HomeMy WebLinkAboutH2020-0205 - PermitsCity
oeport Beach -BuildingDivision
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Permit Counter Phone (949)644-3288
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Job Address: 1631 BALBOA BLVD W BldgA Floor: Suite:
Description of Work: MECH - R/R 2 FAU. 2 NEW A/C CONDENSORS. *TAMPER-RESISTANT CAPS REQ'D*
Inspector Area:1 Code Edit:
2019
Legal Description: NEWPORT BEACH SEC B BLK 16 LOT 14
Owner: LEW ROGER
Contractor:
Address: 1631 W BALBOA BLVD
Address:
NEWPORT BEACH CA 92663
0
Phone: 714-318-8309
Phone:
0
Con State Lie:
Issued Date:
0
Lie Expire:
to 1.75M BTU/hr:
0
Bus Lic:
Processed By: -Lie
Exp Date:
rnacesBoilers & Compressors
to 100K BTU/hr: 2 $40.00
-r 100K BTU/hr:
0
$0.00
ill/Floor Heaters:
0
$0.00
at Pumps & Package Units
to 100K BTU/hr:
0
$0.00
:r 500K BTU/hr:
0
$0.00
to 1 M BTU/hr:
0
$0.00
to 1.75M BTU/hr:
0
$0.00
ar 1.75M BTU/hr:
0
$0.00
Ventilation
Up to 3HP:
>3HPto15HP:
>15 HP to 30 HP:
>30 HP to 50 HP
>50 HP:
Air Handling Units
up to 10K CFM:
Over 10K CFM:
VAV Box:
TOTAL: $173.90
G P HEATING & COOLING
22430 ROLLING HILLS LN
YORBA LINDA CA 92887
714-726-5402
648720
06/30/2020
BT30071564
04/30/2021
INS� B,j I
FEES
MECHANICAL Permit: H2O20-0205
Project No :
Inspection Requests Phone (949)844-3255
Worker's Comp Insurance -
Carrier: EXEMPT
Policy No:
ExpirNO CONSTRUCTION NOISE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR V JT "LID INSPOgCTZON 6 m m �' • m
Construction Hours: Monday- Friday 7:00 a.m.to 6:30 p.m.an j S�uttdlday°from &y00a.9n.toe61Q1,.m,
o ° mmo
co m< c m o
°cc umo 0 o mo oo° me°
$0.00
$0.00
$0.00
$0.00
$35.00
$41.50
Other
2 $40.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
0 $0.00
Residential Hood:
0 $0.00
Additional Fee:
$17.40
Investigation:
Comm. Hood:
0 $0.00
Plan Check:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
4TTL6030AIssuance:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TRANE
0 $0.00
Zoning PC:
, /
1�-.
Plan Check Fee:
$0.00
Fee Due at
Permit Issuance:
$173.90
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR V JT "LID INSPOgCTZON 6 m m �' • m
Construction Hours: Monday- Friday 7:00 a.m.to 6:30 p.m.an j S�uttdlday°from &y00a.9n.toe61Q1,.m,
o ° mmo
co m< c m o
°cc umo 0 o mo oo° me°
$0.00
$0.00
$0.00
$0.00
$35.00
$41.50
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 items)
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
is 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
'rofessions 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
of more than five hundred dollars ($500).
1, 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,
usiness 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
nprovements 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
nproved for the purpose of sale). _.
1, 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
poly 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 Cann legal
all 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 Busi
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govtcaiaw.html.
signature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 8 (commencing 7 0 Oi Is 3 of the Susines ssions Code and my li Is full
nd effect.
!cense Class License No Qate intrectorSignat
VORKERS' COMPENSATION DECLARATION1�
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN 9111PLOYNI./oOMMINALFrINALTIES AND CML FINES UP TO ONE HUNDRED THOUSAN 0 R ($1100,000), IN ADDITION
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
nuance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
is of Agent _
certify that, in
If I should be
the
Policy
Phone #
any person in any manner so as to become sub
Labor Code, I shall forthwith comply with those F
Date
:reby affirm under penalty of perj that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cod
Ider's Name Lender's Address -
my signature below, I certify to each of the following:
am the property owner or authorized tc .001
have read this application and the infawthe erformance of th or r s p is ur
agree to comply with all applicable city COnStruCtiOn//orAuthorizedAgarit'sNan, ro su to c I do ion and Pro ssicns Code, and
authorize representatives of this city ar on purposes.
nature of PmDe Owner or Authorized A t III C G ENCY imparty Own e
AC170N DAFilerpagatty of p that there is a m='DLtiYAPA11 0 Y N H CODE OF
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