HomeMy WebLinkAboutH2019-0611 - PermitsCity of Newport Beach =Building Division
U !. 100 Civic Center Drive, Newport Beach, CA 92660
rte, Permit Counter Phone (949)644-3288
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MECHANICAL Permit: H2O19-0611
Project No : 0742-2018
NO CONSTRUCTION NOISE
Inspection Requests Phone (949)644-3255.
THE VVEEMND
Job Address: 418 LARKSPUR AVE Bldg:1 Floor: Suite: ON
Description of Work: MECH - (2) NEW A/C CONDENSORS. TAMPER RESISTANT CAPS REQ'D ON BOTH, TIMER REQ'D ON#2
Inspector Area:5 Code Edit: 2016
Legal Description: CORONA DEL MAR BLK 438
LOT 14
Owner: DEXTER 418 LARKSPUR LLC
Contractor:
Address: 255 E. SANTA CLARA ST STE 220
Address:
ARCADIA, CA 91006
Phone: 626-445-4500
Phone:
Con State Lic:
Issued Date:10/08/2019
Lic Expire:
Bus Lic
Processed By:
Lic Exp Date:
COMFORT HEATING & A/C
21962 COSALA
MISSION VIEJO CA 92691
714-335-7055
632774
12/31/2019
BT30005700
08/31/2020
Workers Comp Insurance
Carrier: W/C EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
INS
Ac items
FEES
rnacesBoilers & Compressors
Ventilation
Other
to 100K BTU/hr.
0
$0.00
Up to 3HP:
2
$40.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0
$0.00
$0.00
ar 100K 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
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:
0
$0.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$0.00
ar 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$34.80
to 1M BTU/hr;
0
$0.00
up to 1 O CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
CSA1BFIssuance:
$35.00
to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
MAYTAG
3r 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$41.50
TOTAL: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $151.30
GPERMITS F49IFE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
C nstructien Hr urs: Vgnday -Friday 7:00 a.m.fo 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
e a e
Ol UC:. O GtiU
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9G 4UU 4 U UU UUU 40Ei
IWNER-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)
lection 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
ie 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 dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved 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
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).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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) of Division 3 of the Business and Professions de, and my license is in full force
rid effect. V-1
' ,,,
/
icense Class License No Datem, • I N-- Contractor Signatl�
VORKERS' COMPENSATION DECLARATION 7-57 1 ` I
'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 ($100,000), 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
(yformance of the work for which this permit is issued. Policy No.
Ihave 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
rance carrier and policy number are:
�arrier 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
ud. if I should become subject to thew vers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
I �
ignature of Applicant 1-"-4/� Datl_0��
IECLARATION REGAR 16 NG CONS C ION LE19DrNG 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
y 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 1 have provided is correct.
I agree to comply with all applicable city and county ordinances a state laws relating to building construction.
I authorize representatives of this city or count to a ab -identified property for inspection purposes. /yf 111
i nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam _ f Date
ACTION DATE BY DECLARATIONOFCOMPLIANCEVNTH CODE OF FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 67 OF TTTL6.61AND •
P€RMITEXPIRED AQMD RULE 1403. • • • • • • • • ••
1 SUBMITF€DASBESTOS NO7IFICATIOlt TOy �' • .
PERMIT CANCELLED ❑ EPA
P€RMITEXTENDED ❑ AQMD
ASBESTOS NOIIRCAROMIS NOT APPLICABLE TO
PERMIT FINAL fW PROPGSEDDEMOUTTON • . • • • • • . •
• • • • • • .
CERTIFICATEOF
IV
OCCDPANCYISSDED SfGNATUREr • • • • • ••