Loading...
HomeMy WebLinkAboutH2021-0142 - Permits4 � oityVic ofcenter NewDport Beach ortgh rive- B ilding Division IIIIBI�IIIIIIIIIIIIINIIIIII�III�IIIIIIIIIIIIII MECHANICAL Permit: H2O21-0142 w r Permit Counter Phone (949)644-3288 Project No: 1331-2020 V nrweliu' Inspection Requests Phone (949)644-3255 Job Address: 1606 IRVINE AVE BIdg:1 Floor: Suite: e�r e Description of Work: MECH/ C/O & RELO A/C & C/O FAU "TAMPER RESISTANT CAP REQ" TIMER & LETTER NEEDEDr� VIFIG- %.o �� InspectorArea:3 Code Edit: 2019 Legal Description: N TR 3057 LOT 25 (� Owner: BRAYTON STEPHEN Contractor: PREMIUM BUILDERS Worker's Comp Insurance - Address: 1606 IRVINE AVE Address: 1 J 1701 E EDINGER AVE #C-9 Carrier: EVEREST PREMIER INS NEWPORT BEACH, CA C�t� SANTA ANA CA 92705 Policy No: 7600018572211 Phone: Phone: �f}? 714-569-1255 Expire :01/14/2022 492049 05/31/2022 BT30068364 08/31/2021 u1F1 )N4Y 'RSV P TIMERR BELE sp N1flPM'V�V_101 014 AND'AMA l IU AU nems FEES TO b •nacesBoilers & Compressors Ventilation to 100K BTU/hr: Con State Lie: Issued Date:02/16/2021 Up to 3HP: Lie Expire: Bathroom Fan: 0 $0.00 Bus Lie: Processed By: $0.00 Lie Exp Date: 0 $0.00 u1F1 )N4Y 'RSV P TIMERR BELE sp N1flPM'V�V_101 014 AND'AMA l IU AU nems FEES TO b •nacesBoilers & Compressors Ventilation to 100K BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 :r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $143.52 Plan Check Fee : $143.52 Fire Dampers: Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee: $0.00 $0.00 $0.00 $0.00 $18.27 Other $0.00 $0.00 Investigation: Plan Check: Model: VSA1BE-48Klssuance: Manufacturer: AIRTEMP Zoning PC: Fee Due at Permit Issuance: $0.00 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. $0.00 $0.00 $37.00 $46.25 Gtr G L tl G $0.00 $0.00 $37.00 $46.25 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) I have placed next to the applicolels, its) (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 applic nt 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 L) 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). 1, 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' Slate License Law for the following reason: By my signature below 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 legal) 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.htmi. 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 the Business and Professions Cc ,and my license is in full force and effect. License Class _ ° - �- License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 1. VU1RNIf✓8AILURFi;YV WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED- OUSAND DOLLARS ($100,000), IN ADDITION TO THE )$tEtrE COST OF COMPENSA347R, D,1 MAGES AS PROVIDED FQIN SECTION 3706 OF. THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. , I,hecabyaffirm under penally of perjury one of the following declarations: ve and yv@Lma'r,_Ttain 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 th vfr€l -nce of the worfi for which this permit is issued. Policy No. -haae and wilt btaftyain 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 `nun carrier and policy n er re: /�4a �/ 1 �UA,. �/FJr700(�.r%a.2 -' [�. r_V4 '-a-'dv A✓' Policy Number Expiration Date lame o? Agent, �Phone # ` r6dr(rfy that, in the performance of the work for wh' 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 tIF& AFI shouldW <boceme su att to the worke s' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ / Signature of Applicant Dale o>- G 6 DECLARATION REG RDING CONSTR Oto LENDING AGENCY I hereby affirm under penally of perjury 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 e2rch of the following: I am the property owner or au orized 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 ordinances and stateAs relating to building construction. I authorize representatives of this city or county to enter the abov -iden ed property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name to/'d IS IF ACTION DATE k BY BECLARATtort OF compuAncr WIin coar OF FOR OFFICE USE ONLY FEDERAL REGU€ATIONSPART 64 OFTITLE 40 AND AQMORULE1403:❑ PERMITEKPlREO TSUBmn TEDAStE5TO8NORFICATiONTOo•• ; •.. .•. PERMIT CANCELLED ❑ EPA : : • • •. • "' ❑ AQMD ••• • • RONISNOTAPPLICABLElb • •'� •• ••. PERMITEh7ENDED _.. ... ;.. ... PERMITFINAL .' ©OPOS DTDEM£1LfTIDN.OS ,. CERTIFICATE;OF - .. OCCUPANCYISSiJiD StGNATURI=: •' • • �`, ! . • � • • . • • • F Z W W W a ..I W W J W V1 O Z 0 R a 3 u d L i/ E m m m L a+ N d Y m a M m CL W O C N C O N O. O i CL a v O C1 � m CL 0 0 L a Y d twm +� t W Ln m crc:_ cccc� r N m S v o a` C O m Z t � Y C Q O crc:_ cccc�