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HomeMy WebLinkAboutH2020-0271 - Permits¢atFa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 7 1 '�*r h s:,� Permit Counter Phone (949)644-3288 ..: [fiYPG51M�b TIMER REQUIRED ON EQUIPMENT Job Address: 128 TOPAZ AVE BIdg:1 Floor: Suite: $0.00 Description of Work: MECH (2) A/C UNITS *TAMPER PROOF CAP REQ* InspectorArea:2 Code Edit: 2019 0 $0.00 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 13 LOT 29 Owner: MAXSON ROD Contractor: SKY HEATING AND COOLING Address: 128 TOPAZ AVE Address: 769 N GLASSELL ST NEWPORT BEACH, CA 92662 $0.00 ORANGE CA 92867 Phone: Phone: 714-883-0623 0 Con State Lic: 1045281 Issued Date:05/27/2020 Lic Expire: 12/31/2021 Record Mgt Fee: Bus Lic: BT30065983 Processed By: Lic Exp Date: 02/28/2021 macesBoilers & Compressors to 100K BTU/hr: 0 $0.00 er 100K BTU/hr: 0 $0.00 JI/Floor Heaters: 0 $0.00 at Pumps & Package Units to 100K BTU/hr: 0 $0.00 :r 500K BTU/hr: 0 $0.00 to 1M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 :r 1.75M BTU/hr: 0 $0.00 MECHANICAL Permit: H2O20-0271 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : NORGUARD INSURANCE Policy No: SKWC149863 Expire :02/01/2021 JOJ»� NO C®NSTRUCTIONONbISF�J,J, 0000 0 00000 FEES 0000 Ventilation $0.00 � 0 0 $0.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: > 3 HP to 15 HP: 15y, Exhaust Fan: 0 $0.00 Gas Line: >15 HP to 30 HP: 0 $0.00 O U J J Metal Fireplace: >30 HP to 50 HP 0 $0.00 Down -Draft Fan: JPO a Record Mgt Fee: J 00000 Residential Hood: UJOJJ JOJ»� NO C®NSTRUCTIONONbISF�J,J, 0000 0 00000 Other 0 $0.00 FEES 0 $0.00 Ventilation $0.00 0 $0.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee Air Handling Units Comm. Hood: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: VAV Box: 0 $0.00 Other 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 $0.00 Investigation: $0.00 Plan Check: $34.80 NH4A41ssuance: $35.00 TEMPSTAR Zoning PC: $41.50 TOTAL: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $151.30 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 6:00 a.m. to 6:00 p.m. Business or she that I COMPENSATION DECLARATION a civil penalty of fed that the not built or need GamVaCiors to constmetthe project'(Section 7094; who canhacts for the omiectsvd alicansed Cane r.mr of Chapter9 (commencing AXII1,3eEtion 7p00) a;ONision 3 of the Business oVd P ssions.Co _ np3oUcensm is in toll iolrz THF sXAll SUBJECT AN EMPLOYER 7"AIMINAL PENAr.TEs Me CML RNES UP TO ONdH11fVDREa INoaeANpeOLfAR315100,00a), IN AaampN Ta aeTOF COMPENSATON, aANAGaBASPROVIpEo.FbRINeEClloNara6GF TME L 11 COM INTEUcir, AND ATTORNEYS FEE: v hereby affirm under penalty of pe9Ury one of the following deole100ns: 7 I have and will maintain a certmcate of consent to self -insure for workers' compensation. Issued by the Oirectar of Industrial Relations as Provided for by Section 3700 of the Labor Code, for IN mance oftheworkfarwhlchthis perm&isIssued. Policy Nd. I have and will maintain worker' 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' compensatia s nce center and Polley number are: artier U*N-C UYAM3 Policy Number SKV3 C'11{Q ti662 Expiration Osla. to % /'ZO ame. of Agent _ A4P Phana9on Date — s 2'7 _ '}o � •F �I certify that, In the pertdme nce of thaw Me whic MIs permit Is Issued,.I shall not emplayany person in. any manner so as to become subject tot a workers' compensate m [am of California, andagm at, if I should become ob) t tq t on previsions of Section 3700 of the Labor Cade 1 shall fortnwgh complywkh these pro 1 s. < gnature of Applicant DateY1, 'OL5 7d ECLARATION'REGAR NSTRUCTION LENOINGAGENCY Iereby affirmunder pe I ' .perjury thatthere: is a construction lending agency forthe Performance of the work' forwhIch this permit is Issued AID $097, Civil Code). finder's Name. tenders Address f my signature below, I cerufy.taeach of the following: I am the property owner or authorized to act an the property owners behalf. I have mad this appiicetion and the information I have provided Is correct. {r( lagree`ocomply withallappllaablecity an cou aniinancesen':^ lading to building construction. %`Q /9 I authorize representatives'.. of this city or coo .( a -�� NY for Inspection purposes. 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