HomeMy WebLinkAboutH2019-0075 - PermitsCity of Newport Beach - Building Division H2O19-0075 MECHANICAL Permit: H2O19-0075
100 Civic Center Drive, Newport Beach CA 92660 Project No: 1427-2017
Permit Counter Phone(949)644-3288 -
+yr - Inspection Requests Phone (949)644-3255
Job Address: 429 ISABELLA TER BIdg:1 Floor: Suite:CI € x 0k
Description of Work: MECH/ NEW A/C (3) "TAMPER RESISTANT CAP REQ" a
Inspector Area:5 Code Edit: 2016
Legal Description: N TR 1237 LOT 158
Owner: 429 ISABELLA LLC Contractor: MC MURRAY KEN CONSTR Worker's Comp Insurance -
Address: 429 ISABELLA TER Address: 600 DIAMOND STREET Carrier: EVEREST NATL
RONAD L MAR, CA 92625 LAGUNA BEACH CA 92651 Policy No 7600009958171
Phone:�tw-
:072/08/2019
-533-802 Phone: 949-533-8023 Expire :10/01/2019 • ° ° °
Con State Lic: 445746
Issued D Lic Expire: 09/30/2019 ° • • • a ° ° °
Bus Lic: BT30059066 ° °O
Processed By: Lic Exp Date: 05/31/2019 SUBJECT TO pip) I) INSpp(, P °s
REVIEW ANDA11"8]ZO)VA4-
°° •
HVAC Items FEES ° ° °
FurnacesBoilers&Com pessors Ventilation Other
Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 Bathroom Fan: 0 _ $0.00 Fire Dampers: 0 $0.00 o°°°om $0.(10
Over 100K BTU/hr. - 0 $0.00 > 3 HP to 15 HP: 1 $35.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 ° $0.D0....
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 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: $63.51
Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: GSX140601KI361K Issuance: $0.00
Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Feer $10.00 Manufacturer: GOODMAN
Over 1.75M BTU/hr. 0 ` $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00
TOTAL $186.51 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $186.51
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 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 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
is 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). v
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,
Wsiness 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
Ti roved for the purpose of sale).
I, 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).
I 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.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm unpgypenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess i de, and m h rue-isa ull force
nd effect. •�••••
icense Class License No Date Z-8 Contractor Signature
.•••••
YORKERS' C .VPEVSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 0 R5 (3110,00D(, IN ADDITION TO THE
PSI C6 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hgreby affirm upfl8f9pepally 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 thr
nce of theocl%for which this permit is issued. Policy No.
00
• •.
1190 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' compensation
rsuf a carrier and policy number are:
•
lar er • • • .... Policy Number Expiration Date
cer{ify that, Indha performance of the work for which this permit is i hall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
, if I should become subject t r ers' com sati orovi as-efSectio 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applican Date /
:LARATION REG RD b STRUCTION LENDINCYA NCY
reby affirm under penal 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).
der's Name Lender's Address
Try signature below, I certify to each of the following:
1 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ter h e -I Rii#ied arty for inspection purposes.
lature of Prooertv Owner or Authorized Agents Print Property Owners or Authorized Agent's Name
ACTION DATE ` ! BY
url-LR1fHTOUR Ur a-UlwrUAIV.c rvl r n a.UUc air
FEDERAL REGULA TIONS PART 61 OF TITLE 40 AND
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