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HomeMy WebLinkAboutH2019-0538 - Permits"a City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0538 ' 6 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 3 8 Project No : 1793-2019 ti Permit Counter Phone (949)644-3288 ' TIMER REQUIRED ON EQUIPMENT cKcxrnwd`° TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Inspection Requests Phone (949)644-3255 NO CONSTRUE)TION NOISE— Job Address: 116 CORAL AVE BIdg:1 Floor: Suite: Description of Work: MECH CIO (1) A/C UNIT & (1) NEW A/C ON ROOF, FURNACE C/O *TAMPER PROOF CAP REQ* Inspector Area:2 Code Edit: 2016 Legal Description: BALBOA ISLAND SEC BILK 5 LOT 22 Owner: HIMES RONALD F Contractor: Address: 1364 GARTHWICK CT Address: LOS ALTOS, CA 94024 Phone: Phone: Con State Lic: Issued Date:08/29/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: nacesBoilers & Compressors ON THE WEEKEND D m B & P SERVICES INC Worker's Comp insurance- 771 NEWTON WAY Carrier:NORGUARD INS Other COSTA MESA CA 92627 Policy No: BPWC965007 1 949-833-1041- Expire :0110112020 r y 2 $40.00 594563 a c o o c 05/31/2026 ` mm ° BT30045433 mm`m mmmoo $0.00 > 3 HP to 15 HP: 0 $0.00 11/30/2019 0 $0.00 Gas Line: 0 $0.00 N06C^.O nacesBoilers & Compressors Ventilation Other to 100K BTU/hr: 1 $20.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 .r 100K 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 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00. >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $52.20 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: ITTR40181_1000A Issuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANE :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $188.70 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $188.70 PERM1rS 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. OWNER -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 applipable 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 Contractdrs' State License Law (Chapter 9 (commencing with Section 7000) of Divisio 3 of the 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 appli ant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not _. _. _ apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt fromlicensure under the Contractors' State License Law for the following reason: By my signature.. 1591b ij acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell a structure that 10 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and twfeimions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signatule of PrifW*V.lwner or Authorized Agent Aofessio LNEN$ED CONTRACTOR'S DECLARATION hhereby affirm urlder Qgnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Business ,(nd my license is in full force aBd effect. Cic€ryse'Class License No Date i Contractor Signa r 0DRIKERS' 015 AP&SATION DECLARATION W4PNW6'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 ($100,00D), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - ••••s• Nhetebyeaffirm untlerR�nalty of perjury one of the following declarations: )Bove 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 t1e yQp2nce of =Hbb%ore for which this permit is issued. Policy No. u•• have 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 insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent I Phone # I certify that, in the Performa a of the work �foMrhithis permit is issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and ogrethat, if I should become subje o the RJCTIO9 s'sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision . - 9 Signature of Applicant Date r DECLARATION REGARD CO LENDING AGENC I hereby affirm under pe/alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ection 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act onI erty owners behalf. 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