HomeMy WebLinkAboutH2019-0169 - PermitsCity of Newport Beach - Building Division III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
e5 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 6 9
H iti Permit Counter Phone (949)644-3288
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Job Address: 24 DAUPHINE BIdg:1 Floor: Suite:
Description of Work: MFR KITCHEN HOOD (NOT TO PENETRATE COMMON WALL)
Inspector Area:6 Code Edit: 2016
Legal Description: TRACT 14588 LOT 9 OF PROJECT 936-46 LOCATED ON AP 461-201-61
Owner: HUING LI Contractor: OWNER/BLDR
Address: 24 DAUPHINE Address: HUING LI
NEWPORT BEACH, CA 92657 OIB AUTH ATTACHED
Phone: 626-241-5822
Phone:
Con State Lic: Ole
Issued Date:03/22/2019
Lic Expire:
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/� Bus Lic:
50y\,
Processed By: 5
, Lic Exp Date:
MECHANICAL Permit: H2O19-0169
Project No :
Inspection Requests Phone (949)644-3255
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Policy No: •" °
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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.
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HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
0 $0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 1OOK BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
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 1OOK BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
1 $13.00
Additional Fee:
$0.00
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$0.00
Up to 1M BTU/hr:
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$0.00
TOTAL:
$48.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$48.00
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.
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 cityor county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is 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
'rofessions 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
o more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiftss and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that toe
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built i,r
n roved for the purpose of sale). ,
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempPfloY pcensure under the Contractors' State License Law for the following reason:
ly my signaturebElbN I acknowledge that, except for rgy personal residence in which I must have resided for at least one year prior to completion of the improvements covered y this permit. I cannot legalh
site c�ucture<hat I have built as an owner -builder if' has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section .044 of the Business and
'rofessions Ccbe,, p4vailable upon request when th' application is submitted or at the following Web site:hftp://vww.leginfo.ca.gov/calaw.htmi.
ifWa$llje of Prop%rty Owner or Authorized Agent ' jrAGi I Dat �
.ICENSED CONTii#CTOR'S DECLARATI
hereby affirm Kndw penalty of perjury that I am I' ensed under prr o i�s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionsode, and my license is in full force
nil gf(e'ct.
lavip Class License No Date Contractor Signature
I(g1;KERS' C6FAPE!NSATION DECLARATION
4VJJN FAILURE Td SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
OST OFEOMPENSATION BAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
j1i;;e and WAll'plal taln 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
erformance of t"dfk for which this permit is issued. Policy No.
have and will maintain 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'
rance carrier and policy number are:
Policy Number. Expiration Date
of Agent
I certify that, in the perfoyrnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject tdthe workers' compensation laws of California, and agre
that, if I should becomes 6te11cttI to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ons.
,t'T
Signature of Applicant jdi IU74 � __ Date 3/i'Z
DECLARATION REG DINO CCJNSTRQ0TION LENDING AGENCY
I hereby affirm under Oenalty 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 cout�ty ordinances and state laws relE ting to building construction.
I authorize representatives of this city or gcounty o enterF)e abgve-iden�ifigd property for inspection pp r oses. a�
Signature of Property Owner or Authorized Agent �/ Ul I� P 1 Print Pro a Owners or Authorized A ent's Name N� �I n Date
ACTION DATE (
BY
DECLARATION OF COMPLIANC€MTN CODEOF
FOR OFFICE USE qMY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
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PERMIT EXPIRED
❑ I SUBMITIEDASSESTOS M07TFICATION TO:
❑ EPA
❑ AQMD
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PERMITEXTENDED
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