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HomeMy WebLinkAboutH2020-0466 - Permits (3)0City of Newport Beach - Building Division IIIIYIIIIIIIIYIIIIIIIIIIIIIYIIIYIIIIIIIIIIIIII MECHANICAL Permit: H2O20-0466 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 4 6 6 a Project No: 1403-2020 i ;Permit Counter Phone (949)644-3288 v, p15f� Inspection Requests Phone (949)644-3255 Job Address: 1005 GRANVILLE DR BIdg:1 Floor: Suite: Description of Work: MECH (1) A/C UNIT ON GROUND 'TAMPER PROOF CAP REQ` InspectorArea:4 Code Edit: 2019 Legal Description: TRACT 148 - OCATED ON AP 442-421-13 k. r If a0pl able: Owner: MCINTOSH TH E 3( et yIIDIER{BEDI2-- Worker�s 87,) p e o Address: 2831 BAYS RED• c ress: 0 ` aciie�4JJ NEWPORT ACH, CA 92663 Policy No: Phone: 949-280-604 0EL p °©000 QonAUNBC f0 �fhOm:Ex ire: Issued Date:o8/z4/2o20 s TINIER REQUIRE ON EQUIPMeNj ° Processed By: Lic Exp Date: TO SHUT OFF 6ETWE T ° o O P.M. AND F°AaM.P R E D ®° ° HVAC Items FEES •nacesBoilers & Corr to 100K BTU/hr: 0 :r 100K BTU/hr: 0 II/Floor Heaters: 0 it Pumps & Package to 100K BTU/hr: 0 :r 500K BTU/hr: 0 to 1M BTU/hr: 0 to 1.75M BTU/hr: 0 ;r 1.75M BTU/hr: 0 >U to 3HP: 1 $21.00 Bathroom 3 LIP to 15 HP, ItExhaust Fa >1 a0 0 I tAftic Fan:: ' 3 0 0.00 Down -Draft Fan: >50 P�p� rk StdlQe�{ 0.00 . Residential Hood: Air H r10�ng nits Comm. Hood: up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: Over 1 OK CFM: men al Fee: 0 $0.00 icof pian i 0.00 Meal Fir ce: 0 0(,riC osorlCl �rWee: 0 $0.00 Additional Fee: 0 $0.00 Plan Check Fee: Other $0.00 $0.00 Investigation: $0.00 Plan Check: $18.27 actor Issuance: $37.00 $0.00 IftSa7y!" '�IS.� _ Zoning PC: $46.25 $0.00 Fee Due at Permit Issuance: $122.52 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. DINNER -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, 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 LrThroved for the purpose of sale). I, IS owner of the property, am exclusively contractin ith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ray''p�Tlpl o an owner"JADperty, who builds or improves th eon, and wh contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I.,,r 1 am. xempt It M licensure under the Cant�etm ;' ,li t� I�ns�vylf ff& following reason: ucture that Iheve b ilt as an owner -build i 0 n constructed in ' s entirety by nsed contractors. I understand that a copy of the applicableiaw, Section 70 of the Busine s and ;ns Code, � avails a upqoj��I�j� a-�st wh ap f is m'tted or t� olbwing .http //v/ W_I4g f . a.gov/calaw.html. j e of Propgrty Orris or At a ent //Ili �` N Date 'ED CONTRACT R'S DECLARATItnnde affirm under penal of pe 'u th am lr p, visiork of Cpter gQm _ Sectio©0@/oi�torCafkt{PBusiness and Professions Cod , an my license is in full force Bv"�Class Li i ;L ,` " e Contractor Signature -RS'COMPE'N1�S__ 10, DEC Tt0 whom: i1ILUREA 410 E RKE TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED *OUSAND DOLLARS I$100,0001, IN ADDITION TO THE ;OMPENSAWI®N, DMMA S AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEY'S FEES. I have and;M"Antain a ce4a=onse H-i fo rs c y ti e y t Director of Industrial Relations as provided for t'Section 3700 of the Labor Code, for performance of the work for hich issu PolI have and will maintain rkeLion suranceas requNed by echon 3700 of the Labor Code, for the performance of the work for which this 1lermit is issued. My workers' compensationsurance carrier and policy mber E 4 Carder Policy Number Expiration Date a Name of Agent I certify that, in the pe o 0 0 hi l pmit s I. h II not employ n o t o t1 worker' compensation laws of California, and agre that, if I should become s j rs 0mp s d ec ion 3700 of the L o ode, I shall forthwith compl with t ose pro i ions. Signature of Applicant r '-t C./(�.�, no work staierJ) Date DECLARATION REGARD O STRUCTION LENDI G AGENCY 1 hereby affirm under pen Ity f rju that there is a construction lending agency for the performance of the work for which this permit is issued a 'on 3097, G)Yvil Code). Lender's Name By my signature below, I Car to each of the following: I am the property owner authorized to act on the property owner's behalf. Insp. initials: I have read this applicati and the information ave rov'ded is correct. I agree to comply with all s re a i o uI mg construction. I authorize representatives of this city or county t e above-idanti e p pe for inspection purposes. Signature of Property Owner or Authorized Agent si Print Propertv Owners or Authorized Agent's Name ACTION DATE BY OECLARA770NGFCOMPLJANCEMTHCODEOF FOROFRCEUSEONLY 01 FEDERAL REGULATIONS PART 61 OF T17LE40AND AGMD RULE 1403. ❑ ISUBM17TEDASBESTGSN071FICATIO14TO ❑ EPA ❑ AOMD PERMITEXPPRED 2 PERMITCANCELLED PERMIT EXTENDED ❑ ASLTESTOS N017RCAT701VIS NOT APPLICABLE TO PROPOSEO DEMOLITION. PERMIT FINAL CERTIRCATE OF SIGNATURE: OCCUPANCYtSSUED