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: