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HomeMy WebLinkAboutH2019-0499 - PermitsCity of Newport Beach -,Su l,6�ng Division H2O19-0499 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1703 Description of Work: Inspector Area:1 Legal Descr' 'arm Owner:TOI$F1 '�ti Address: 2 ° RIVINE Phone: $0.00 Issued Date: 8/12( Processed to 100K ar 100K to 100K er 500K to 1M B' to 1.75N ar 1.75M MECHANICAL Permit: H2O19-0499 Project No : 2087-2018 Un61' IV® C®ttlJTR ® tion R� tV 1�7L 49)644-3255 PLAZA DEL SUR BIdg:1 Floor: Suite: MECH INSTIL A/C UNIT @ THE SIDE YARD "TAMPER RESISTANT CAP REQ" "AS -BUILT' THE WEEKEND Code Edit: 2016 '8'B� I V�SI ECI ®R M+'PR31$ '`}�((Ij MVQQD LUXURY HO LL C r ctor: Address: CA 92602 o . =C , t Lic• 19 pi Bus Lic:^ AIR MAX If applicable: 27260 LOS ALTOS VIEJCQCAB Of j 26-25 299 2 z to whom: BT30065145 Worker's Coro IdMrance- FtOIIOjrA'4U:At11 08 Expire :12/08 01 ' .... ` mo o mseeac �;i:/1�.1 ec1� ro 1✓'rEi���srrr.,T�R�g` REV(L- W AND AFPROVA-4e • e +enmue m a c e ma• o i «mem u euomo auto a " FEES >mpressors Ventilation 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 WOO Fie Dampers: 00 > 3HP 5 � 0 $0.0 has e8 0 srL LS Hot 0 $0.0 is I* Ca 0 ti enlace: 3 H' Ho g 0 $0.00 own -Draft Fan: 0 .0�.0Q AAA"`R�Record Mgt Fee: 1 $1 fK �Mftlt � 0 $0.00 Resid4di w W6 iC star ) Additional Fee 0 $0 00 Air Handling Units Comm. Hood: 0 $0.00 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: D $0.00 Cver 10K r:FM. n $0 0o Sapplementel Fee—$t100— gter- 0 $0.00 VAV Box: 0 $0.00 Insp. initials: Plan Check Fee $0.00 Fee Due at Permit Issuance: $129.53 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. eauneo ,`� Other 0 $0.00 ° $0,011.." 0" $0.00 �ssom` O` $0.00 :i $0.00 $0.00 Investigation: $19.00 Plan Check: $16.53 3 MA060HOS3-1 Issuance: $35.00 RIER Zoning PC: $40,00 Plan Check Fee $0.00 Fee Due at Permit Issuance: $129.53 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. 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 it the checture, prior 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, 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). 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 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' State 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 Iega11 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. Date Signature of Property Owner or Authorized Agent LICENSED CON,T.RA•CTOR'S DECLARATION I hereby affirm uIT44 gelfalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cada, and my lids in full force aJcL%je.Ct. , a 1./_ G� Contractor Si'(/lure License Glass �� License No /o/ %�� D tej t� Re NO'RKEfZS' CONDENSATION DECLARATION WARNING! FAILURE TO SEC,,,,U""RRqEWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5'100,000), IN ADDITION TO THE COST OFPOMPENS4110J'6 Vy nAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I tr4b.y,2rfirm under perfalty of perjury one of the following declarations: ++leve and will 'm* intain 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 the p ante of the work?or which this permit is issued. Policy No. LIJF4DA@and will plaintsln 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' compensatiol insurance•carrierend policy number are: cams'. Policy Number Expiration Date h40fAgent •,-,• certify that, in the performance 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 ogre t, if I should become subject to the workers' compensation of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions. nature ofApa�(R/cant CLARATION EGARDING tONSTRUCTION LENDING AGENCY ereby.affirm under penalty of perjury that there is a construction lending agency rmance of the work for which this permit is issued (Section 3097, Civil Code). for the perfo Jder'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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified p!�rppertyyfAr inspection purposes. Of ACTION DATE 8Y PERMIT OCCUPANCYISSUED OFTITLE40AND ❑ t SUBMITTED ASBESTOS NOTIFICATION TO: EPA ❑ AQMD ASBESTOS NOTIEICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: