HomeMy WebLinkAboutH2019-0614 - Permitsw City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
oq. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 6 1 4
Permit Counter Phone (949)644-3288 NO colv,
Job Address: 115 VIAJUCAR BldgA Floor. Suite: 0)T/�
Description of Work: MECH/CHANGE OUT (2) ROOF TOP (E) A/C UNITS 49.5dB & 44.518'& 48VL
Inspector Area:1 Code Edit: 2016
Legal Description: TR 907 LOT 703(AND NWLY1/2 LOT 702(AND SWLY 10 FT LOT 704 �{
Owner: BAUER DOUGLAS Contractor: ALISO A
Address: 115 VIA JUCAR Address: 29 V
NEWPORT BEACH, CA 92663 SM CA
Phone: Phone:949-589-:
Issued Date:10/09/2019
Processed By:
•nacesBoilers & Compressors
to 100K BTU/hr:
0
$0.00
:r 100K BTU/hr:
0
$0.00
II/Floor Heaters:
0
$0.00
it Pumps & Package
Units
to 100K BTU/hr:
2
$40.00
:r 500K BTU/hr:
0
$0.00
to 1 M BTU/hr:
0
$0.00
to 1.75M BTU/hr:
0
$0.00
w 1.75M BTU/hr:
0
$0.00
k,y
DE LAS
MECHANICAL Permit: H2O19-0614
Project No :
Inspection Requests Phone (949)644-3255
-6 LL -4a) r„1 1
bmers Comp Insu e -
Carrier: LIBE MUTUAL
Po-llt C2Z61036218098
ire :07/01/2020
s
n
U" 0 3AkJq ' 0 rc Fan: 0
> 3 P to 15 HP: h st an: 0
>15 P to $ tic Fan: 0
>30 to H $0. N Down -Draft Fan:
>50 H $0.00 Residentia d OS
Air Han ling Com o a6J�m 0
up to 10 CFM: 0 $0.00 i ¢kit f Add: 0
Over 10K FM: 0 G' em�plt��e:
VAVBox: $ 0 % co
"a �v
Plan Ch6- F
TOTAL: $151.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
MIS
D e .sics
o
u $0.00
G Li �plo`�
b
XI Fir.ppe: 0 0
Record Mgt Fee: $0 S --
Additional Fee : ',A% d
.stigation: $0.00
i Check: $34.80
$35.00
Zoning PC:
Fee Due at Permit Issuance: $151.30
PER ITS EXPIRE P"AYSAFTERI,5$VANCE OR L,4STmVALID INSPECTION
Construction Hours: on Fr' :00 a.m.to 4:3Q p:m.and fatippay fre'm 8:W a.m, to 6:00 p.m.
0 0 0 O C O C. y y pi
O O C OG G .JO
mOm i • m <Ot, CU
O O G G
-
E,Yn 04 Op i p pOY BOV
$41.50
'NER-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 applicabiaitem(s)
;tion 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 apj5licanII for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (co ncing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by�ra p nt for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). p"sp' L
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portio a work, and the s cf i
Business and Professions Code: The Contractors' StateLicenseLaw does not apply to an owner of property v ugh employees' or perso I
improvements are not intended or offered for sale. If, however, the building or improvement is sold wi year of completion, the Owner -BIS e
im roved for the purpose of sale). q
1, as owner of theproperty, am exclusive) contractingwith licensed Contractor struct the ro ect h'7044, Bus�l s ` of�essi, si
ap Iy to an owner of property who builds or improves theron, and who covA - or the projects with�1111 �li§ed Contr�,ctpr� Kan to the Contra n
I am exempt from licensure under the Contractors' State Lic �.�wsfor the following reason: V
By my signature below I acknowledge that, except for m nara l residence in which ust have res(dq¢( at ast one year prior to c etion o I
sell a structure that I have built as an owner-build�fa1 as not been constru Its entirety by li contractors. I unders n at a copy of th
Professions Code, is available upon re gy 'fin t is,aRp) anon is I ed or at the�fol wing Web site:http:////,v�v.IIoR ca.gov/calaw.htmi.
Signature of Property Owner or Alrjhrf ed ge V site:http://,vff..Ionfo—ca.gov/cglaw.htmi.
CONTRAS T-OICS DE ryt T V
I hereby affirm {OxdeFpenalty of perjurytEhdt icen ed un,prsi of Chg with Sectio 700 ) of Division 3 of the Business
and effect. �-� �,.#. t
License Clas' ,.R ;"'� ican *' Ig x•" `. a p Date Contractor Signatuv
WORKERS' MPSNSATION DEC 10
WARNING: FAILUR O SECURI�JWO ' COM SAT[ C RAGS UNLAWFUL, AND S - EC N' PLO TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON]
COST OF COMPENS ION, DMAGES AS VIDE ;�+` N 3700 OF THE LAB RE A S FEES. i
I hereby affirm un' r pe Ity of pe one 0 a following dec
❑ I have and will ainti(I '• to of cons insw e co - ensation, issued by the Director s ialatio s as pr
performance of the rk f Po i ich this permit' - ed. N +ee pppp��pp \\
❑1 have and will fain w F§* pens I sur ce, equired by Section 3700 ab r C d� 'M, We dgrjn,I�Q�df the work
insurance carrier a d )icy n mbU
5
Carrier i 'Nook Expiraj'
Name of Agent " one
❑I certify that, in the pert nuance of the work for w ' ' 's , I shall not employ any person in any mean. o as to 6@�qt�'D jecI to
that, if I should become su 'eGt to t _ vi o e abor Code, IyalHorthwittS;.o'Rix vblth those
hereby affirm under penalty o ri
ender's Name
ly my signature below, I certify
I am the property owner or a
I have read this application at
I agree to comply with all app
I authorize representatives of
ACTION
PERNNTFINAL
CERTIRCATE OF
OCCOPANCYISSOED
not intended or offered for sale (Section 7044,
builds or improves the property, provided that the
have the burden of proving that it was not built or
The Contractors' State License Law does not
3 License Law).
Tents covered by this permit, I cannot
law, Section 7044 of the Business and
Date
THOUSAND DOLLARS (§700,000), IN ADDITION TO THE
by Section 3700 of the Labor Code, for
is issued. My workers'
compensation laws of California, and
lending agen a performanc�f�woW`T ii
tkfar ch this permit is issued (Section 3097, Civil Code).
each of the following:
porized to act on the arty owner's
city or
and county ordina'D`cesa'aie g to building construction.
• . • • • FEDERAL j2E V"GONS PART 61 OF TITLE40AND
&E 1403•
`• :[J ISf1BJ9I:•rEB%SBESTOSM071FICATIONTO:
• • ❑ EPA
El AQMD
❑ ASBESTOS M07JRCA710NIS NOT APPLICABLE TO
•• ••• ef'?J)PPSfD14$eMOLITION.
i •• •: S1C1J4T r