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HomeMy WebLinkAboutH2018-0230 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111 IN 1111111111111 o'. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 2 3 0 Permit Counter Phone (949)644-3288 Job Address: 10 VIA DIAMANTE Bldg:111 Floor: Suite: Description of Work: MECH -ADD A/C (X2016-3587) TAMPER RES CAP REQ (TIMER REQUIRED) InspectorArea:6 Code Edit: 2016 Legal Description: Owner: JABR TAMER NEWPORT Contractor: J D L CONSTRUCTION Address: 10 VIA DIAMANTE Address: 15375 BARRANCA PKWY G102 NEWPORT COAST CA 92657 HVAC Items IRVINE, CA 92618 Phone: 714-743-9791 Phone: 888-847.0823 Con State Lie: 801389 Issued, Date:04/17/2018 Lie Expire: 10/31/2019 . ` Bus Lie: BT30038095 Processed By: C Lie Exp Date: 01/31/2019 MECHANICAL Permit: H2O18-0230 Project No : 2239-2016 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : NORGAURD INS Policy No: JDWC820756 Expire :09/1212018 •••• e 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 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 ° ° o $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 I OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigalion:• ° ° $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 PlanCheck;. . $15.66° ° ° Up to 1M BTU/hr: 0 $0.00 up toIOKCFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: ML14XC1 Issuance:°°•••0$33.00••• Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $104.16 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $104.16 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. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 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). ❑ 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). ❑ 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:hftp://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 ProfessionsCCode, and my license is in full force and effect. �( 6� ,License Class License No Date,/ — `�'� % (9 Contractor Signature — - WORKERS' COMPENSATION DECLARATION WARNING: FAILUR6{dAtpRE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION tO THE DOST OFC OMPENSRngtl9DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ltftfelTysaaffirm under penalty of perjury one of the following declarations: ` ❑ I have and wig 67htain 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 r 19nce of thework for which this permit is issued. Policy No. ep1 e and wig mailain 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' compensatioi raace carrier and pblicy number are: Oeprier • •' Policy Number Expiration Date t c-4rgfy that, ip the Qerformance 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 at, if f should•becsme subj to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. g rjpure of Appplicant /"' Date SG`LARATIOKI1FQA(2DI CONSTRUCTION LENDING AGENCY ereby 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). rider'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 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 rdinances and state laws relating to building construction.a U LC1 I authorize representatives of this city or county ty nter the above -identified property for inspection purposes. Print Property Owner's or Authorized Agent's Name anature of Prooertv Owner or Authoriz�� µ� M Z _ t� �� r^ Date ed Alien 1'+�_ AC77ON DATE BY DtLLAKA r IUN UI" LUMVLIANLL WJ r H LUDED FEDERAL REGULATIONS PART 01 OF TITLE40AND KPIRED AOMD RULE 1403. f SUBIWTTEDASBESTOS NOTIFICATION TO: ANGERED ❑ EPA 'KTENDED ❑ AQMD ASBESTOS RONlS NOT APPLICABLE TO INAt �p / J^ P❑ RROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: