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HomeMy WebLinkAboutH2019-0374 - PermitsCity of Newport Beach - Building Division III 1111111111111 ILII 111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 e 1 9 6 3 7 4 ti Permit Counter Phone (949)644-3288 Job Address: 437 ACACIA AVE Bldg:1 Floor: Suite: Description of Work: MECH INSTIL (2) A/C UNITS @ THE ROOF "TAMPER RESISTANT CAPS REO" Inspector Area:5 Code Edit: 2016 Legal Description: N TR 682 LOT 51 Owner: ACACIA PROPERTIES I LP Contractor: Address: 437 ACACAI AVE Address: 0 NEWPORT BEACH, CA 92625 Fire Dampers: Phone: 0 Phone: > 3 HP to 15 HP: 0 $0.00 Con State Lia Issued Date:06/24/2019 Lic Expire: Gas Line: II/Floor Heaters: Bus Lic: Processed \\�/� Lic Exp Date: Attic Fan: nacesBoilers & Compressors Ventilation MECHANICAL Permit: H2O19-0374 Project No : 0003-2018 Inspection Requests Phone (949)644-3255 Tr on COMFORT HEATING & A/C Worker's Comp Insurance - 21962 COSALA Carrier: W/C EXEMPT MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) 714-335-7055 632774 30" WIDE X 36" ftItH 12/31/2019 fi7.TBJECT TO FIELD TNSPF,CTOWS .... BT30005700 REQUIRED FOR REVIEW AND APPROVAL °°°° 08/31/2019 A/C DISCONNECTS °°°° m°°°" to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 Bathroom Fan: 0 $0.00 Fire Dampers: :r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $146.06 Zoning PC: $40.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $146.06 PERMITS 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. Other 0 $0.00 <°" $0.00 °°°U 0 $0.00 °`° $0 �°°° 0 $0.00 $0.00 o°°°m° ° ° ° ° $0.00 Investigation: $0.QQ°°,'I Plan Check`°° $33.6§°°°` 24AHA4 36 & 48 Issuance:° ° ° ° $35.00 CARRIER Zoning PC: $40.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $146.06 PERMITS 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) 1 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 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 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 Im roved 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 from licensure under the Contractors' State License Law for the following reason: By my signature below 1 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 legall) 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. 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 7000) of Division 3 of thtsnaturd* lness and Profession ode, and my Ile is in full force and effect. License Class License No - :�� ' ry Contracto- INORKERS' COMPENSATION DECLARATION .ToS COST OF FAILURE TO , DAMAGES AS R COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL REST,SUBJECTAND EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E'100,006), IN ADDITION TO THE COST OF COMPENERIfd'N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .wa&i affirm tiAePaenalty of perjury one of the following declarations: I pave and wilr;iaintain 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 thI iedorrRance of th2 work for which this permit is issued. Policy No. 5 heve and will rnailogtain 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' compensatior .. nsUrgjlCe carrier and policy number are: ;.@glac : Policy Number Expiration Date pl Agent Phone # fly that, h6the performance of the for which this 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 agre if I should b2cbN2;aAbjetohew ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th rovisiopsPjMild dre of Applto DatDEWIOLMRATION*R TR I LENDING AGENCY I hereby affirm and penalty 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). 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 on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordi nces and state laws relating to building construction. I I authorize representatives of this city or count�f��y/r�7`{�,'e bovelidentified property for inspection purposes. r� .�� t t�� �I/ Signature of Property Own6kq(Authorized Agent® i' /.�1AJ! A1.F,9., Print Property Owner's or Authorized Age`n' ame /ft Y ate ACTON DATE BY DECLARATIONOFCOMPLIAMCEMTHCODEOFr FORUFFIC€OSFON1. FEDERAL REGULATIONSPART GT OF TITLE40AND AQMDRULE4403. " PERMIT€XPIRED D I SUBMITTED ASBESTOS NOTIFICATION TO: PERMITCANCELLED © EPA D AQMD PERMITEXTENDED ASBESTOS NORFICARONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL CERTIFICATEOF OCCUPANCYtSSUED SlONATURE: