Loading...
HomeMy WebLinkAboutH2016-0361 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 H 2� 016 0 3 �61 MECHANICAL Permit: H2O16-0361 Project No: Inspection Requests Phone (949)644-3255 Job Address:431 WESTMINSTER AVE BIdg:1Floor: 1 Suite:a ��s� ,. �` Description of Work: MECHICHANGE OUT F.A.0 &INSTALL NEW A/C UNIT SOdB (MAYT Z`5A4BE-048KA p r1iiG'� O/ Inspector Area:2 Code Edit: 2013 `� .� (3 Legal Description: P M 156-47 PAR 2 UNIT 3 OF PROJEC ED ON AP 425-283-30 °lo OC TOGE`'GR Owner: KERR GENAI C n a o POLAR B�bT AIR rE Z, er s Comp Insuranc Address: 431 WESTMINSTER AVE #B s 23� Gp VFi Carrier: MID-CENTURY NEWPOItT BEACH, CA 92663 §UNA hii , S CAl,Policy No: A09468247 Phone: - P oozr"' - 4 388_i Expire :11130/2016 Issued Date:06/06/2016 Processed naiasBoilers & Compre or. to 1010K BTU/hr: 1 $1 0 :r 1WK BTU/hr. 0 $0.10 II/Floor Heaters: 0 $0.0R1 3t Pumps S. Package Units �t to 100K BTU/hr: 0 $0.00 -r 500K BTU/hr: 0 $0.00 to 1M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 -r 1.75M BTU/hr: 0 $0.00 + 2/31/2017 tic: BT30 e Exp Date gg�42fil 93 'HP: 1 $18.0 Bi room Fan: > 3 HP to 15 HP: 0 V"11, 9 hrust Fan: >15 H tso�330 HP $'WQIDI�`""'Attic Fan: m> P iP $6..00 Down -Draft Fan: ji P: 0_�$� Residential Hood: ndling,�y 5` Comm. Ho o up to 10K CIVI' 0 $0.00 R ter/Add: Over 10K CFM: 0 Supplement VAV Box: $0.00, K �( \Nf4e Dampers: 0 $0.00 Gas Line: 0 $0.00 Metal ac 0 $0.00 ecord Mgt F1 0 TOTAL: $1i1?1$ Plan Check Fee: $0.00 Manufacturer: Other $0.00 $0.00 16 Investigation: $0.00 Plan Check: $0.00 Issuance: $32.00 Fee Due at Permit Issuance : $121.16 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION o e eoa 0 •o e o • n 0 0• o• o 0 0 - - o •e • o e© m e eo 0 0 0 u o ouo 00 0 0 0 pk9 c®tl C4• B B NOJ •i 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 items) ' (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 ction 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 a,lisantD�a pe it subjects the applicant to a civil penalty of not more than five hundred dollars ($500). , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or _ pe*isf 5f the work, and the structure is not inte ded or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an own eL9f+ who, through employTA.or personal effort, builds improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or pTswetfrBritis sold within one year of 5gr>arffetij,tthE-Owner-Builder will have�th burden of proving that it was not built or improved for the purpose of sale). ! t f qQ g -�' 4 ss ❑ y as owner owner the property, am excluuikK it im roves t ie ith li n Contractors to constru the-pr6ect (Section 704;t,r6us�s aI d �f�s'sI ns Code. The Ilaontractors' State License Law does not apply to an owner of property whD-burfd?; or improves ther/ne�o n ww�o ntract rojects with a licensed Cgntrdakt pBrs•Cfant to the Contractors' State Llce'Ise Law). ❑ I am exempt from licens re under the Contractors' 12e aw for the followm rea - By my signature below I ackF wlerpttIAtaIr y per nal sidence Inv ich�r ed- or at least one (p� ar. r t on of the Improvem is covered by this permit, I cannot legall, sell a structure that have buuuuuiA������t as a owner -builder rf It has not beelr: Isttuicteda itr ntlretyse ontr ctdt3,o I'4'FJb grid that a copy of tfie applicable last, Section 7044 of the Business -"fit Professions Code, is availablupon request when this �apq'lontek�ml�er$of4tfollot`-wdw.leginfo.ce.gov/calaw.html. pl Signature of Property Owner o Authgfjged' ig`e4 i - .� %�, 'za z�� hereby affirm under penalty of ind effect. Joense Class VORKERS' COMPENSATIO`i EARNING: FAILURE TO SECURE WORKS IOST OF COMPENSATION, DAMAGES AS hereby affirm under penalty of pE 7 I have and will maintain a ce etiormance of the work for which have and II maintain rance came\'a * policy re of Agent certify that, in the performance of , if I should become subiect to the of Applicant i that I a,;WK nselk ear pmvisio s of Chapter 9 (commeno9g # lh 7000) of Division 3 of the Business and Professio • Code, and y licen is in full force FrH^ys Sk *.'c [x hit_ 4 Contractor Signature iCLA DPENSATI OVER$ NLANY�tI1,y�A • HALL SECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OE THOgSA D DOLLARS ($700,000), IN ADDITION TO T IIq,Ep 1 TION y)L6 OF xH �•,E�46@$CE, INTEREST, AND ATTORNEY'S FEES. off, o6of ate° permit is is e t to self insure for workers' compensation, issued by t" d e ' r�o>;dhda fl`ial Relations�a provided for by Be n 3700 of the Labor Code, for is is Issued. Policy No. ` � xr 1 i�rJ, ampens on insuranea,•�e,¢ed 700 of the Labor Code, for��Be�pelr#ormance of the work fors this emit is "ssued. My workers' oompensat permit is issued, I shall not em I a erson in any manner so i pro#ionstlof Sec of the Labor Code, I shall loffA Ath-d hereby affirm under penalty of perjury th t there is a construc' Ing agen Pth'd` i rormance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name $ Lender's Address ly my signature below, I certify to each of he follopri.�-=�"— I am the property owner or authorized fSact 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 state laws relating to building construction. I authorize representatives of this city or county to a the a e ' entifi pr perty for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na AC110M DATE BY DECLARATION OFCOMPLIANCE WTTN'CODE OF FOR Of FEDERAL REQULATnNSPAVT 61 QF TIftF.40A10 PERM?EXPIRED l AQMDROLE9463. • • • • ❑ ISUl3W &A1BEST65&O;7F; rJ& : PERMITCANCELtEO ❑ EPA.• :• ••• ••• ••• ••• PERMITEXTENDED ❑ AQMD PERMTTF(NAL [3ASBESTOS N077RCA77ONIS NOT APPLICABLE TO PROPOSED DEMOLfTdQN. • • • e CERTIFICATEOF •• ••• e e e a e OCGUFANCYISSUED SIGNATURE: e• e e e e e a laws of California, and R