The URL can be used to link to this page

Home My WebLink AboutH2019-0045 - PermitsCity of Newport Beach- Building Division MECHANICAL Permit H2O19-0045 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 0 4 5 . Project No: 2488-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255. a F ' Job P:',°dress: 212 BAY AVE E Bldg`.1 Floor: Suite: r •°.- ,v ; Description of Work: MECH/ NEW A/C ON ROOF DECK X2016-3196 InspectorArea:1 Code Edit: Legal Description: NEWPORT BAY TR SUB OF BILK C LOT 75 Owner: 212E BAY LL Contractor: SEPULVEDABUILDERSINC Worker's Comp Insurance ommo Address: 790 NEW NWA Address: 790 NEWTON WY Carrier: NO EMPLOYEES °`• m COST ESA CA 2627, COSTA MESA CA 92627 Policy No: Phone: Phone: 714-222-1150 Expire; Con State Lic: 695401 Issued Date:01/ 3/2019 Lic Expire: 10/31/2020_ Bus Lic: BT30058100 Processed By: Lic Exp Date: 02/28/2019 mmPmo m ° 0000;00 HVAC Items FEES ° o momio FurnacesBoilers'& Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTUIhr 0 $0.00 > 3 HP to 15 HP: ' 0 $0.00 ' Exhaust Fan: 0 ' $0.00 Gas tine: 0 $0.00 $0.00 Wall/Floor Heaters: ;0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan`. 0 $0.00 Record Mgt Fee: $0.00 Up to 10oK BTU/hr: 0 "$0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $16.53 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0,00 Repair/Alter/Add: 0 $0.00 Model: 4TTR4060LIssuance: $0.00 Up to 1.75MBTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $10.00 Manufacturer: TRANS Over 1.75M BTU/hr: 0 ,$0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $85.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $85.53 - 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 NNER-BUILDER DECLARATION 1 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 item(s) action 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 9 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 r ofessions 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 t more than five hundred dollars ($500). - 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (,portions of the work, and the structure is not intended or offered for sale (Section 7044 Isiness 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 provements 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, 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 ply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature bebN 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 cannot legall. II a structure"togt l j18ve 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 ofeseions Code, is available upon request when this. application is submitted or at the following Web site:http://www. legmfo.ca.gov/calaw.html. JAILfe of Praporty.bwner or Authorized Agent Date CEMSED CONTRACTOR'S. DECLARATION - - ®rpp9 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profaipsions Code, and m r li nse is in full force d effect. �. �•�. ,ense.Class . • • License No Date Contractor Signature, ORkERS' JOJAPFNSATION DECLARATION �RNINOt.FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE iVbT- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. : PyreV?.affirm under penalty of perjury one of the following declarations: I. I have and will malrntain 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, forth ffl • rRonce of the work for which this permit is issued. Policy No. h ve and wiR h&Tntain 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 ce carrier and policy number are: ner Policy Number. Expiration Date m (Agent - __....._. ___—: __ _:.: Phone#— I ceqfty that, in the performance of the work 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 t ' should become subjel ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those, pr wslo s (nature of Applicant CLARATION REG QING C9WRILICTION LENDING AGENCY ':reby affirm under pena perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code) ider's Name Lender's Address - '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 ordinjiinces and state laws relating to building construction.. I authorize representatives of this. cityor co t ter t abov -identified roperty for inspectionpurposes. (nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE Y DECLARATIO. OFCOMPLIANCEIMTNCODEOF FOR OFFICE USEONLY FEDERAL REGULATIONSPART 61 OFTITLE40AND .. . AQMORULE 1403. ❑. I SUBMLTTEDASHESTOS NDTLF/CATION TO. ❑ . EPA ❑ AQMD ❑ ASBESTOS NOTIFICARONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. - PERMITEXPLRED P€RPAtT CANCELLED PERMITEXTENDED -PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED -