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HomeMy WebLinkAboutH2019-0276 - PermitsCity of Newport Beach - Building Division - A 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �IIIV�II�II0IIIII�I�III����II�III��I�III Job Address: 517 VIA LIDO SOLID BldgA Floor: Suite: Description of Work: MECH A/C CHANGE OUT (1) *TAMPER PROOF CAP REQ* IN ROOF WELL& FURNACE C/O Inspector Area:1 Code Edit: 2016 Legal Description: - N TR 907 LOT 450 Owner: FASH VICTORIA MECHANICAL Permit: H2O19-0276 Project No: Inspection Requests Phone (949)644-3255 Address: 517 VIA LIDO SOUD NEWPORT Contractor: Address: ALICIA AIR CONDITIONING 26824 VISTA TERRACE Workers Comp Insurance - BEACH, CA 92663 Phone: 0 LAKE FOREST CA 92630 Carrier: GROUP 1 Phone: 949-770-2495 Policy No: WC047015951 Issued Date:05/16/2019 Con State Lic: 525314 Expire :07/01/2019 at Pumps &Package Lic Expire: 02/28/2020 >15 HP to 30 HP: Processed By: (� �� Bus Lic: ST20102054 $0.00 >30 HP to 50 HP >50 HP: 0 Lic Exp Date: 09/30/2019 0 rnacesBoilers & Compressors Ventilation Bathroom Fan: 0 $0.00 to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 er 100K BTU/hr. III/Floor Heaters: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 at Pumps &Package 0 $0.00 Units >15 HP to 30 HP: 0 $0.00 to 100K BTU/hr: 0 $0.00 >30 HP to 50 HP >50 HP: 0 $0.00 er 500K BTU/hr. 0 $0.00 Air Handling Units 0 $0.00 to 1 M BTU/hr: to 1.75M BTU/hr: 0 0 $0.00 $0.00 up to 1 OK CFM: 0 $0.00 :r 1.75M BTU/hr: 0 $0.00 Over 10K CFM: VAV Box: 0 $0.00 0 $0.00 TOTAL: $110.53 FEES Bathroom Fan: 0 $0.00 Exhaust Fan: 0 $0.00 Attic Fan: 0 $0.00 Down -Draft Fan: 0 $0.00 Residential Hood: 0 $0.00 Comm. Hood: 0 $0.00 Repair/Alter/Add: 0 $0.00 Supplemental Fee: $0.00 Plan Check Fee: $0.00 Fire Dampers: Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee: Model Manufacturer: 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 24VNA937AO03 CARRIER s •meed e bea oeoeco • ° o e ee eom e e e• m ooeee• e ° ° s • 0 000e oe o ° s sesoo mm ° moeoo 0 e oeooa m c m oeeeoe o m 000moc e •° o 0 0 0 oomo 0000 Other $0.00 $0.00 Investigation: $0.00 Plan Check: $16.53 Issuance: $35.00 Zoning PC: Fee Due at Permit Issuance : $110.53 PERMITS EXPIRE 480 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m. to 8;30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. $40.00 NER-BUILDER DECLARATION applicant for p y rior to its issuance, also requires the app' I hereby affirm under penalty perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the check I have placed next to the applicable item(s) coon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair an structure, p 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 fe permit t 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 civil penalty of more than five hundred dollar ($500), portions of the work, and the structure is not intended or offered for sale(Section7044, I, as owner of the property, or my employees with wages ns their sole cnot apply on, will do r o all of or (_) ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the roe provided that the Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). 4 Business and Professions Code: The ply to an ownP,r'I, as owner of ldfptgperty, wham o exclusoremprovers thereon, licensed Contractors to construct the project (Section 704 and who contracts for the projects with a I tensed Contractor pursuant to he Contractors, State License rLaw). State License Law does not uilds his permit, e improvernei.— I am.exempt froAlicensure under the Contractor' State License Law for the following reason: II a %J3naturrstructure that have built eE:lls an owners -builder f itnhas of been constructed dence in in it I must K entirety by licensed contractors. I understalnd that a copy of thehappl cable law, ection 7044tof the Businessnandnot legall Date ifessiens Code , is available Upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.html. 1n&dre of Property Owner or Authorized Agent UM$ED CONTR,isCTOR'S DECLARATION er2tly affirm under eenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business d Profession and my license is in full farce d.effect. • • • Date s' - Contractor Signatu :erls¢Class • • License No IDRKERS' COMPENSATION DECLARATION AWFUL AND SHALL SUBJECT AN EMPL ER TO 1 O� COMPENSATION, OAM GES AS PROVIDED FOR IN SECTIOUri WORKERS'COMPENSATION N 3706COVERAGE10E THE LAB CODE, INTEREST. AND ATTORNEY'S FEES. HE PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO T virerafiirm order penalty of perjury one of the following declarations: I have and wllf maintain a certificate of consent to self -insure far workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh rmance of the work far which this per is issued. Policy No. for the performance of the work for which this permit is issued. My workers' compen satio o�ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, Expiration Date surance carrier and policy number are: policy Number arrier Phone # and agree ame of Agent is issued, It Itif 11 shofy uld become ti act in the pe c thf the work for o r which stoop permit of Selchon113700 of not the Labor Code,ll shall II forthwith comply bwith hose pI ovis nse workers' �m��aiion laws of California, Date signature of Applicant )ECLARATION REG RDING CONSTRUCT)- ING AGENCY hereby affirm under anally of perjury that there is a construction lending agency forLthe performance enders Address of the work for which thispermit is issued Section 3097, Civil Code). .enders Name 3y 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. / �e�y�� I have read this application and the information I have provided is correct./ I agree to comply with all applicable city and countyq}p� rdinances and state laws relating to building con ftruuction.. �/> �G Da ��� I authorize representatives of this city or county to ter the prope y O Pr �}°� P Owner's or Authorized Agents s Nam DATE 8Y FEDERAL REGULATIONS PART 01' OFTULL4UA(YU ACTION AQMO RULE 9403. p i SUBMITTEDASBESTOS NO-BFICATION TO_ XPIRED 0 EPA 'ANCEt-ED ❑ AQMD NORFIC4IIONIS NOT APPLICABLE TO 'XTENDED �. © ASBESTOS PROPOSEODEMOUTION. _)NAL � Ii' ATL OF SIGNATURE: OCCUPANCYISSUED