HomeMy WebLinkAboutH2016-0068 - PermitsCity of Newport Beach - Building Division I11111111111111111111111111111111111111111111111111111
O4 O 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 6 0 0 6 8
Permit Counter Phone (949)644-3288
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Job Address: 505 PLAYA Bldg:1 Floor: Suite:
Description of Work: MECH - CONDENSER @ REAR YARD "TAMPER -RESISTANT CAP REQUIRED"
InspectorArea:3 Code Edit:
2013
Legal Description: N TR 7166 LOT 3
Owner: DEAL TIMOTHY & JILL
Contractor:
WHERRY CONSTRUCTION
Address: 505 PLAYA
Address:
2351 SABLE TREE CIR
NEWPORT BEACH, CA 92660
TUSTIN CA 92780
Phone:
Phone:
714-402-6270
Con State Lie:
486638
Issued Date:02/08/2016
Lie Expire:
02/2812018
Bus Lie:
BT00013810
Processed By:
Lie Exp Date:
09/30/2016
MECHANICAL Permit: H2O16-0068
Project No
Inspection Requests Phone (949)6443255
4i
Worker's Comp Insurance -
Carrier : NORGUARD INS CO
Policy No: JEWC666164
Expire:01/31/2017
HERS VERIOW100 REQ
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $18.00
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:
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: $31.32
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
1 $18.00
Model:
COMFORTMAKER
Issuance:
$32.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
HC4A3
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
TOTAL:
$99.32
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$99.32
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
SITB)ECT TO FIELD INSPECTOR'S
REVIEW AND APPROVAL
OWNER -BUILDER DECLARATION
I hereby affirm underpenalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(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
O,cfessio,is --de) cr that he or she is exempt from Iicensure 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).
❑ 1 as owrcr a`:hs 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,
3ummess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' of 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
imprcved for the PLrpose of sale).
L.1 I, as owner of toe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
^pply to an owx;r cf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ cI am exempt SrGm Iicensure under the Contractors' State License Law for the following reason:
Py m,'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
Profeisions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONT?YA.CTOR'S DECLARATION
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 P essions C �, al my license is in full force
and effect. `/
-dense Class License No Date —2� �� Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH SAND DOLLARS (E1 , IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:VI 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 th
mance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
ie of Agent
certify That, in the perfo a of
if I should become s _ Iect to the
iature of Applicant,
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision
Date
�reby affirm under penalty of q&jury that there is Acdnstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name vy 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 o ., and state laws relating to building construction.
I authorize representatives of this city or county nter the I ove-'d I loperty for inspection purposes.
nature of Property Owner or Authorized Agent /�� Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITIT CODE OF
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS MORFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS N077RCAIION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USE ONLY
PERMIT EXPIRED
a - - - "'
_
PERMIT CANCELLED
PERMIT EXTENDED
PERM? FINAL
CERTIRCATEOF
OCCUPANCY/SSUED
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