The URL can be used to link to this page

Home My WebLink AboutH2021-0330 - Permits� r � City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 3 0 Permit Counter Phone (949)644-3288 . u: P'�craaiun"'s Job Address: 304 GOLDENROD AVE BIdg:1 Floor: Suite: Description of Work: MECH INSTALL (2) A/C UNITS @ THE ROOF DECK "TAMPER RESISTANT CAPS REQ" Inspector Area:5 Code Edit: 2019 Legal Description: CORONA DEL MAR LOT 4 BILK 234 NELY 20 FT(AND SWLY 20 FT LOT 6 BLK 2 34 Owner: 304 GOLDENROD LLC Contractor: Address: 304 GOLDENROD AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:05 021 Lic Expire: Bus Lic: Processed By. Lic Exp Date: MECHANICAL Permit: H2O21-0330 Project No : 2185-2019 Inspection Requests Phone (949)644-3255 • y/q- r�, � Q. 9`F k . es•"°o ISP E • •°° C C C C HEATING & AC INC Worker's Comp Insurance - .°°°`° • ° •°, 606 E LINCOLN AVE Carrier: CHUBB ORANGE CA92665 Policy No:000071772565 «• °+Gt' 714-637-7021 Expire :11 /11/2021 O ••9«. 451863 01131/2022 BT30029124 r a�6 CC 09/30/2021 (, k� Olo NO �� w'T)BJECTTOFIELDINSPF.CTfiRR ' REVIEW A1.rn Ant- __ - VAC Items FEES urnacesBoilers & Compressors Ventilation � �� Other p to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $42.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 ver 100K 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 fall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 p to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 ver 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $36.54 p to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: TCHE36S41ssuance: $37.00 p to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK ver 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $161.79 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $161.79 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. )WNER-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 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, priorto its issuance, also requires the applicant for he 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 Busineas 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 lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that She mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Tlproved for the purpose of sale). I, as owner�of Wpiroperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner 0property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1-." exam{Rfrpm'ILcensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallt 416a 9tsucture that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rof¢s%lons Codt, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 3gnatare of Prop" -Owner or Authorized Agent Date IG�rMED CONTRACTOR'S DECLARATION Aerelay affirm Drir%$ penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business d Professions n y license is in full force 4d@fit. s Class License No D ` e — Cl Contractor Sign e ,VORKFRS' QOMRNSATION DECLARATION IWIN,Gi FAILURE fd' SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE LOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •• • Ife4eb`y affirm un erupenalty of perjury one of the following declarations: 7 I have and will maintain 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 s4ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance of the wor Ich this permit is issued, I shall not employ any person in any manner so as to become subje t to the workers' compensation laws of California, and agree t, if I should me subject to the a ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p visions. nature of pli nt CLARATION REGARFDIKCONSTRUCTION LENDING AGENCY �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). lder'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 a laws relating to building construction. - I authorize representatives of this city -or. o Rty to ant the-IdentifiecLoroperty for inspection purposes. S"' ACTION DATE BY DECLARATION OF COMPLIANCE INITH CODE OF FOROFFICEUS€ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS W17FICATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOSNO77RCATIONISNOTAPPLICABLETO PROPOSEDDEMOLITION. PERMIT CANCELLED PERMITEXTENOEO PERMIT FINAL CERTIFIC4TEOF SIGNATURE: 6CCUPANCYISSU€D