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HomeMy WebLinkAboutH2022-0233 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIII[llllllllllllllllllllllllllllllll :mot 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 3 3 Permit Counter Phone (949)644-3288 Job Address: 227 JASMINE AVE Bldg:1 Floor: Suite: Description of Work: MECH INSTALL A/C UNIT @ THE ROOF DECK "TAMPER RESISTANT CAP REQ" REPLACE EXPIRED H2O20-0100 Inspector Area:5 Code Edit: 2019 Legal Description:. RESUB OF CORONA DEL MAR LOT 27 BLK 136 NELY 20 FT(AND SWLY 10FTLOT Owner: DANZ TAD Contractor: Address: 774 MAYS BLVD #10368 Address: INCLINE VILLAGE NV 89451 Phone: 714-328-6666 Phone: Con State Lic: Issued Date:05/0312022 Lic Expire: Bus Lic: Processed By: Lic Exp Date: MECHANICAL Permit: H2O22-0233 Project No : Inspection Requests Phone (949)644-3255 DE X 33" DEPTH REQUIRED FOR A/C DISCONNECTS OWNER/BLDR Worker's Comp Insurance - DANZ TAD Carrier: Policy No: 714-328-6666 Expire O/B HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other ' Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 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 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00_ Up to 100K BTU/hr: 1 $22.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: ($90.28) Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $38.28 Up to I BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: MSZ-GL-18NA-Ul Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $82.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $82.00 - o © O r®6 096 PERMITS EXPIRE 1801 4 tS %F27ER I�S!1A (C_- OR t AST- VALID INSPECTION Construction Hours: Monday - Fridalt 6130 pm� cd aaaurefay from 8:00 a.m. to 6:00 p.m. C F+Gu o 9®a G oe>�� O o 0 000 .0 O B G 00 0 e OWNER -BUILDER DECLARATION I hereby affirm underpenalty 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 appt�ble 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 ap giantfor the permit to file a signedJlstatement 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) of th'afjhe'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 handre1 dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and ProfessionsCode Tbe..Gontractors' 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 � ents are not inte�ded 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 fbathe purposeOf'sale). I, as ow `er 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 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). am exempt from licens-um- under the Contractor`s Sfate_License Law for the following reason: By my signature below I acknowl'ed'ge' 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 legally sell a structure that i have,tiullt 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 t e Bu iness and Professions Code, is available upon request wheikthA applica on is subrMtted o t the following Web site:http://www.leginfo.ca.gov/calaw.htmI. Signature of Property Owneir or Authorized Agent4= D LICENSED CONTRACTOR'S DECLARATI N 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 ($100,000), 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: ❑ I have and will tnaihtiain'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 performance of the work for',which this permit is issued. Policy No. ❑I 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' compensatioi insurance carrier and policy' number are: ie of Agent _ certify that, in ,`if I should bE iignature of Applica iECLARATION REC hereby affirm under ender's Name y my signature belo I am the property I have read this'- I agree to comply I authorize repre: signature of Property Policy Number Expiration Date _ Phone # Trrance 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 agre je to the work ' com sation provisions Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da GI V VG CONSTRUCTION LENDING AGENCY y,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). Lender's Address fy to each of the following: it authorized to act on the property owners behalf. ,n and the information I have provided is correct. 1, t applicable city and county ordinances and state laws relating to building construction. [ s of this city or county o e t e abov en ro erty for inspection purposes. � a1 �r Authorized Agent - Property Owner's or Authorized Agent's Nam _25 e 14i"TfON DATE BY DECLARATION OF COMPLIANCE NCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REG€ICri OF 7I7 E4A1'�€} `AO:'t�DRUkEI P 0 , 1 v sa9STE`Pf QED C M S-10-AffTE;�-?)AS£'fC'S A94FICATION TO. ❑ AQM0 PERF.GTO(T NDED3 ASBESTOS NOURC47IONIS NOT APPLICABLE TO c ` i SrEZ3,D I Lf ?aa t , Si IVA PER IT FIN 12 CE:i PZC4TE GF { OCCUPANCYfSSf *`Eta