HomeMy WebLinkAboutH2019-0173 - PermitsCity of Newport Beach - Building Division III IIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIII
'1. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 7 3
Permit Counter Phone (949)644-3288
Job Address: 707 NARCISSUS AVE Bldg:1 Floor: Suite:
Description of Work: MECH/CHANGE
OUT (E) F.A.U.
Inspector Area:5
Code Edit: 2016
Legal Description: CORONA DEL
MAR BILK 740 LOT 7
Owner: DEVLIN VINCENT J
Contractor:
Address: 11410 IAGER BLVD
Address:
FULTON MD 20759
Worker's Comp Insurance -
Phone:
Phone:
Con State Lie:
Issued Date:03/27/2019
Lie Expire:
Bus Lie:
Processed By:
-Lie Exp Date:
YAEGER SERVICES INC
693 N BIRCHWOOD ROAD
ORANGE CA 92869
714-289-8337
903595
09/30/2019
BT30057831
01/31/2020
MECHANICAL Permit H2O19-0173
Project No :
Inspection Requests Phone (949)644-3255
HVAC Items
FEES
€r
Worker's Comp Insurance -
Carrier: HARTFRORD FIRE INS
Policy No: 72WECAC5HFT
Expire :02/01/2020
Up to 100K BTU/hr:
1
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
1
$19.00
Up to 3HP:
0 $0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 1OOK 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:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1M BTU/hr:
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$35.00
Up to 1.75M BTU/hr.
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$0.00
TOTAL:
$54.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$54.00
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.
ooY @ @a @Y
@ o
n s @o
•f Y Y @� Y
C d U
G @ C G S@ b O
LGn (.V VGu C G fV9
IWNER-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)
lection 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
is 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
'rofessions 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
of more than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;usiness 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
nprovements 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
nproved 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
pply 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:
�y 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 legally
ell 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
'rofessions 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 Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 70 ) of Division 3 of the Business and P ssion • ode, and my license is in full force
nd effect. I /
icense Class License No Date / Contractor Signa
I/ORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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,
esformance of the work for which this permit is issued. Policy No.
have and tain 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' compensatiol
uance carr <d p licy number a -
rier Pq a Expiration Date
ne of Agent Phone #
certify that, in the performs of a work for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' cRmpensation laws of California, and agree
if I should become sub' o e work compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosee pro
iature of Applicant /
•. •e Ar�nu ..1.,. u� nnTlnu 1 omnmwc Ancrary
Heby affirm under penal t!,gWerjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,
ider'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 pro . ed correct. ..
I agree to comply with all applicable city and county ord' an5pd and statQ,Iaws relating to building construction.
I authorize representatives of this city or count tif above-iddiitlfled property for inspection purposes.
ACTION
PERA41TEXPIRED
PERMITFINAE
CERTIFIC47ECT
OCCUPANCYISSOfD
DATE Q/ By
•G} •1,SUBWT EIaA $BESTQS NO•DFICATION7O:
❑ EPR
`„�] • 4(RMD• • `s i i
❑ • ASSESFOS &017HC4NQN7$ NOT APPLICABLE TO
PROPOSED DEMOLITION.
Civil Code).
:7LI
FOR OFFICE
n
.-i
n
■ °u
9
� �-a
r+
y
L
d
N
C
r
+7€o
Z
Z
■ OJ
'
`IC
0
G,
Ln
W
VI
■� ■ , ■ �,
LLy,,�
rn
al
�.
�
a
w
Nom v
¢wv
d
o
at+
L
'c
}
Y
Mcr
S
's
Ln
N
l
0
oo
O-
m
o0
o
R
Lm
'
4
od
m
F
a,
E
o
o
m
"
L
N
in
O
y
3
z
I�
O
p
V
�
w
L
IrlW
i
C
S
O
`
m�
O
`H
Z
rN
v
Z
n
P
O
o
S
o
o
Ln
E
c m
E..
0
0
Q
0
U
U
=
Z
u'..
n
Y
L,
W O
07
L,
w
iG.
I�+
u
N
C
m
a7
t
p CQ
'C
N
01
G
4
+N'
z..
}
T
`!
N
d
�
F�
W
FLu
W
OI
G
J
i0 -i
O
N
0)
2
U U vi
0!
0,
z
v
a
Q
�,
a
dtyl:'.a�
rn
4
V„
;.�uw
U
g
P
�
m
E
u
v
;d
U
u
o
N
p ,,
u. En
O
,
OC
Ev
a
a`
,.
v
U
u
z
mW
=
a
T
E
m
o�
�.�':
a
U.
c
°
¢�¢f
hQmE$rg
6
M..
Ln
W
0)
VI
Ln
d
,'�'
v.
N
Z
(� =,
E
O
J.
O1
>
J
=-
N
Z w
-
��,.....
tn
aa
-5,
W
W
S
w
O
OL
a'
U
v
OC m
N.
�
m
tail
W
LL
U
U-
U0
U.
U