HomeMy WebLinkAboutH2020-0375 - PermitsY:$
City of Newport Beach - Building Division
It Counter Phone (949)844-3288
Date: 2A If applicable:
MECHANICAL Permit: H2O20-0375
❑ 80% or ❑ 100% refund
Requests Phone (949)644-3255
Job Address: 53 HA BOR R E te.ett
Description of:1lUor M HANG U AM RPR OFC RE ST P Kt 0- 0810m: _
10
InspectorAreag4 CadEms vii%
Legal Description: T 9 10EOX
6 131' 9
TOGETHER
Owner: GLAD TONE ALAN Contractor: SEASIDE A/C AND HEAT ING Worker's Comp Ins ance -
Address 53,HA BOR RIDGE @�� Address: 24036 BROADHI4ORR�4N1D�R+(� p�i�y1 ICarrier:INSICO.O THE WEST
NEWP RT Go.9��1 1 949- [mdBe��l 1 O.f/2020 e2677 Policy No: WVE50)4 609
Phone 949-89 -21 8 p6,�ep 949 4 - f -
L i 73621
Issued Date:06/30/ 20 /work Star�� xpire: 08/31/2020 „
tBufuc: BT30018420 (no work started)
Processed By: m Lic Exp Date: 01/31/2021
rnacesBoilers
ressors
e n i a ion
rcco
0
to 100K BTU/hr:
0
$0.00
Up to 3HP:
1
$20.00
Bathroom Fan:
0 $0.00
Fire Dampers:
er 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0
$0.00
Exhaust Fan:
0 $0.00
Gas Line:
ill/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
Metal Fireplace:
at Pumps & Package
Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
to 100K BTU/hr:
0
$0.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee:
sr 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
to 1M BTU/hr:
0
$0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
:r 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
m
ocmaoc
m
msmon
0
000co
oaamoo
e o 0
All
oommo
oommo
Other 000000
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
$0.00
Investigation:
$20.00
Plan Check:
$17.40
630NBO24-3issuance:
$35.00
BRYANT
Zoning PC:
$41.50
TOTAL: $133.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $133.90
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.
AS BUILT PERMIT
EXPOSE ALL STRUCTURAL,
ELECTRICAL, PLUMBING, AND
MECHANICAL COMPONENTS
he permit to file;
Irofessions C�I
lot more tharj fiv
I, as own r o
3usiness anH;Prl
mprovements ar
mproved foi;,be
I, as owner D
apply to an owns
1 am exempt
By my signature
sell a structure It
Professions Cod
Signature of Pro'
LICENSED Ce
I hereby affirm u
and effe&.
L4(%VS(! Mass _
}P�er�am
Ity of perjury that m exempt from the Contractors' State License Law for the reason(s m Ica
JaiY&Bfessions Code: Any city or county that requires a permit to construct, gljerr,, improve, demolish, or repair any structu
statement that he ors a Is kens ns ^r ln> Contractd�5 tBf j�p0 E I iY+ (Chapter 9 (commenci
he or she is exempt from licensure and the basis for the alleged exemption. Ajjnyvifojia((l��S_on// o'fS°e"cllCI f� 7031.5 by any applican
500). Y'Df g`dalifol�6ftth@ v5.no®t(q¢
,Ree y em yeas wit a s a 'r I mp s n will (_) all o I tt
Code: a Co clo n L o not I r of property who, through employees' or personae
ered how a di r i withato ear of completion, the Owner -Builder v
of sale). `V �m
xclu ' cti with licensed Contractors to construct the project (Section 7044, Business and Professions
ABY wilds v e f�c f oj'lh a licensed Contractor pursuant to the Contracto
I ha7ppWRWn owner- uifdee if it f ft'llbt been lLbn9CructMirmtae
is available upon request when this application is submitted or at the
i(r@ ner or Authorized Agent
TR*GTwGJt'S6CLARATI0N
arAr�.,,wlmncRd ur�laFrarratisions of ChaptW
MI sided for at least one year prior ro cOmPieuun
sided
contractors. I understand that a copy of
Web site:http:/Iwww.leginfo.ca.gov/calaw.html-
with $action 7000) of Division 3 of the
;(s) I have placed next to the applicable items)
�rior to its issuance, also requires the applicant for
Nlth Section 7000) of Division 3 of the Business and
r a permit subjects the applicant to a civil penalty of
rot intended or offered for sale (Section 7044,
builds or improves the property, provided that the
lave the burden of proving that it was not built or
The Contractors' State License Law does not
e.=License Law).
Tlents covered by this permit, I cannot
law, Section 7044 of the Business and
Date
Code, Bad mykcense is in full force
90KKERS' C MP�NSATION El'tRItlIIIHN BU) �� ��
��++ .�..}}��.��IlS AND CIVIL FINES UP TO E H ED THOUSAND DOLLARS (E700,0001, IN ADDITION TO THE
4ARVIINa:.FAILUR �VJLTRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT A O RIMI R�I�Wr
WST 05COMPENS I D AGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORN SFEES. ?
hereby affirm e of the followingdeclarations: *�74
• ••• :�-r� ..f I n trial Relations as row * for by Section 3700 of the Labor Code, for IN
'0 1*114 a and ill maintain a certificate of consent to self -insure for workers' compensa Ion, Is
omvjce oft Wary ''s issued. Policy No. �nCt� t��}`'��� �7� rr��
have' and w fired b Section 370 0 e Cdd'8!"fbrfperroRRanceht o`f r vy this permit is issued. My workers' compensatior
E carrier grjr1aolicy number are: Expire to
;�.. e • Policy Number
Phone #
Jame of Agent
:11 certify that, in the perfor nce 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 agree
hat, if I should become subj ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions _ G
Data
Signature of Applicant
DECLARATION REGAR NG CONSTRUCTI L ING AGENCY
hereby affirm under ally of at th construction lending agency for the performance of the work for which this permit is issued ( ction 3097, Civil Code).
_ender's Name Lender's Address
By my signature belo I certify to as 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.
agree to comply with all applicable city and county or Inances a e ws relating to building construction. / /�
I authorize representatives of this city or county t t' fed property for inspection purposes. ry(/
.rp n,.,.,e.'e .., A,dhndved Anent's Naie /C%Gate
ACTION I DATE I/ BY
OCCUPANCYISSUED
OFTITLE40AND
1 1-2 / /IA— ❑ I SUBMITTED ASBESTOS M071F/CATION T0:
❑ EPA
❑ AOMD
❑ ASBESTOS M071FICA770NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: