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HomeMy WebLinkAboutH2019-0197 - PermitsCity is Newport Beach Building Division IIIIpIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0197 100 Civic Center Drive, Newport Beach, CA 92660 u m H 2 6 1 9 0 1 9 7 Project NO�1263-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 205 GRAND CANAL BIdg:1 Floor: Suite: r Description of Work: MECH INSTIL A/C @ THE ROOF TIMER & TAMPER RESISTANT CAP REQ" pp Zp STIDJECT TO FTELD TNSPECTOR'S ; I r`� �N Inspector Area:2 Code Edit : 2016 REVJE W AND AP RO VAL UT Legal Description: BALBOA ISLAND BEC 4 BLK 11 LOT 26 Owner: BERL DOUGLAS & JANE Contractor: Address: 205 GRAND CANAL Address: NEWPORT BEACH, CA 92662 Phone: Phone: Issued Date:O 19 Con State Lic: to 100K BTU/hr: er 100K BTU/hr: Expire: B : Aic us Lic.Processed 1 c Exp Date: ARCHER'S A/ C Worker's Comp Insurance - 1927 HARBOR BLVD #258 Carrier: NORGUARD INS COMP COSTA MESA CA 92627 Policy No: BRWC971797 714-679-8493 Expire :11/25/2019 841426 06/3012020 TIMER REQUIRED ON EQUIPMENT BT30/2 0 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. 04/30/20199 rnacesBoilers & Compressors Ventilation roger to 100K BTU/hr: er 100K BTU/hr: 0 0 $0.00 $0.00 Up to 3HP: > 3 HP to 15 HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Other ° ° °., ill/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 0 $0.00 $0.00 Exhaust Fan: Attic Fan: p $0.00 Gas Line: 0 $0.00 ° ° ° < ° ° $0.00 ° $0,00°° 4 st Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Metal Fireplace: 0 $0.00 ° ° to 100KBTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 0 Record M 9t Fee: $0.00 ° „° ° sr 500K BTU/hr: 0 $0.00 Air HandlingUnits0.00 Comm.H0o//Add: $0.00 Additional Fee ; $0.00 Investigation $0.O9m z .. ` to 1M BTU/hr: to 1.75M BTU/hr. 0 0 $0.00 $0.00 up to 10K CM: 0 $0.00 Rea 0 $0.00 Model: 4A7L606OA1 Plan Cheeky+� $16.(3 ° )r 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: VAV Box: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Issuance: AMERICAN STANDA $35.04„° 0 $0.00 Zoning PC9 $40.00 TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53 PERMITS EXPIRE 180 DAYSAFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday TOO a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m NNER-BUILDER DECLARATION the Ind e item(s) I hereby affirm under penalty of peduiry that I am ss ons Code: Any city or from the county that Contractors' ra toss' SState License construct, for tarthe , impron(s)demlol demolish, orrepai�any slruct nre,rprior tats ssuanceealso requires lapplicant for action 7031.5, Business and Prone Y a permit to file a signed statement that he or she is licensed countytpursuant to the provisions of the Contractors' State License Law (Chapter ir (commencing with Section 7000) of Division 3 of the Business an ofessions 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 pewitsubj�cts the applicant to a civil penalty of It more than five hundred dollars ($500). Portions of the work, and the structure is not intended or offered for sale (Section 7044, 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of rt ( ) p provided that the isiness 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, 1provements 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 'proved for the purpose of sale). vly 7044, Business and ions Code: The 11, as owner of y to an owner ton property, who exclusoremprovess thereon,hand who contracts for the projects with a licenselicensed Contractors to construct the project d Contract r put uant to he Contractors' State L censesLaw)g State License Law does no uilds I am exempt from licensure under the Contractors' State License Law for the following reason: ay my ll a structures thatbelow l halve built els aneowner--builder f f has not belen constructed nsidence in l It (entirety by licensed must have resided contracto s. I understand that a r at least one year copy of theapplicable aw,tSection coveby red the Business andhis permit, I cannot legall rofessions Code, is available upon request when this application is submitted or at the following Web site:http://wv✓w.leginfo.ca.gov/calaw.html. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus' ass and Profes Ions ,and my license is in fu cotta hereby affirm under penalty of perjury that I am licensed under pro nd effect. .. .. rrX1a �7J Contractor S' I. tt�re icense Class - License No "' ` ` 777___TTr VORKERS' COMPENSATION DECLARATION„ IARNING: 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 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirrrp URd&penalty of perjury one of the following declarations: .... I 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 t le"Oance oft gee irk for which this permit is issued. Policy No. ave 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' compensatio n?utance carrier a gq policy number are: Expiration Date Policy Number phone # Agent y that, iH theperformancehe work for which this permit is issued, I shall not employ any person in any manner so as to becomes lett to the workers' compensation laws of California, and •h—flrl hecnme subiect to Ala wlxheld' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thos ^provisio � .)O—/q ©_/ nature MPVIIIVwWP C ON REGARDING CONSTRUCTION LENDING AGENCY ?rgliy`,affir urdel penalty of perjury that there is a construction lending agency for the endere's dAsssdaess of the work for which this permit is issued (Section 3097, Civil Code). itlbPs Name ... my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. 13A�� I have read this application and the inform tion I have provided is correct. I agree to comply with all applicable Y y and county ordinpnces and state laws relating to building construction. I authorize representatives It or county to ante iiatl��iGe-identified property for inspection Print Property Owner's or Authorized serif's Name ACNON I DATE 1 /\ BY 11 FEDERALREGULATIONSPART @f OF I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA l] AQMD PRASBESTOS OPOSED DEMOLITION, NOT APPLICABLE TO CERTWCATEOF I I I I I/ I SIGNATURE: OCCUPANCYISSUED