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Home My WebLink AboutH2019-0038 - PermitsI - City of Newport Beach - Bullc9ft Dh iaiop e �I�l�IIII��I�IIIIIIIIIIIIIIIIIillllillllllllll MECHANICAL Permit: H2o19-0038 P 100 Civic Center Drive, Newport Beach, CA 92960 ° _° o N 2 0 1 9 9 6 3 8 Permit Counter Phone (949)644-3288 . ®. °, ° ° ° ° , ° ° a Project No: 0939-2016 Inspection Requests Phone (949)644-3255 n O flC O OCO C Q °° 000 0�o ea Job Address: 1715 GALATEA TER BIdg:1 Floor: Suite: Description of Work: MECH - (4) A/C CONDENSORS, 2 GROUND MOUNTED, 2 WALL MOUNTED *TAMPER-RESISTANT CAPS REQUIRED* Inspector Area:5 Code Edit: 2016 Legal Description: N TR 2813 LOT 148 Owner: GALATEA PROPERTIES LLC Contractor: J T HEAT AND AIR Worker's Comp Insurance NJ , Address: 428 OLD NEWPORT BLVD Address: 38561 TRANQUILA AVENUE Carrier: EXEMPT PJECTO5 g NEWPORT BEACH CA 92663 MURRIETA CA 92563 Policy No: I EMPLOYE Y 1 Phone: 949-300-5152 Phone: 951-303-5511 Expire: Con State Lic: 745770 Issued Date:01/17/2019 Lic Expire: 08/31/2019 (� Processed By: Bus Lic: BT30054492 36" WIDE X 36" DEPTH Lic Exp Date: 02/28/2019 REQUIRED FOR 760OKBTU/hr: ems FEES sBoilers & Compressors Ventilation oK BTU/hr: 0 $0.00 Up to 3HP: 4 $76.00 Bathroom Fan: 0 Other K BTU/hr: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 r Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 ps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 $0.00 Investigation: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM:0 $0.00 Repair/Alter/Add: 0 $0.00 Model: SEE PLANSIssuancePlan Check: $66.12 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: SAMSUNG $35.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $217.12 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $217.12 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. L- - )WNER-BUILDER DECLARATION ° I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for Te' eaaoo(4 indictlteg blow bythe 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 1mgrpQe, demolish, or fepaiF any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter (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 b an applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). ' ° • • °' ° 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of qr ("J patiorm of the w(tk, and the stVcfure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who„through empll Yeses' or°defsonel effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within on&ye:Ta of compliltion, the Owner -Builder will have the burden of proving that it was not built or m roved 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: 3y 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, —11cannot legall Sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I 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 a`nd Professions Code, and my license is in fu force and effect. Date Contractor Signature g./� License Class License No V1 WORKERS' COMPENSATION DECLARATION COSTIOF CO FAILURE TTOION DAMAGES AS WORKERS'SECURE COMPENSATION FOR IN SECTION GOB OF UNLAWFUL, AND COOS, LL SUBJECT AN EMPLOYER ATTORNEY'S TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'100,000), IN ADDITION TO THE DED THE S. I hereby affirm under penalty of perjury one of the following declarations: 171 . 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 ce of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, carrier and policy number are: Policy Number for the performance of the work for which this permit is issued. My workers' Date of Agent -e ify 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 ogre t, I should become subject to the woorrksq ' Rap sa provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant d /�I 1 Datil/ CLARATION REGARNING CbI4FRUt11ON LENDING AGENCY rreby 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). Idler'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 state laws relating to building construction. I authorize representatives of this city or county to enter t ab 'denti#i d pr@ operty for inspection purposes. ♦ /(j Date inanva of Pronertv Owner or Authorized Agent s —��_� Pnnt Property Owner's or Authorized Agent's Name Y ACTION DATE 8Y FEDERAL REGULATIONS PART 61 OFTfTLE40AND AGMD RULE 1403. I SUBbuTTEDA5BE5TOS NOTIFICATION TO: 0 EPA D AGMD ❑ ASBESTOS NOTlflCATlON15 NOT APPLICABLE TO PROPOSED DEMOLITION. 3CP[RED :ANCEtt€O 7(7€NDED -INAL SIGNATURE: 4TE OF OCCUPANCYISSUED