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HomeMy WebLinkAboutH2018-0541 - PermitsCity of Newport Beach - Building Division H2O18-0541 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c� Job Address: 102 HARTFORD DR Bldg:1 Floor: Suite: Description of Work: MECH A/C UNIT *TAMPER PROOF CAP REQ* 118-2287 *N/L AGREEMENT LETTER ATTACHED* InspectorArea:8 Code Edit: 2016 Legal Description: TR 11604 LOT 3 UNIT 61 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER Owner: HENRYSTELLA Contractor: OWNER/BLDR Address: 102 HARTFORD Address: STELLA HENRY NEWPORT BEACH, CA 92660 Phone: 949-230-7365 Phone: s�A ° Con State Lic: O/B Issued Date:08/29/2018 Lic Expire: $0.00 o e, Bus Lic: Processed By: 0 $0.00 Lic Exp Date: MECHANICAL Permit : H2O18-0541 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : Policy No: Expire : 9 C O (I C09GCG O O HVAC Items Furnaces Boilers&Compressors Ventilation FEES s�A ° e < Up to 100K BTU/hr: 0 $0.00 o e, em . mco<oo 0 $0.00 Fire Dampers: e> . . ° o . n Over 100K BTU/hr: 0o c m 0 O . ° 0 $0.00 m4 J m 40 $0.00 0 o e omoao aomo ° $0.00 mm¢oo 9 C O (I C09GCG O O HVAC Items Furnaces Boilers&Compressors Ventilation FEES mo < Other e < Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 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: $18.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $15.66 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 036 -JK Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: PAYNE Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $122.16 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $122.16 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. VNER-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 applicable item(s) Iction 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 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 if salons 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 pendlity of /more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 6ILaess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except fopmy personal residence in which I must have resided for at least one year prior to completion of the improvements coverecyby this permit, I cannot legal a structure that I have built as an owner -builder'( It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 044 f the Business and �fessions Code, is available upon request when is appli anon is submitted or at he following Web site:http://www.leginfo.ca.gov/calaw.htmi. ZZ in nature of.Prgp4h9 Dyuner or Authorized Agent - - D e :EN$ED CON-MACTOR'S DECLARATI N, - L atsi"ffirm T1rltf el9e�nalty of perjury that I a icensed under provisions of Chapter 9 (comm ting with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force 1 effect. License COMPENSATION DECLARATION Contractor Signature .FkURE'jQ,SECkE 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 COMWS NNI, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. affirm L der-IRAalty of perjury one of the following declarations: 5ve 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 14nce of the work for which this permit is issued. Policy No. ve and will maintain workers' compensation insurance, as requjred` by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ire carrier and policy number are: i' �.0.•6 Policy -Number Expiration Date of Agent _ Phone # certify that, in the p , if I should become Iature of Applicant, ince of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject toSRa workers' compensation laws of California, and agre t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi Ens. Date CONSTRUCTION L NDING AGENCY lreby affirm under enalty ury hatthei construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code). Ider's Name Lender's Address my signature belaik, I cerfillyRo eac . h—Mhd following: I am the property owner or authorized to act on the prope 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 coup' ordinances and state laws relating to building construction. I authorize representatives of this city or county tff enter (hp_above-identifiep p)operty for inspection purposes. Owner or Authorized ACTION DATE By DEC TION OF COMPLIANCE WITH CODEOF FOR OFRCE USED Y FE LREGULATIONSPART61OFTITLE40AND AQMDRULE 1403. PERMITEXPIRED © I SUBMfTTEDASBESTOS NOTIFICATION TO. 13 EPA ❑ AQMD PERMITCANCELLED PERMITEXT€NDED ❑ ASBESTOS MOIIFICAAONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL 7 ( CERTIRCATE OF SIGNATURE: OCCOPANCYISSDED O C W m L Oa) 0 p 'O mom� cE?oo oa)opc0mmm oLLy DNQv 0 0p�a Eo yc T c'- tmd> `o ot$a)EoL�o- a ° cm° Z c �O1 t'iLmN do Yc m 'E� wT.? 3waxid cw FCN a O ccm .�-m .Lm. U a A Q m � � Q �° a N N 3 j N c U 0 � C �� 'F v° 0 d) w� m >w hyo ,Z+ tf- o'er a)N 'LO 2 Uo °vE an00a) m- w a) (. 'c G a) "O O 'C O C C U LO "O w p N m' cm vmn O ny�E._m oy �m c �� Eom `m -oma o c m'> O:6Y LL o 0.0000M TE m� v �N ;m�' 3 �� a)C °. 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