HomeMy WebLinkAboutH2016-0546 - Permits¢toy City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
0 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 6 0 5 4 6
` • s,. Permit Counter Phone (949)644-3288
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Job Address: 15 ODYSSEY CT BIdg:1 Floor: Suite:
Description of Work: MECH-A/C CON DENSOR REPLACEMENT *TAMPER-RESISTANT CAP REQUIRED*
InspectorArea:3 Code Edit: 2013
Legal Description: TR 7817 LOT 1 UNIT 119 OF PRO ECT LOCATED ON AP 424-041 -01
TOGETHER �h
O ROBINSON DAVID 2 t OWNER/bLDR
caner.
!
$0.00
c or.
0
$0.00
Address: 15 ODYSSEY CT
0
dd
ess:
to 100K BTU/hr:
a
NEWPORT BEACH, CA 92663
ar 500K BTU/hr:
0
r
Phone: 909-476-1022
T.
Phone:
$0.00
to 1.75M BTU/hr:
0
Con State Lic
'O/B
0
Issued Date:08/12/20
LidExpire
Plan Check:
$15.66
Model: BRYANT Issuance:
Bus Lic:
Manufacturer: 36A (P)
Processed By:
Lic Exp Bate
•nacesBoilers & Compressors
to 100K BTU/hr:
0
$0.00
er 100K BTU/hr:
0
$0.00
ill/Floor Heaters:
0
$0.00
3t Pumps & Package Units
to 100K BTU/hr:
0
$0.00
ar 500K BTU/hr:
0
$0.00
to 1M BTU/hr:
0
$0.00
to 1.75M BTU/hr:
0
$0.00
m 1.75M BTU/hr:
0
$0.00
Air Frqndling Units
up to 1.01K CFM: 0
Over 1CFM • 0
VAV Bo�K Utz ac, '' 0
TOTAL: $65.66
Plan Check Fee
$0.00
$0.00
$0.00
$0.00
MECHANICAL Permit: H2O16-0546
Project No :
Inspection RVquests Phone (949)644-3255
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1 n mmmm
Worker's Compinsura'ncg,- � rC/•
Carrier
' (; •e •
oeo•eo
m V% FEES
ltitat:ion
Expire
rb m
to 3HP
1 $1 Q0
a�
tt Fan:
HP to 15 HP
-11 4O Qti
°
E"3chaust Fan:
i HP,to
30HP
p°'fl; $tl.00 nAWhn:
AHP to 50 HP
I`HP:
"b .$QyQ&' Down -Draft Fan:
Old`` i6.00 Residenti od:
Air Frqndling Units
up to 1.01K CFM: 0
Over 1CFM • 0
VAV Bo�K Utz ac, '' 0
TOTAL: $65.66
Plan Check Fee
$0.00
$0.00
$0.00
$0.00
MECHANICAL Permit: H2O16-0546
Project No :
Inspection RVquests Phone (949)644-3255
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1 n mmmm
Worker's Compinsura'ncg,- � rC/•
Carrier
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oeo•eo
Policy No: 00
°
Expire
°
om
m m
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o
oocco
`3trl
mmmo
o
°Doom
a
cm000c
0000
m m m
� ;€'.2" . er m m
Fire g Pers: ,q.6 0
0
mmmm`
$0.00
leas Line: V" $0.00
$0.00
Metal F' ac 0 $0.00
or ee: $0.00
Ad conal Fee : $0.00 Investigation:
$0.00
Plan Check:
$15.66
Model: BRYANT Issuance:
$32.00
Manufacturer: 36A (P)
Fee Due at Permit Issuance: $65.66
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 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
iness and Professions Coc
rovements are not intender
roved for the purpose of sa
I, as owner of the property
ly to an owner of property I
I am exempt from licensur
by signature below I acknc
a structure that have buil
'Passions Co4e',t$9Vilable
nature of Prope"Owner a
CARNIiYG: FAILURE TO SEpyRE W01
"i O6 COMPENSATION, OHMAGE:
hQleby affirm under penalty o
PtAffl,aa and wjJl maiptain a
Performance of the%"If for wh
511avotand will.rNsistain wo
ieWrite carrietadci,policy nu
is of Agent
certify that, in the p�
if I should become
of Applicant
employees with wages as their sole compensation Agi„)<,alj,4&oL�gr; '�Ilel� s�ruc�Ts-not intended or1"1
for sale (Section 7044,
Con ,a�&(g[c,. c,_ ;a®Rse�ea!PYyCL "fi5'i P Ty an owner of property who, through employees' or personal effort, builds or impr e property, provided that the
:red for sale. If, howeveS, the buil ing or improvement is sold within one year of corrtp9tjgr)„ ft5xnrfr Builder will have the bundle oving that it yvas not built or
i�R I (/ tt 7�1 It
cluDEJd T.r�htr n rac ors to construct the project (Section 7044 B,us��s,s and Prt�ref(e��s�!gqa4�rd oT tra 0) "' State License Law does not
Ids or improves thereon, and who ontracts for the proje wit s Contrac�ro p l t0$»d.GbnlrSttHfr4'R tell' L w) ^ .,,
th1p,.
Stat e L � . r th `(10 g so �^
th emy p _. on rest a In t have re - r least one year rior to completion of tht,',e nts vend by this permit, I cannot legally
ow r-tha t b to t b c n '�tt�lirDC�L a-sepyof-the-aL� S tion:7044 of the Business and
;qu tapply mitt tt o e tp: www.leginfo.ca.gov/calaw.html.
rite e
CLARA
y tht,},t�l' ed u n>f 9. ! o - e ith Se n 0) of Division 3 of the Business aions de nd my license is in full force
K..xt
Ice' a No ='� �j .+ fp
U, t' Contractor Signature -ECL d¢A;OMPE S�'AitQFP4�0 ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE USAN DOLLARS (5100,000J, IN AOOITION TO THE
VIDEO FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.eee!!!f one of the following declarations:i r llate f con§ent �3e}�ig5,urg �pwol�f�L'�on ation, issued by th Di c rf la a a Sect n 3700 of the Labor Code, for th
`NT� j D., �a j i �}aYlompensation insur nce, a r coon 3700 of the Labor. Code, fol RLOPW r�}i-i9h�b'P INUOrk for wrmit i issued. My workers' compensatiol
PurC
_ Policy Number Expiration Date
.
ofte or fowr w Ic tis permit is issued, I shall not employ any person in any manner so as�ggtngpQ 'fid fo h v.� ' ^^mpe sation laws of California, and agre
the trkers' compensation provisions of Section 3700 of the ha*4orthwith-camply wifh those provisions.
I! __—_----- __._...........,,�� Date
:reby affirm under 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).
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 ord a es a state s relating to building construction.
I authorize representatives of this city or co ty o e r ified property for inspection purposes.
nahlre of Pronerhv Owner nr Authorized ADent Print Procertv Owner's or Authorized Agent's Name
ACTION DATE ✓
Sr
u�'L.wrvrrrriry yr wiwrus�na.z verrrr Lvr.r_.+.
FEDERAL REGULATIONS PART 69 OFTIRE40AND
AQMD RULE 1403.
I
PERMIT EXPIRED
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til
❑ ISUBMITiEDASBESTOSNO•IIFICATIONTO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTEND€D
❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
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