The URL can be used to link to this page

Home My WebLink AboutH2018-0448 - PermitsCity of Newport Beach - Building Division ��IIIIIIIIIIII'�IIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 4 4 8 Permit Counter Phone ;949)644-3288 rm u e. tr Job Address: 3 HERMITAGE LN BIdg:1 Floor: Suite: Description of Work: MECH INSTL (2) A/C UNITS @ THE SIDE YARD "TAMPER RESISTANT CAP REQ" Inspector Area:4 Code Edit: 2016 Legal Description: N TR 7223 LOT 90 Owner: SIBERIO JULIO & KELLI Contractor: SEASIDE AIR ENT INC Address: 3 HERMITAGE LN Address: 32959 CALLE PERFECTO #C NEWPORT BEACH CA 92660 SAN JUAN CAP, CA 92675 Phone: Phone: 949-496-3639 Con State Lic: 736214 Issued Date:07/2612018 Lic Expire: 08/31/2018 FurnacesBoilers & Compressors Bus Lic: BT30018420 Processed By: l t n9 1 Lic Exp Date: 0113 112 01 9 MECHANICAL Permit: H2O18-0448 Project No: 1724-2018 Inspection Requests Phone (949)644-3255 V121 La R Worker's Comp Insurance - Carrier : STATE COMP Policy No: 9076609 Expire :07/21/2019 o m momo e o omo m ommmo° WTnTPCTT0FTELD1NSPF,(1110k.S IkE.VTEWAND APPROVAL °me°mo om o m o m o 0 00 0 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 a.m. to 6:00 p.m. HVAC Items FEES oomoc FurnacesBoilers & Compressors Ventilation Other ° °oommc Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ° ° ° C o $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $66.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 KOO°°° Wall/Floor Heaters: 0 Heat Pumps & Package $0.00 Units >15 HP to 30 HP: >30 HP to 50 HP 0 $0.00 0 $0.00 Attic Fan: Down -Draft Fan: 0 $0.00 0 $0.00 Metal Fireplace: Record Mgt Fee: 0 $0.00 $0.00 0 o m Doom 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: $57.42 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 124ANS48 Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $193.92 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $193.92 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 a.m. to 6:00 p.m. IWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) lection 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 iter issuance, also requires the applicant for ie 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 n roved for the purpose of sale). 1, ase, eowner of t'6 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 owner of properly 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: ;y 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 ell 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 rofessions 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 .ICENSED CONTRACTOR'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 theusiness and Pr f Ions C and my Ii se is in full force nd effect. icense Class License No Date /t I Z6 I Contra ignalure _ WORKERS' COMPENSATION DECLARATION ... ... 01R.NING+.FAILURBTO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CAST OF; COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herepytiffirm under penalty of perjury one of the following declarations: 11 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 45tw4ance of thtUorR for which this permit is issued. Policy No. .... sg and will mipiplain 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' compensatior Isurance carrier and policy number are: !aniar.. Policy Number Expiration Date ceriiiy that, intha Derform nce o the work which this mit is issued, I shall not employ any person in any manner so as to become su ct to the workers' compensation laws of California, and agree If ?should IY ec'�� a viorke om ensa ' /r�/}visions of Section 3700 of the Labor Code, I shall forthwith comply with those visions. iature of A pli 1 G'/ ii p / [�-- P Y Pte .� hereby affirm under penalty 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) ender's Name Lender's Address y 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. 1 agree to comply with all applicable city and county ordinances d state I relating to building construction. I authorize representatives of this q 1' or county Y�`,j' er the e-Identi property for inspection purposes. innAture of Pmnerty Owner or Auth(6rized Aoent �'/ /l i Print Prooertv Owner's or Aut r' Aaent's Name �rCYt O(G�S .JF ACTION DATE RY uetvervf7viv ur urmrumvacvnrn t,vu yr ruff urr)� uac rr�vcrl FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE 1403. PERMITEXPIRED ❑ISUBMITTEOASSESTOSNO71FiCATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED P€RMITEXTEND€D ❑ ASBESTOS NOIIRCATiONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL . Is'- C€RTIFiCATEOF SIGNATURE: OCCUPANCYlSSUED