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HomeMy WebLinkAboutH2021-0092 - Permits�w f City of Newport Beach - Building Division H2O21-0092 �aqy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �ydiW]LL�u Job Address: 660 NEWPORT CENTER DR BIdg:1 Floor: 7 Suite: 750 Description of Work: COMM DUCT WORK nspectorArea:7 Legal Description P.M. 295 33 PAR 6 FOR OF PAR f applicable: Owner: IRVINE O Date: tmaiTr—SOUTH COAST MECHANICAL INC Address: 434iVO KARMAN AVE #350 Address 8 E O E ORPEWIeO% ©r ❑ NEWPO T B 92660 k� E 9 01 Phone: e:� C, 14 982 R �b Chi ° t0 W hQdT Issued Date:02/2 0 Lc i 0 0/2021 Bus Lic: BT30073043 Processed By: XLil r D E'f�_XFI: I r"- macesBoilers & to 100K BTU/hr: ar 100K BTU/hr: ill/Floor Heaters: at Pumps & Pacl to 100K BTU/hr: ar 500K BTU/hr: to 1 M BTU/hr: to 1.75M BTU/hr: ar 1.75M BTU/hr: MECHANICAL Permit: H2O21-0092 Project No : 0318-2021 Inspection Requests Phone (949)644-3255 Policy No: 54309689 Expire :05101/2021 FEES pressors Ventilation $0.00 Up to 3HP: $2811,.00 Bathr n: gg , 0:Q rtFl a " 0 Ps Ili Nth tb pp $0 0 Att ca a I c � �G��t Fire�pplace: 0 U>30 HP to50HPy $0.00 Down -Draft Fan:(ncb W(YdI1b ta3=Mgt Fee: $0.00 0® I� S � $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Air Handling Units Comm. Hood: 0 $0.00 AQ up to 10K CFM: 0 $0.00 Re IdABer/Add.:--0--$0:8 0 e : N .6t1 0.00 Supplemental Fee: $ fad er: $0.00 VAV Box: 0 $0.00 8'%Oa fVta'A'9 �— •ee 6�I�e••OR - • e e e e •• • e NCE • e••• o m • e • m Yxmm t om•mc mm a m mOm;O ememe�c� em e a m V.m O O m C0 a 0Oal0 0 m C C 90 m. G.0 m004 m Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 08.73 Investigation: $0.00 Plan Check: $18.27 e: $37.00 Zoning PC: $46.25 $231.25 Plan Check Fee : $173.25 Fee Due at Permit Issuance : $58.00 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. O-ZA 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) (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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner ofpsoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ i am exempt foam Acensure under the Contractors' State License Law for the following reason: *,rp)<gi$nature bElo%6acknowledge 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 s@II a structure tM;;t j'hate 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. SignafurA of Properly Owner or Authorized Agent Date LICENSED CQATRMTOR'S DECLARATION I reftg of inn un1er penalty of perjury that I am licensed 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 and iiict. 00.. , L. 4cense glass ,',-W License No �i �� (`-� a JZ4, z o„7 I Contractor nature VyQM RS' COMPENSATION DECLARATION MRIIING:4'AILURE TO SEOURE 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 CDST OF dbMPENSAIIgIS, D&MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 10AM15 j Affirm under pegally 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 tht performance of the work for which this permit is issued. Policy No. III 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' compensatior I surance carrier and policy number are: arrier _ Policy Number SLA HOC( (2fE9 Expiration Date Name of Agent -Pr �-st - 'G. rx� 4 t�S T ". _� CQ i- roc Phone # Q'+-/ - 4s T- •-��J -� iJ 11 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 agref tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those visions. ignature ofA lice 4--�'//a/ to �3097, ECARATI�ARING CONSTRUC N�ENDING-AENCYhereby affir u er penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectil 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 I have provided is correct. I agree to comply with all applicable ty and county ordinances and state laws relating to building construction. I authorize representatives of this clt county to/ er the agree -identified property for inspection purposes. > ��J 1 :...,.,f.e . f o.... ,, n,. —r �, A,nhnd „001 / �i �c -Print Prooertv Owner's or Authorized ADent's N %'c eOE-_:":Cu"� r'�"�f�l� `mil CA ACnON I DATE I BY PERMIT FINAL CERTIFICATEOF OCCUPANCYISSU€D PART u1 OF TI7LE40 AND AQMD RULE 1403. ❑ /SUBMITTEDASBESTOSNOIIFICAT!ONTO:. ❑ EPA AQMD ASBESTOSNORHCARON(S NOTAPPLICABLETO PROPOSEDDEMOL(TION. SIGNATURE: