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HomeMy WebLinkAboutH2016-0004 - PermitsCroy City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II ° 100 Civic Center Drive, Newport Beach, CA 92660 - H 2 0 1 6 0 0 0 4 H t, Permit Counter Phone (949)644-3288 K U: B h ^�4lppA� MECHANICAL Permit: H2O16-0004 Project No Inspection Requests Phone (949)644-3255 •e m e m o ease •mme e o Job Address: 332 LST BIdg:1 Floor: Suite: Description of Work: MECH - HEAT PUMP, CONDENSER, AIR HND DUCTS.@:ROOF "TAMPER-RESISTANT CAP REQUIRED" Inspector Area:1 Code Edit: 2013 Legal Description: P BK 261 PG 13 PAR 1 Owner: WHITEHEAD JAMES Contractor: AIR CONCEPTS Address: 3419 VIA LIDO Address: 801 S. LAKEVIEW AVE #E� NEWPORT BEACH, CA 92663 PLACENTIA CA 92870 Phone: Phone: 714-779-1000x Con State Lic: 534722 Issued Date:01/05/2016 Lic Expire: BT30053055r' Processed By: icE�p /I,'ij Date: 11/30/2016 y. Date: era n Worker's Comp Insurance - . 4 Carrier: EMPLOYEE SERVICE GRP Policy No: `� f7C�/01/2016 D� - • , eq = • �' meeeme m e .. ea 0 mmeo e e o • o omaema ememe m mmeem em m m o 0 m e me m m o c m e •nacesBoilers & Compre sor Ve "lati Other to 100K BTU/hr tl' , . 00 Up 3H athroom Fan: 0 $0.00 Fire Dampers„ 0 $0. 0 $0.00 er 100K BTU/hr 0„ $ .00 to 1 0 $0.00 Exhaust Fa .00 Gas Line 0 $0. $0.00 dl/Floor Heaters 0,.' • $ 00aK o 30 HP: 0 JTsn 00 Metal Fireplace: 0 $0. A Pumps & Package Upi Snnits $ 0 .00 Record Mgt Fee: $0.0 to 100K BTU/hr 1 $18 0 0 $ $0.00 Additional Fee $0.0 Investigation: $0.00 ar 500K BTU/hr 0 ': ;$0. 0 m. Hood: 0 $0.00 Plan Check: $57.42 to 1M BTU/hr.0 $0. 0 ,$12.Q0I Repair/Alter/Add: 1 $18.00 Model: g°�1 ° Issuance: $32.00 to 1.75M BTU/hr: 0 $0. CFM 0 $0.00 Supplemental F I f d tom.! t 6 �r 1.75M BTU/hr: 0 • $0. VAV Box: 0 $0.0 Li rr L VIN 13 ..':. aIteC�I TOTA : $1 an Check Fee : $OEhjQp WOIk 5ree Due at'Permit Issuance: $155.42 / (WO14C Mart {{ PERMITS EX RE 180 DAYS CE OR LAST VAL/D1MVpc JIM tats •->.•_,� 10 le, t Z t SMJECTTp<FIELD INSPECTOR'S r, .ten REVIEW AND APPROVAL rNER-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) ction 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 cessions Cade What 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 €nbfg than fiuHhundred dollars ($500). ' i as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness and I9rbfe%9ibns Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the revements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -B Wa6wall, a burden of proving that itwas not built or revesd for the puTose of sale). h us owner cf she.property, am exclusively contracting with licensed Co project (Section 7044, Business and Professions Code: T Contractors' State License Law does not lyto an owner of property who builds or im ro con racts for the projects with a licensed iontraccAm ursN� to the Contractors' State cense Law). E ... 1 nn I_,Od- I am exempt from pce raysignaturebelow I a I'a 3t?ucture that I have �fesVns CoVg,.ig a$ail nature of Property Owr hereby affirm nd effect. icense Class FAILURE TO SECURE hereby affirm under penalty �I have and will maintain 'ei mance of the work for v VCJI pave and will maintain v rance carrier and policy r 1e of Agent _ certify that, in the pi if I should become Iature of Applicant , er a Contractors' S to Li ns Law for the follov iowledge that, except f 01 - o r sidenceIrh- ilt a builds constructed in its e upquest ww application is submitted r at or Authorized Agent OL 9 Air iR'S TI0 of p ury that m lieUn de 'o o p Lic ION LARATION ._ ■a ■ Policy No. compensation insurance, as are: _ of Division 3 of the Business and Date X 1 1 J It) Contractor Signature PENALTIES AND CIVIL FINES UP TO ONE workers' compensation,,, issued s{rby the Director of Industrial Relations 1I1}as provided for red b/y'�Secntion 3700 oft C de. j0J a the tZ1 hilIn this )1 Cl1 1 _ _r, ..+nrteSAafat_ion Date the work for v4ljgji(t 1Kp8i&i�lst�sis4fetJ, I shall not employ any person in any manner so as to become subject to workers' com nsatlon provisions of Section 3700 of the Laborode, I shall forthwith co u hereby affirm under penalll -- jdq ifiatlfi6ie is a construction lending agency for the e r or which t Ender's Name ender's Addres& �y my signature below, I certify to eacJLo LH^4e I am the property owner or authori e y owner's behalf. I have read this application and the information I have ftvided is correct. I agree to comply with all applicable city and co in nces and. state laws relating to building construction. I authorize representatives of this city or cou t an r above -identified property for inspection purposes. ignature of Property Owner or Authorized Age Print Property Owner's or Authorized wlll 1 1 , Civil Code). can 7044 of the Business and and my license is in full force ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for My workers' laws of California, and ACTION DATEDECLARATION OF COMPUANCEMTN C DEOF FEDERAL REGULATIONS PART 61 OFTITLE40AND _AQMDRULE 9403. ❑ 1 SURNI-TEDASBESTOS NOREICAHONTO: ❑ EPA © AQMD ASBESTOS NOTIFTCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY ER PMIT- XPIRED -2, r:� -�> PERMITCANCELLED PERMIT EXTENDED - PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED