The URL can be used to link to this page

Home My WebLink AboutH2019-0610 - Permitsna4r City of Newport Beach - Building Division III 111411p111111111111111111111EII IIE III MECHANICAL Permit: H2019-0610 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 6 1 0 Project No : 0781-2018 h +; Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 46 TIMOR SEA BIdg:1 Floor: Suite: Description of Work: MECH - R/R (2) A/C CONDENSORS. TAMPER -RESISTANT CAPS REQUIRED Inspector Area:6 Code Edit: 2016 Legal Description: Owner: 320 LLC Contractor: Address: PO BOX 22926 Address: HOUSTON, TX 77227 Phone: 713-491-1137 Phone: Con State Lic: Issued Date:10/07/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: OROZCO GUSTAVO D Worker's Comp Insurance - 14 CORTONA Carrier: EXEMPT IRVINE CA 92614 Policy No: 714-393-0303 Expire 376600 0913012020 BT30064623 1013112019 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 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 1oOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $34.80 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A41ssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY & NIGHT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $151.30 a r 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 q.m. to:6:00 p.m. a a a ER -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 7031.6, 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 (_) 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 improved for 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 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: 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 legall) 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/calaw.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, nd my license i5 in full force and effect. License Class License No Date j0 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 T NE HUNDRED T SAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 the 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 Agent Date 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 agre lould become subjec /jJ{Ie workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant�ee1/Cll �� py Date/ 1TION REGARDI NSTRUCTION LENDING AGENCY Ireby affirm under penalty of pdyury 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county o nances and state laws relating to building construction. U� ORO ZIU I authorize representatives of this city or county n the above -identified property for inspection purposes. /� %� nature of Prooertv Owner or Authorized Agent 0�-4 `�--�� Print Prooertv Owner's or Authorized Aoent's Name ON r Cam(, L'— _ Date to /7 ACTION DATE V BY OLLLAHAUUN LIP LUMPUANLL WI r H CLAUL OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40AND PERMITEXPIRED AQMD RULE 1403. ❑ L SUBMITTED ASBESTOS NOTIFICATION TO: PERMITCANCELLED-- ❑ EPA PERMITEXTUJDED ❑ AQMD ❑ ASBESTOS NOTIFICA170NIS NOTAPPUCABLE TO PERMIT FINAL q PROPOSED DEMOLITION. CERTfFfCATE OF OCCUPANCYISSUED SIGNATURE: