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HomeMy WebLinkAboutX2021-0314 - Permitswrvy City of Newport Beach - Building Division as 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH COMB Permit: X2021-03 Project No : Issued Date: 02/11/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 02/12/2024 OR PERMIT WILL BE INVALID 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. No work on Sundays or Holidays Job Address: 704 W PROMONTORY DR NB Description: DRYWALL REPAIR BEHIND A/C UNIT, RECONNECT A/C UNIT IN SAME LOCATION (H2O19-0662) Legal Desc.: INSPECTOR Owner: PROMONTORY POINT APARTMENTS LLC Contractor. SUBCOOLING HEATING & AIR LLC Architect: .. Address: 200 PROMONTORY DR Address: 43397 BUSINESS PARK DRIVE D2 Address: ' NEWPORT BEACH, CA 92660 TEMECULA, CA 92590 Phone: Phone: 961-587-3887 Phone: State Lic: Applicant: SUBCOOLING HEATING & AIR LLC Address: 43397 BUSINESS PARK DRIVE D2 TEMECULA, CA 92590 Phone: 951-587-3887 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $500.00 Building Permit Fee: $110.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $115.40 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 1011603 Engineer: Lic Expire: 02/2612021 Address: Bus Lic: BT30069434 Lic Exp Date: 1101311120211 Phone: Worker's Compensation Insurance Designer: Carder: COMPWEST INS Address: Policy No: WCV6504431 Expire: 08/31/2021 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4.40 $0.00 State Lic: Special Conditions: SUB CONTRACTOR AGREEMENT ATTACHED Fire Hazard Zone : Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PrW Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $115.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -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 civilpenalty, 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 U 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) seh a strt,cture 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. S.gn3turc of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby iffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of Division 3 of the Business and Pro ions Code, and my license is in full force aild ei fect. License Class License No Data N;'T. Contractor Signature INURKERS' COMPENSATION DECLARATION ✓DARNING: 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 COLT CF O3MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby cffirm ur.der per.alty of perjury one of the following declarations: Q I have and will mairtain 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 pep,orn7ance of the wurK; For which this permit is issued. Policy No. Al, 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' compensatiol s nce carrier and policy number are: :arrier Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the pe rmance 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 hat, if I should be bject to the workers' compensation provi ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant'- pplicant Date )ECLARATION REGA G CONSTRUCTION LENDING AGENCY hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil de). -ender's Name Lender's Address 3y 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 coun ordinances and state laws relating to building construction. I authorize representatives of this city or county ena ov Tiler the e-identified property for inspection purposes. �4 31 nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name v` \M,\ Dat i`t-�'� ACTION DATE BY D LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 71 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED ^ 1�/iI b.(J�- A�-- 7 ASBESTF�S NOTIFICATION IS N APP CABLE TO OPOSED DFjv10LITION ATURE: (�