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HomeMy WebLinkAboutH2020-0191 - PermitsCity of Newport Beach - Building Division H2020-0191 100 Civic Center Drive, Newport Beach, CA 92660 F- x, Permit Counter Phone (949)644-3288 ss 'e�ttsnu'�- MECHANICAL Permit: H2O20-0191 Project No: 2142-2017 Job Address: 303 RUBY AVE BIdg:1 Floor: Suite:��� p� Description of Work: MECH *CHANGE OF CONTRACTOR* INSTL AIC UNIT�"rR9SIDE YARD f` 'Ime , NOISISMAT & T, PERMIT H2020-0191) NOISE CONSENT ATTACHED PILAjh J ol C a InspectorArea:2 Code Edit: 2020 �* Legal Description: BALBOA ISLACCCBL 1 Owner: 303 RUBY LLC Address: 303 RUBY AVE NEWPORT BEACH GA Phone: Issued Date:04 /0 212 010 Processed trnacesBoilers & Compropsorl to 100K BTU/hr: 0 .00 ver 100K BTU/hr: 0 $ 00 'all/Floor Heaters: 0 $0. 0 eat Pumps & Package Units P to 1 OOK BTU/hr: 0 $0.0 ver 500K BTU/hr: 0 $0.0 o to 1M BTU/hr: 0 $0.00 3 to 1.75M BTU/hr: 0 $0.00 ver 1.75M BTU/hr: 0 $0.00 tQCt or ,qml� ,CSk RU TI &�V INC A ress; 034145 IF1C L-91 HWY a. t DAN _ POlt�i'CA 92629 NO ma ne:: , `� t 3-4158 t J onia4ic: 1037945 L1C Erre } Nos Lic: Lic Ex ° Ato� 3HP: 0 �alhroom Fan: > 3 HP to 15 HP- Exhaust Fan: >15H o r PA Attic Fan: 3 P ePV V -c .00' Down -Draft arra >50 P: o� $0.00 Rasi lal Hood: andliri i hits m. Hood: up to 10K CFM: 0 Repair/ 'la' Ho d;„ Over 10K CFM: $0.00 -lament Fee �ty0. 0 $0.00 0 $0.00 Requests Phone (949)644-3255 Worker's `dam Ansuranc Carrier: NO EMPLOYE. CC"%f74UCT,10N I Fee: Fee: $0.00 Model: $0.00 Manufacturer: RESISTANT CAP REQ, (REPLACE TOTAL : $35.10 / ,.,s✓"'- Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00 PERMITS EXPIRE 160 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. 00000 •00°9U $oA&co0 $00 ° .eoovr.� 0000 $0.00 $0.00 $35.00 $0.00 Y o0ee Other $0.00o 0 $0'00 ° e 0 0e 000e $0.00coca $0.00 Investigation: Plan Check: 4AC16130PIssuance: ALLIED Zoning PC: TOTAL : $35.10 / ,.,s✓"'- Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00 PERMITS EXPIRE 160 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. 00000 •00°9U $oA&co0 $00 ° .eoovr.� 0000 $0.00 $0.00 $35.00 $0.00 OWNER -BUILDER DECLARATION R'+ 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 the marks) I have placed next to the applicable item(s) (Section 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair u ure;odor 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 (Ch (comme Ing ijth 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 vi=ions =thework, y any applic t fos` ;permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Igp ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of ord the structu�yree I n tended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of who, thrqu h� mpioyees' or per�ppg�{�ffa bw or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement' within one yeai;0foA letion, tthVe w QI��fiI der wit aV , e burden of proving that it was not built or improved for the purpose of sale). - P vpV\�t +�,}}}__fir ;! ❑ I, as owner of the property, am exclusively contracting with licensed Cc we is to construct the pAect (Sectiop 7W., sines& and Professj1powCo Contractors' State License Law does not apply to an owner of property who builds or improves thereon, an rads for the pmje s with a IicgT0AIr-actor pursuant to the rActors' St a rise Law). ❑ I am exempt from licensure under the Contract ' Ste L o reason: Lj- B m signature below I acknowledge that, exce t ers al si Ion I must a resided for at Is@s--t,,qq@@ ea rior�to completion of the Imp v' nts covered by this permit, I cannot legal) sell a structure that I have built as an owner- Id It --M-_- cted in its . b ; nsed cpl�[r ji�-I�!f ?understand thf(a copy of the opplica la, •,Section 7044 of the Business and Professions Code, is available upon re W t i ubmilted r It J g b si:Kttp'./lwww.leginfo.ca.gov/calbw html. Signature of Property Owner or,Authorized Date LICENSED CONT QT6R'S DECLARAT I hereby affirm unde enalty of p am Ice d u to, f �. in full force c encing w' a De 0 of Di ision 3. f the tractos rid . fe I®. ode, and my tcense'+t and effect. License ass '•' e s Dae -�% — Cont[ ctor WORKERS'COM SATION D ARA _ N WARNING: FAILURE'b9 FET E WO SATIi pOV G S UNLAWFUL, ANO S T P 0 IMINAL PENALTIES AND CM ES 1fOrONF RED O A o S (5100,000), IN ADDITION TO THE C®STOFOOMPENSATION,D AGE ORIN` 0] aOF THE LASO D E ND O Y ES. ®�' L- I hereby affirm under Pen ty of r he following declar . .. Tei %hats and will inalnta a c consent g�plf-I for ers' nsation, issued by tMr t 1n rdl R�eM5 s provided Se 700 of the Labor Code, for th p rA%nce of the V Srk for hich Is perit is Ir�su $ ' y N fat Nave.and wig sRairdain rkers' an on In a required by Section 3700 of the abor the pe#t5il%Ai of the work for w e it 1 ed. My workers' compensatio m urdde carder apd gplicy n bar e: 1-1 �O W"• C�FneF S� 0 Policy Number �� \ {��opn D t Nameo1Agent Pho eA a� I.C.ertt(y... that, iq thedhjforanc of the work toY wh(bh this p s su shall not employ any person in any m�R r so as tD�E sub a workers' compensation laws of California, and ogre hat, if I should b Dme subject to a workers' comp t of eotion 3700 of the Labor Code, I al -fort co t�7wlth rovisio Slgne4laie of Ap �an1 �- Data DECLARATIO REMANDING OMY If ' I hereby affirm under pen of peau that re I cons coon lending agency a performances foie w which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's dr€ss By my signature bel , i certify to each f thefollowing'. I am the property owner or authodzei to act o a p>� owner's behal I have read this application and the in ave provided is m56. I agree to comply with all applicable cit a d county ordin an s relating to building construction. I authorize representatives of this citV ounty t rth a-' n' d property for' spection purposes. Signature of Property Owner or Author) d A Print Pro a Owner's Or Authorized A nt's Name Ut ate DATE B DECLARATIO OF COMPLIANCE V(ft CODE OF FEDERAL REGULAT S PART61OFTITLE 40AND AQMD RULE NOTIFICATION TO PERMITEXrENDED ' J L IAQMD PERMITFINAL UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: FOR OFFICE USE ONLY ' f, / 3