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HomeMy WebLinkAboutH2018-0689 - Permits.,' City of Newport Beach - BuildingGDivisionm eull�lllllllllllllllllllllllll�lll�lllllllll MECHANICAL Permit: H2O18-0689 100 Civic Center Drive, Newport Beach, e A $16060o m o o `, e a FJ 2 0 1 8 0 6 8 9 Permit Counter Phone (949)644-3288 m e e e m e m Project NO : 0380-2018 ems e o m oe• we "Nt n,z Inspection Requests Phone (949)644-3255 mo e m B o o m m¢ m o 0 o e o 0 0 0 o m o m m e m m •° e a m¢ Job Address: 2607 ALTAVISTADR BIdg:1P168r: Sui%°°. Description of Work: MECH - A/C CONDENSOR *TIMER & TAMPER-RESISTANT CAP REQUIRED* InspectorArea:8 Code Edit: 2016 Legal Description: N TR 4893 LOT 109 Owner: BAKER TOM & MADELINE Contractor: A-RISING BUILDERS INC Worker's Comp Insurance - Address: 2607 ALTA VISTA DR Address: 1711 WHITTIER AVE Carrier: START NET NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Policy No: BNUWC143964 Phone: 949-612-7694 Phone: 949-386-2356 Expire :05101/2019 Con State Lic: 2 05101 � Issued Date:10/29/2018 � Lic Expire: 05/01/2019 Bus Lic: BT30058321 rCTOR Processed By: Lic Exp Date: 03/31/2019 L a HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 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 IOOK 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: $16.53 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 60-30lssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53 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. DWNER-BUILDER DECLARATION " "' . . •. •• ••• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the realor:s) iodic piers below byy itis 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, improv.:, demolLshPorrepaifiagy stdlcture, 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 Cic'eA91-aw'(Chaidler 9 (ComlHeticing 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) p4R'ionedl tlje wo �c, and -the st uotureNs not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throlegh emplayees'.or persDn$ eff$rt, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of,&plpleti$p,Jhy Qdvner-Bt(idter,JiJI have the burden of proving that it was not built or im 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By 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, I cannot legall) Bell 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. Signature of Property Owner or Authorized Agent D 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 Divi73of Business and oIS ions and y licen a is in full force and effect. [f / License. Class License No Dpoa+ 'Z / -ZOJ�i Contractor Signature WORKERS' COMPENSATION DECLARATION - WARNING: FAILURE TO SECURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 pe rmance of the work for which this permit is issued. Policy No. I ave 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 inns rance carrier and policy number are: Policy Number f Date lBrine of Agent ]I 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 agree tat, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. pp ignature of Applica Dat-(\/ � —0/ 'ECLARATION REGARDING CONSTRUCTION LENDING AGENCY A hereby 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). 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 propert nee 1 I have read this application and the information I have prov e r y1 I agree to comply with all applicable city and county ordi as s to aws relating to building construction. %� ��, tI'o, authorize representatives of this city or county to art t )ant' led p or Ins on purposes. '-t VV ....,.,.,,.e ..f or.. 4%1 n—., r „r A„ehnrncrl Anone / Print Prooertv Owner's or Authorized Agent's Name Date ACTION DATE VU $Y uCe.LAtfHrivjv err L�ntrusllvl.e vrrrn a,.vLc w, FEDERAL REGULATIONS PART 61 OF IIILE40AND XPIRED AQMD RULE 1403. 0 i SUBMITTEDASBESTQS NOTIFICATION TO: RNC€LLED ❑ EPA XT€LADED © AQMD ❑ ASBESTOS NOIJRCARONIS NOT APPLICABLE TO enIAL - (D - (6PROPOSED DEMDIJT(DN CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: