HomeMy WebLinkAboutH2018-0517 - Permits9 City of Newport Beach - Building Division IIII�IIIIII�IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII MECHANICAL Permit: H2O18-0517
100 Civic Center Drive, Newport Besch, CA 0°2660 H 2 1 8 0 5 1 7 Project No: 0766-2017
H ' Permit Counter Phone (949)644-3288
wQr�nx
Inspection Requests Phone (949)644-3255
Job Address: 618 NARCISSUS AVE BIdg:1 Floor: Suite:
Description of Work: MECH INSTL (3) A/C UNITS @ (3) SEPARATE BALCONIES "TIMER REQ ON UNITS 1 & 2" TAMPER RESISTANT CAPS REQ ON ALL UNITS
Inspector rea:5 Code Edit: 2016 CCTOR
Legal Description: CORONA DEL MAR BILK 641 LOT 20
Owner: CASSIS A G & K Contractor: C C C C HEATING & AC INC Worker's Comp Insurance -
Address: 501 ORCHID Address: 606 E LINCOLN AVE Carrier: SECURITY NATL INS
CORONA DEL MAR CA 92625 ORANGE CA 92665 Policy No: SWC1126232
Phone: 949-644-9277 Phone: 714-637-7021 Expire :11/11/2018
Con State Lic: 451863
Issued Date:08/20/2018 Lic Expire: 01/31/2020
Bus Lic: BT30039124 SUBJECT TO FIELD INSPECTOR'S
:
Processed B ttF Lic Exp Date: 09/30/2018 REVIEW AND APPROVAL
AC Items
FEES
rnacesBoilers & Compressors
Ventilation
to 100K BTU/hr:
0
$0.00
Up to 3HP:
3
$54.00
Bathroom Fan:
0 $0.00
or 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0
$0.00
Exhaust Fan:
0 $0.00
ill/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
at Pumps & Package Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
to 100K BTU/hr:
0
$0.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
or 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
to 1M BTU/hr:
0
$0.00
up to IOK CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
or 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Fire Dampers:
Gas Line:
Metal Fireplace:
Record Mgt Fee:
Additional Fee :
Model:
Manufacturer:
$0.Q0
$0.00
$0.00
$0.00
$0.00
N4A6-18/36
DAY & NIGHT
TOTAL: $171.48 Plan Check Fee : $0.00 Fee Due at Permit Issuance
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.
000e
0 0
Other °°°°
°
$0.®6
$0.00
® o °
Investigation• $O.OQo
Plan Cheele•°o$46.98 o,
Issuance:-°°- $33.OD°o,°
oo°o
Zoning P.C.: $37.$0 °
00 0 0
$171.48 `0000m a°°
DWNER-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 th`c checkiftark(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 of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ Alm 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 legaly
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.
Signature of Property Owner or Authorized Agent Dale
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 and Professions o Ice full farce
and effect.
License Class License No �ls�ZD —�GContr o natur
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 1$100,0001, 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:
111 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
performance 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, for the performance of the work for which this permit is issued. My workers'
carnet gild'pglicy number are:
.... Policy Number Expiration Date
. ••
:eRjjy that, in lre performance of the work for whit 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
IN should become subject to the ers' nsation 'ons of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
•• P'.01
140yaffirm Ogc�ejpena� –qty of perju�at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
AIIM's Name Lender's Address
3ym)•aignature below, I certify to each of the following:
• I am the properly &ner or authorized to act on the property owner's behalf.
• • 1 Nave read this application and the information I have provided is torr
..l agree to gdFpMf yuith all applicable city and county ordinances a laws relating to building construction.
I authorize rQprOSentatives of this city or county to an ove- ' 'ed property for inspection purposes.
.,...,.,+,,.e .,f o.. K, , n...n.r .., o,rth.trl�od Ana.+ Print Prooertv Owner's or Authorized ADent's N /T 5 / 1!G A C e— Da
ACTION DATE BY ue,.e..nw....... .
FEDERAL REGULATIONS PART 61 OF HTLE40AND
PERMITEXPIRED AQMDRULE 1403.
❑ I SUBMITTEDASBESTOS NOTIFICATION T0:-
PERMITCA.NCELLED ❑ EPA
P€RMITEXTENDED ❑ AQMD
❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO
PERMITFINAL �.. _' % PROPOSEDDEMOUTION.
CERTtffCATEOF SIGNATURE:
OCCUPANCYISSUED