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HomeMy WebLinkAboutH2019-0172 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII u 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 7 2 as Permit Counter Phone (949)644-3288. Job Address: 37 BURNING TREE RD BIdg:1 Floor: Suite: Description of Work: MECH A/C UNITS (5) ON GROUND *TAMPER PROOF CAP REQ* Inspector Area:4 Code Edit: 2016 Legal Description: N TR 7638 LOT 56 Owner: CANNERY SAILHOUSE LP Contractor: Address: 37 BURNING TREE RD Address: NEWPORT BEACH, CA 92660 Phone: Phone: FurnacesBoilers & Compressors Con State Lic: Issued Date:03/27/2019 Lic Expire: p^� �\ n Bus Lic: Processed By: S 7 t �/ \ Lic 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 MECHANICAL Permit: H2O19-0172 Project No : 2848-2017 Inspection Requests Phone (949)644-3255 aT�om n...mc ° o •mo m• ° Worker's Comp Insurance- o°m Carrier: COMPWEST INSURANCE °° o Policy No:WCV5502982 °°°m o emmoo Expire :1210612019 °° °oomo. emmmmoe m o mmm000 m o o moon mmom HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 5 $95.00 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: $82.65 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $252.65 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $252.65 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 1 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 is 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 I& Busin%ss 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). .. I, as owner o$ 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 5pig to an own erY jSfiperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). • I amexempt from %ensure under the Contractors' State License Law for the following reason: y my signaturebleloWl 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 Aapjr6cture thatN 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 "gfrpfes�ibns Coder is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Nglrature of Properl)t ODvner or Authorized Agent Dale � SED CQNTj CTOR'S DECLARATION } eie "affirm IjrViBr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business a r fess' n o my license is in full force ct. �iel!rrseClass • License No Date `� Contractor Signatur VORKERS' OONIf1NSATION DECLARATION �QRN1Nb! FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SDa.IECT AN EMPL Eft TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND D LARS ($100,000), IN ADDITION TO THE OST(�OMPEN�SRAON, DAMAGES AS PROVIDED FOR IN SECnON 3706 OF THE LABOR CODE, INTEREST, AND ATTO EY'S FEES. hereby affirm uft" 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 th grformance of the work for which this permit is issued. Policy No. have 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' compensatioi hence carrier and policy number are: Her Policy Number Expiration Date ne of Agent Phone # certify that, in the pert rma e f the work r ich emelt is issued, I shall not employ any person in any manner so as to become subject to the wor kers' compensation laws of California, and agre t, if I should becomes bjec o e workers' sa provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGA DING TRUCTION LE AGENCY Ireby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S Ilion 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 owners behalf. I have read this application and the information I have pr ided is corre I agree to comply with all applicable city and county rdi a ces and ate s relating to building construction. I authorize representatives of this city or county to me h ab ve enti a property for inspection purposes. / 1 tt ` `' .,.ZS-'�I nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na4 U rt Vf V �1 D to (( l ACTION DATE Y DECLARATION OF COU"AfCEIMTN CODEOF / FOR OFFICE USE Or FEDERAL REGULATIONS PART 61 OFTIILE40AND AQMD RULE 1403. P€RMITEXPIR€D ❑ I SUBMfTTEDASBESTOS N071FICATION TOS ❑ EPA © AQMD PERMITCA.NCELLED P€RMITEXTENDED ❑ ASBESTOS NODRCADONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CER7RCATEOF SIGNATURE. OCCUPANCYtSSUED