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HomeMy WebLinkAboutH2020-0467 - Permits (2)�*ti ro is City of Newport Beach - Building Division H2O20-0467 MECHANICAL Permit: H2O20-0467 o 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0172-2020 E:,. K Permit Counter Phone (949)644-3288 °'Ir ��Iwr�'° Inspection Requests Phone (949)644-3255 Job Address: 2615 BAMBOO ST BIdg:1 Floor: Suite: Description of Work: MECH I�NSTALL/(22)) AIC�UCN�ITS @ THE SIDE YARD, "NEIGHBOR AGREEMENT & TAMPER RESISTANT CAP REQ" I' ® t� SPEbj InspectorArea:4 Code Edit: 2019-�� tl,ni' 0 Legal Description: TR IN 4892 LOT 60 j'.d Y Owner: GRAMIAN KEVIN Contractor: OWNERIBLDR Worker's Comp Insurance - Address: 2615 BAMBOO ST Address: GRAMIAN ANNETTE Carrier: NEWPORT BEACH, CA 92660 Phone: Phone: Policy No: SUBJECTTOFI!EL))(P1SPF,CTO^'^ 949-573-3093 Expire r , : REVJEWAivDgpI;kOVAI, Con State Lic: O/B Issued Date:0912412 o Lic Expire: TIMER REQUIRED ON Bus Lic: EQUIPMENT Processed By: � Lic Exp Date: TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. AC Items FEES nacesBoilers & Compressors Ventilation Other to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 it 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $76.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $66.12 to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: N4A548GKCIssuance: $37.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TEMPSTAR :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $225.37 Plan Check Fee : $225.37 Fee Due at Permit Issuance: $0.00 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. DECLARATION 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to thm 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 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 Oivisicn 3 of the Business and rro ssions 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 applcant to a civil penalty of more than five hundred dollars ($500). I, 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 sole (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 the Tlprovements 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 far 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 Ipply to an owT^r cf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate license Law). J I am exerr.p' ',:cm licensure under the Contractors' State License Law for the following reason: 3v mV 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 it is permit, I cannot Iegall, all a structu.a th,.t I have built as an owner builder if it ha not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, ctlon 7044 cf th Business ness and Iroressions Code, is available upon request WtlerYtl>4i.9t» 3♦iOF-ii.LMhrnitied or at the following Web site:hltp:f/www.leginfe.ca.govimlaw.html.—u�l-�Il -1// [l signature of Property Owner or Authorized Agri! U ACENSED GOII, RACTOR'S DECLARATION hereby affirm uilc r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TOGO) of Division 3 of the Business and Professions Code, and m=, license Is in full force iod effect_ 1 71 - _i^cnse Cfas:; License No Date Contractor Signature VCRKERS';COMPE=NSATION DECLARATION TRV'IG- FAILURE TO SECURE WORKERS COMPEnSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECTAN:EMPLOVERTI) CRIMINAL PENALTIES AND Cif PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE .OST JF COMPENSATIUb, DAMAGES A$ PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, UITEREBT. AND ATTORNEYS FEES. hereby affirm alder penalty of perjury one of the following declarations. I nave and will maintain a certificate of consent to self -Insure for walkers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 or the Labor Code, for th erfornance of hro work for which this permit is issued. Policy No. :1I have 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' compensation. lsurance carder and policy number are: Policy Number of Agent Date codify that, in the performance of the work far which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lava of California, and agre t, if I shout come subject tone workers jmpensation provisions of Section 3700 of the Labor Code, i shall forthwith comply with those Jprovisions. / nature of 'cant L�1e I` CLARATI N REG gRDM CO T CTION LENDING AGENCY ereby affirm under penalty of perju h t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider'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 stale laws relating to building construction. I authorize representatives of this city or county to entgrthe above -identified property for inspection purposes. _ / A Owner or ACTION By FEDERAL REGULAT)ONSPART 61 OF 77R E40AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO. - EPA ❑ AQMD ❑ ASBESTOS NOTIflCATIONIS NOT APPLICABLE TO PROPOSED DEMOITUON. CfR7ff AIIVI c ( T I r% I I SIGNATURE: