HomeMy WebLinkAboutH2019-0189 - PermitsCity of Newport Beach - Building Division 11118111111111111111111�IIIIIIIIIII1111111111111
mot 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 8 9
Permit Counter Phone (949)644-3288.
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Job Address: 53 SEA ISLAND DR BIdg:1 Floor: Suite:
Description of Work: MECH - R/R A/C CONDENSOR. FAU. &DUCTWORK *TAMPER-RESISTANT CAP & TIMER REQUIRED*
Inspector Area:4 Code Edit: 2016
Legal Description: TR 8444 LOTS UNIT 53 OF PROJECT LOCATED ON AP 442-251-01
TOGETHER
MECHANICAL Permit: H2O19-0189
Project No:
Inspection Requests Phone (949)644-3255
Owner: EL-HINN MARK
Contractor:
ALISO AIR INC
Worker's Comp Insurance -
Address: 53 SEA ISLAND DR
Address:
29736 AVE DE LAS BANDERAS
Carrier: LIBERTY MUTUAL
NEWPORT BEACH, CA 92660
$0.00
RSM CA 92688
Policy No: WC2Z61036218098
Phone:
Phone:
949-589-2021
Expire :07/01/2019
0
Con State Lic:
526420
0
Issued Date:04/03/2019
Lic Expire:
03/31/2020
$0.00
Over) .75M BTU/hr:
Bus Lic:
BT30019236
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Processed By:
Lic Exp Date:
02/28/2020
s
FurnacesBoilers & Compressors
Up to t00K BTU/hr
1
$19.00
Over 1o0K BTU/hr.
0
$0.00
Wall/Floor Heaters:
0
$0.00
Heat Pumps & Package
Units
Up to 100K BTU/hr.
0
$0.00
Over 500K BTU/hr.
0
$0.00
LJrr to 1M BTUJbFc
0
$0.00
EJ,o°tg,1.75M%TI5/hj:
0
$0.00
Over) .75M BTU/hr:
0
$0.00
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Ventilation
Up to 3HP:
1 $19.00
> 3 HP to 15 HP:
0 $0.00
>15 HP to 30 HP:
0 $0.00
>30 HP to 50 HP
0 $0.00
>50 HP:
0 $0.00
Air Handling Units
up to 1 O CFM:
0 $0.00
Over 1 OK CFM:
0 $0.00
VAV Box:
0 $0.00
TOTAL;: $129.53
°. . .
FEES
Bathroom Fan: 0
Exhaust Fan: 0
Attic Fan: 0
Down -Draft Fan: 0
Residential Hood: 0
Comm. Hood: 0
Repair/Alter/Add: 0
Supplemental Fee:
$0.00
Fire Dampers:'
$0.00
Gas Line:
$0.00
Metal Fireplace:
$0.00
Record Mgt Fee:
$0.00
Additional Fee:
$0.00
$0.00
Model
$0.00 -
Manufacturer:
Plan Check Fee: $0.00
Other
0 $0.00
0 $0.00
0 $0.00
$0.00
$16.53 Investigation:
Plan Check:
24APB636AIssuance:
CARRIER
Zoning PC:
Fee Due at Permit Issuance: $129.53
° •: ° PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIONN
® ° Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:0�0p fa{.rrr�7 tof6:j�j5.&EP-f
Boo ocoo JO" V'ilU
ss c;, ccoc
o REQUIRED FOR
pJC DISOONNECT�
$0.00
$0.00
$0.00
$0.00
$35.00
$40.00
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) 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
ie permit to file a signed statement that he or sheds 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 civil penalty of
got 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,
lusiness 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
nproved 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
pply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 Se tion 7000P 0) of Division 3 of the Busines and Pr fessions Code, and my license is in full force
nd effect. (pl
icense Class License No Dat Contractor Signatury
VORKERS' COMPENSATION DECLARATION ' .
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penally of perjury one of the following declarations:
I 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 thi
rmance of the work for which this permit is issued. Policy No.
I have 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' compensatior
rare
carrier and policy number are:
me
Policy Number Expiration Date
'ame of Agent Phone #
]I certify that, in the performanc o he 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 agrel
Iat, if I should become subject to t e wor ' ' 'on 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date
DECLARATION REG DI TION LENDING AGENCY 10,
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).
antler'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. . o
.....•
1 have read this application and the information I have o dad is correct. . • o °.:
1 agree to comply with all applicable city and county4rdKiances and state laws relating to building construction.. ° •.
I authorize representatives of this city or county t ante fheabovei 'tied property for inspection purposes.
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ionature of Pr❑nertv owner or Authorized Anent - Print Prooertv Owner's or Authorized ADenf's Name
ACTION
DATE o BY
DECLARATION OF COMPLfANCEY161 If C:OUE Ot-
FOR OFFICE USE ONLY. •
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PERMITCANC€LLED
PERMIT EXTENDED
[3ASBESTOS NOARCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
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PERMITFINAt
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CERTIFICAT€OF
SIGNATURE:
OCCUPANCYISSUED