HomeMy WebLinkAboutH2020-0467 - Permits,�1srlrry.I- City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 4 6 7
Permit Counter Phone (949)644-3288
MECHANICAL Permit: H2O20-0467
Project No : 0172-2020
Inspection Requests Phone (949)644-3255
Job Address: 2615 BAMBOO ST BIdg:1 Floor: Suite:
Description of Work: MECH INSTALL (1) A/C UNIT NEXT TO (E) A/C UNIT @ THE SIDE YARD, "NEIGHBOR AGREEMENT & TAMPER RESISTANT CAP REQ"
REVISED 11/0312021
Inspector Area:4 Code Edit : 2019
Legal Description: N TR 4892 LOT 60
Owner: GRAMIAN KEVIN
Contractor:
OWNER/BLDR
Address: 2615 BAMBOO ST
Address:
GRAMIAN ANNETTE
NEWPORT BEACH, CA 92660
Phone:
Phone:
949-573-3093
Con State Lie:
O/B
Issued Date:08124/2020
Lie Expire:
Bus Lie:
Processed By:
Lie Exp Date:
AC Items
FEES
nacesBoilers & Compressors
Ventilation
to 100K BTU/hr:
0
$0.00
Up to 3HP:
0 $0.00
Bathroom Fan:
0 $0.00
:r 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
2 $76.00
Exhaust Fan:
0 $0.00
II/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
it Pumps & Package Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
to 100K BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
-r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
to I BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
?r 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
TOTAL: $225.37
Plan Check Fee : $225.37
Worker's Comp Insurance -
Carrier :
Policy No:
Expire :
Other
Fire Dampers:
0 $0.00
Gas Line:
0 $0.00
Metal Fireplace:
0 $0.00
Record Mgt Fee:
$0.00
Additional Fee :
$0.00
Investigation:
Plan Check:
Model:
N4A548GKCIssuance:
Manufacturer:
TEMPSTAR
Zoning PC:
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.a nd Saturday from 8:00-a.m. to 6:00 p.m.
a�
c .
i
�3
n
Q
M
$0.00
$0.00
$0.00
$66.12
$37.00
$46.25
. � gym' a� �-•
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
improved for the purpose of sale).
❑ 1, 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).
❑ I am exempt from licensure under the Contractors' State License Law for the following mason:
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 legal)
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/ca[aw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect.
License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 IN
performance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
Date
ie of Agent
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of
Date
CLARATION REGARDING CONSTRUCTION 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 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 state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
...A.......f o.....en„ n... —r nr Alh nri—H Anon/ Print Property Owner's or Authorized Agent's Name
IiNIRM
PERMIT IXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTI,9CATEOF
OCCUPANCYISSUED
DATE I BY
61 OF 77TLE40AND
1 AQ44D RULE 1403.
_ ❑ 1 SU307TED ASBESTOS N017FICATION TO:
❑ EPA
❑ _AOMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
YIGNATVRE:
Date