HomeMy WebLinkAboutH2019-0415 - PermitsCity of Newport Beach - Budding Uivision IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII
o`L I 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 4 1 5
Permit Counter Phone (949)644-3288
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Jab Address: 38 LINDA ISLE BIdg:1 Floor: Suite:
Description of Work: MECH - (NEW) 1 HEAT PUMP, 2 A/C CONDENSORS. *TAMPER-RESISTANT CAPS REQ'D*
InspectorArea:2 Code Edit: 2016
Legal Description: N TR 4003 LOT 38
Owner: SUTHERLIN Contractor:
Address: 4680 95TH AVE NE Address:
YARROW POINTWA 98004
Phone: Phone:
Con State Lie:
Issued Date:07/12/2019 ' Lie Expire:
Bus Lie:
Processed By: Lie Exp Date:
ENDLESS SUMMER HTG & A/C
110 COPPERWOOD WAY, STE G
OCEANSIDE CA 92058
760-439.5071
914490
04/30/2020
BT30030164
12/31/2019
AC Items
Other °pOm
o O0p
Fire Dampers:
FEES
0
'0$0.00 °
rnacesBoilers & Compressors
0 $0.00
Ventilation
$0.00°°.'
Metal Fireplace:
0 $0.00
to 10oK BTU/hr:
0
$0.00
Up to 3HP:
2 $38.00
Bathroom Fan:
0 $0.00
or 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
ill/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
at Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
to 100K BTU/hr:
1
$19.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
or 500K BTU/hr:
0
$0.00
Air 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
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
or 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
TOTAL: $181.59
Plan Check Fee: $0.00
e e MECHANICAL permit : H2O19-0415
Project NQ : 29P5 2016
m e o• o e o m o m
ee• e • • •seo•
Inspection Requests Phone (949)644-3255
o e e e o• o e
o m o m o 0
8 i m • o °o
e m mmm o•• •m• ••
Worker's Comp Insurance -
Carrier: COMPWEST INSURANCE
Policy No: WCV5502982
Expire :12/06/19
Ir
Ba § tl comm
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.
Other °pOm
o O0p
Fire Dampers:
0 $0.00
0
'0$0.00 °
Gas Line:
0 $0.00
$0.00°°.'
Metal Fireplace:
0 $0.00
°
Record Mgt Fee:
$0.00
Additional Fee :
$0.00
InvestigatUm °
m $0.00
Plan Check: 00$49.59°••
Model:
215BO60-AI126CN
Issuance::
$35.OQ••••
Manufacturer:
BRYANT
° ° m ° ° • ° °
°
o
Zoning PC:
$40.Q% i
°oo°,
• o o
000•
Fee Due at
Permit Issuance :
$181.59
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.
IWNER-BUILDER DEGLA4{AI IUN
I hereby affirm under penalty of ler ury that I and exemt-t 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)
lection 7031.5, Business 3n{i;PrpfEbsiogs'CBdV. Any citWQr county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
re 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
of more than five hundred dollara,($500). • . . •.
. . •• • • •• . • •
I, as owner of the property, ormy employeeswithwages at tFRir sole compensation, will do (_) all of or (, portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and ProfessionsVode: the Contractors State License haw does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intend4d dr"ered'f81'sa1E'If, howe0er, 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
nproved 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
pply 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:
,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 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
'rofessions 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 (commencing with Section 7000) off Division 3 of the Business and Professions Code, and my license is in full force
effect.
is " / Contractor Signatu� �'r' t'
icense Class License No Date V \V
IIORKERS' 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 ($100,060), 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:
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
work for which this permit is issued. Policy No.
anQ wil6piaintain 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 and policy number are:
re of Agen(
•
8ertify that,.in..th2performance.. of the work for
-if I shoul4ecorre subJ'ect h ork %66
e of AppBcant Dam
tATION IREGARDINTCONSTRUIPTION LENDING AGENCY
affirm under tensity 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).
Namg" * * . Lender's Address
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
. • 4 ISM the pfbpgh8wner 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 or ins ces an state laws relating to building construction.
I authorize representatives of this city or county t en th o tified property for inspection purposes.
;i nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's r
ACTION DATE BY
DECLARATION OFCOMPLIANCE WTHCODEOF
-
FEDERAL REGULATIONSPART 81 OF TTTLEW AND
AQMDRULE1403.
/
PERMITEXPIRED
'
❑ 1SUBIWTTEDASB€STOSNOTIFICATION TO.
❑ EPA
PROPOSEDOEMOLITION.ASBESTOS RONIS NOT APPE.ICABLE TO
PERMITCANCELLED
P€RMITEXIENDED[3AQMD
41APERMITFINAA
'l
CERTI€ICATEOf
SIGNATURE:
OCCUPANCYISSUED