HomeMy WebLinkAboutH2018-0752 - Permits4w City of Newport Beach - Building Division MECHANICAL Permit: H2O18-0752
0 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 7 5 204 Project No :2348-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 2006 LEEWARD LN BIdg:1 Floor: Suite:
Description of Work: MECH - (2) A/C CONDENSORS. TAMPER-RESISTANT CAPS REQUIRED. TIMER REQUIRED ON #1
InspectorArea:3 Code Edit: 2016
Legal Description: N TR 3801 LOT 19
Owner: MILLER GRANTILACEY Contractor:
Address: 2006 LEEWARD LN Address:
NEWPORT BEACH, CA 92660
Phone: 949-939-3133 Phone:
Con State Lic:
Issued Date:11/30/2018 Lic Expire:
Bus Lic:
Processed By: Lic Exp Date:
BEST QUALITY HEATING & AIR INC
130 A E COLLINS AVE
ORANGE CA 92867
714-759-0167
949468
06/30/2020
BT30060260
08/30/2019
Worker's Comp Insurance -
Carrier: HARTFORD CASUALTY
Policy No: 57WCDE60686068
Expire :05/10/2019
"� RCHM
Other
0 $0.00
FEES
$0.00
rnacesBoilers & Compressors
Ventilation
$0.00
0 $0.00
to 100K BTU/hr:
0
$0.00
Up to 3HP:
2
$38.00
Bathroom Fan:
0 $0.00
Fire Dampers:
Br 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0
$0.00
Exhaust Fan:
0 $0.00
Gas Line:
ill/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0 $0.00
Metal Fireplace:
A Pumps & Package Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
to 100K BTU/hr:
0
$0.00
>50 HP:
0
$0.00
Residential Hood:
0 $0.00
Additional Fee:
:r 500K BTU/hr: ,.
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
to 1M BTU/hr:
0
$0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
w 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
C"2
TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $146.06
PERMITS EXPIRE 980 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 a.m. to 6:00 p.m.
Other
0 $0.00
$0.00
0 $0.00
$0.00
0 $0.00
$0.00
$0.00
Investigation:
$0.00
Plan Check:
$33.06
NH4A41ssuance:
$35.00
TEMPSTAR
Zoning PC:
$40.00
TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $146.06
PERMITS EXPIRE 980 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 a.m. to 6:00 p.m.
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 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
he 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
3rofessions 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
iot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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 ..
mprovements 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
m roved 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 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 legally
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://ww .leginfo.ca.gov/calaw.html.
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 P ofessions Code, and icense is in full force
and effect. C,4License Class License No Date ^ Contractor Signatur
WORKERS' 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 HUND ED THOUSAND DOLLARS ($100,000), 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:
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
p mance of the work for which this permit is issued. Policy No.
101 ave 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' compensatio
Insu ante carrier and policy number are:
ler Policy Number Expiration Date
TIE 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' compens ton laws of California, and agre
I, if I should become subje t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiop . �G
nature of Applica t Dat
CLARATION RE R fN CONSTRUCTION LENDING AGENCY
)reby affirm under penalty o erjury that there is a construction lending agency for the performance of the work for which this permit is issued Se do 3097, Civil Code).
ider's Name Lender's Address
my signature below, 1 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. A5
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 count t7n r the above- tified property for inspection purposes.
mature of Prooertv Owner or Authorized Agent y O /s'LC_- r✓1'y. Print Property Owner's or Authorized Agent's Name-- Date
ACRON I DATE I [, BY
PERMITE IIED
PERMIT
TINAL
PARTBT
❑ 1 SUBM ITEDASBESTOS M071F/CATION TO:
❑ EPA
❑ AOMD
❑ ASBESTOS M017RCAIIOMIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: