VVINCK-tlVILIJGR ucVrl n-wI. I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the mason(s) Indicated below by the checkmark(s) I have placed next to the applicable Item(s) action 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 e 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 ofesslons 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 It more than five hundred dollars ($500). 1 I, as owner of the property, or my employees. with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Jsiness 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 Iprovements 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 I roved for the purpose of sale). 1, 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 .r ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legal) :11 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 alte:http://www.leginfo.ca.govlcalaw.html. ignature of Property Owner or Authorized Agent 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 an ro ass and my license is in full force nd effect. ansa Class License No Date .%� L Contractor Slgnat JORKERS' COMPENSATION DECLARATION ARNING: 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 11;700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] I have 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 the MfQ,rmance of the work for which this permit is Issued. Policy No. "uh ve 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 Isu nce carrier and policy number are: rrier Policy Number Expiration Date lame of Agent Phone # ]I Certify 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' compensation laws of California, and agree Tat, if I should become subject to the [k ;F pensa0om wslons of Sectio i00-of-tbe-Labor-Gade l-shall-forthwith-comply'with those provisions. /� ! 1 .., ;ignature of Applicant Dat // G /Cly n"ao •o.,oa )ECLARATION REGARRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). .ender's Name Lender's Address a"O' ly my signature below, I certify to each of the following:'a�� 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 an e4aws-relGt ng to b lding-construction. ,-/7 ' ' ' I authorize representatives of this city or count ve-Ida ad-pWorty for inspection purposes. _ _ /( � 114 I_ ,Carp •j `� ACf70N DATE BY XP/REO • ANCELLED ••• ••• •• • i XTENDED••• • •• •_• ••• I SUBMITTED ASBESTOS NO71FfCAT!ON TO: © EPA ❑ ADM& ❑ ASBESTOS NOTfl9CARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.'OCCUPANCYISSUED I _ •I_ �•• 0-0-. 11