HomeMy WebLinkAboutH2019-0838 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 8 3 8
Permit Counter Phone (949)644-3288INS®rp��®/�_ TOR
Job Address: 206 VIA LIDO NORD BIdg:1 Floor: Suite:
Description of Work: MECH/INSTALL (1) ROOF MOUNTED A/C UNIT *TAMPER RESISTANT CAP REQUIRED*
Inspector Area:1 Code Edit: 2016
Legal Description: N TR 907 LOT 859
Owner: SERGIO LLOVIO Contractor: OWNER/BLDR
Address: 206 VIA LIDO NORD Address: PING ALBERTO
NEWPORT BEACH CA 92663
Phone: Phone:
Con State Lic: O/B
Issued Date:01/13/2020 Lic Expire: f
IZTBus Lic: n � �
Processed By: Lic Exp Date:
MECHANICAL Permit: H2O19-0838
Project No : 1826-2019
Inspection Requests Phone (949)644-3255
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
Worker's Comp insurance - `....
Carrier : . e °
Policy No: pp�� PP�� p`t'��++Tp9 ��a°� �.he�eeh•' �q 0
Expire: 1N® !>ONS @ RUC 9 IQIV °IN01655 °
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FEES
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Furnaces Boilers&Compressors
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HVAC Items
FEES
°...
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Furnaces Boilers&Compressors
Ventilation
Other •e•eee
Oe°°,
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $20.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 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
Wall/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
Heat Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
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
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$17.40
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
YC660B21SIssuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
YORK
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$113.90
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$113.90
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.
OWNER -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 applic@ble 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
the 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
Professions 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
21 more than five hundred dollars ($500).
Vk-as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in whit 4�ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall
,sell a structure thabl.heve built as an owner -builder if has not been cons clad ' Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, j%gv%ilable upon request when thi apppll' o is �fhe following Web site:http://www.leginfo.ca.gov/calaw.html.
9i nature of Property Owner or Authorized Agent / P Date
�IE,�4ED CON$Ih4CTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am li ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
*dVp8t.
Li iensg Class • • License No Date Contractor Signature
VFO%E!RS' COMPENSATION DECLARATION
VV.ALZWIy%: FAILURES O•SE8VE 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
COST OF QDMPENSAWIOY,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I h'er'eby affirm under penalty of perjury one of the following declarations:
1•hav& and Vm ngdlatain 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
,pee, �r� ce of the wore -for which this permit is issued. Policy No.
L yauB and wW 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' compensation
insurance carrier dM'Oblicy number are:
Policy Number
Date
ne of Agent Phone #
certify that, in the perfor ante of the work for ich thi erTr�l 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
t, if I should become su tett to worker ' a 'on Ong
t, of Section 3700 of the Labor Code, I shall forthwith comply with those prov' ons. / ////
nature of Applicant Dat ,L,LZ
CLARATION REGA DING CONSTRUCTION LENDING AGENCY
Ireby affirm under p natty 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).
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 and st Ila relating to building construction.
I authorize representatives of this city or couto /f tt abo Id tif' property for inspection purposes.
nature of Property Owner or Authorized Agent (% %'v/ + Print Property Owner's or Authorized Agent's Na e A1190feCC, 1 / e""a to
ACT70N DATE BY
DECLARATION OF COMPLIANCE MTN CODEOF
FOR OFFICE USED Y
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMDRULE 1403,
PERMIT EXPIRED
1 SUBMITTED ASBESTOS M077FICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOARCA7IONIS NOT APPLICABLE TO
PROPOSED DEMOLITION
PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
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