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HomeMy WebLinkAboutH2019-0104 - Permitsawl City of Newport Beach = Building Division d 100 Civic Center Drive, Newport Beach; CA 92660 Permit Counter Phone (949)644-3288 IIIIIIIIIIIIIIIIIIIIIIIIIulllullllllllllll MECHANICAL Permit: H2O19-0104: H 2 a 1 9 a 1. e 4 Project No : Inspection Requests Phone (949)644-3255. IssuedDate:02/25/2019 Processed Con State Lic: 1042124 LicExpire: 073//20208 Bus Lic: Lic Exp Date: 10/31/2019 77,77 Job Address: 300 GRAND CANAL Bldg:1 Floor: Suite: HVAC Items Description of Work: MECH REPLACE A/C UNIT @ THE REAR YARD "TAMPER RESISTANT CAP & NOISE AGREEMENT REQ"'cd �,.-F r+ InspectorArea:2 Code Edit: 2016 FurnacesBoilers & Compressors Ventilation Legal Description: N TR 742 LOT 1 Owner: JOHN ERMATINGER Contractor: NO AIR MECHANICAL INC Worker's Comp lnsuraddeO VERI F'ICATION 4Q Address: 5 MERRY LN Address: 32921 PAEO DEL AMOR Carrier: EXEMPT 0 $0.00 Fire Dampers: CORTE MADERA CA 94925 SAN JUAN CAP CA 92675 Policy No: Over 1 OOK BTU/hr: 0 Phone: Phone: 714-323-0681 Expire Exhaust Fan: 0 $0.00 IssuedDate:02/25/2019 Processed Con State Lic: 1042124 LicExpire: 073//20208 Bus Lic: Lic Exp Date: 10/31/2019 6T�T1` OFIELI)'vSPF, �TC)R REVIEW D VAG HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 0 ° ° °° $0.00:.;.' 0 Over 1 OOK 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 Investigatipn: $0.000 o Over BOOK BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 o Q Plan Chect 16.53.... . Up to 1M BTU/hr; 0 $0.00' up to IOK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: TCHE36S4151 Issuance:. .•$35.00 °.,. °` Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 li TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7.00 a.m:fo 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasan(s) indicated below by the 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, 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 Ne 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 r -t. 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). El 1 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 leyall 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 Cade, 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of thess and Pr f ss' de, and my license is in full force and effect. License Class License No Contracto Ignature 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 COMPENSA.TIp1J•DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I,hereby affirm dlylg; Qenalty of perjury one of the following declarations: 13 Va;e 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 the orplance of tha kak for which this permit is issued. Policy No. F.Kave 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' compensation insurance carrigrandpolicy number are: Cartier • • Policy Number Expiration Date me of Agert • • • rnone n reartify that, in dile performangea! 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 I:,• I should become subje provisions of Section 3700 of the Labor Code, I shall forthwith comply with those P/yyyovisions/r _ 1 �( jna�ure of ICalet eF �'� l ` G�LARATdMRE(�aARDI G CON TRUCTION LENDING AGENCY Aeby affirpn u etpenalty 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). 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 ovid Is correct. I agree to comply with all applicable city and county or in n�e d state laws relating to building construction. I authorize represent as of this city or county to a -identified property for inspection purposes. L.. +—..f Dr....ea„ r nr n,nLnrha,e Ancnf Print Pronertv Owner's or Authorized ADent's Name COLI 'v.4XCJK /�1)ate ACTION I DATE I BY 11 FFD€R.4LREGULATIONSPART6IOFTF7L€40AND FINAL OCCUPANCYISSUED ❑ I SUBMITTEDASBESTOS MOTIFICATIONTO: ❑ EPA ❑ AOMD ❑ ASBESTOS b/OTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: V '9 S N O x W Cl d N n rD X11 v F o- (o m fDC9' z C rt -O rt d = r ' Cs O M O (n S Y '6 N c U9 O CL ° m m 6 J� CL OM fu O �n -Ad, K ( N N N 2 L` N /C$ rD O M O n C� O O Q n G d 4 O F Z a rDo = n m c CL y N x F C f7 <CL w n C o m m m w' 3 � V Ln o m d Q s Ul m d p L N c Q 1 M N F 0l m °' o s a o � S1 Ul o 3 a 7 rD 0)rt rN�F 1 M f? Nt M M rb .fie O d _ r O w 01 rt N a 'm s M 0 s m m a n< N O CL c °c c° 9 Gq O O M n Z O V; m m C m r m m m m 1