HomeMy WebLinkAboutH2018-0436 - Permitswt City of Newport Beach - Building Division H2O18-0436
100 Civic Center Drive, Newport Beach, CA 92660
. Permit Counter Phone (949)644-3288
Job Address: 2854 CAROB ST BIdg:1 Floor: Suite:
Description of Work: MECH A/C UNITS (2) *TAMPER PROOF CAP REQ*
Inspector Area:8 Code Edit: 2016
Legal Description: N TR 5018 LOT 117
Owner: ACOSTA JONATHON
Contractor:
Address: 2854 CAROB ST
Address:
NEWPORT BEACH, CA 92661
FEES
Phone: 714-730-2723
Phone:
Con State Lic:
Issued Date:07/24/2018
Lic Expire:
FurnacesBoilers & Compressors
Bus Lic:
Processed By:
Lic Exp Date:
GUENTHNER VON CONSTRUCTION
30367 PASEO DEL VALLE
LAGUNA NIGUEL CA 92677
714-632-8565
566158
09/30/2018
BT00012684
11/30/2018
MECHANICAL Permit: H2O18-0436
Project No: 2313-2017
Inspection Requests Phone (949)644-3255
HVAC Items
FEES
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FurnacesBoilers & Compressors
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a°
°
Worker's Comp Insurance -0
Other
Carrier: EXEMPT
V. °.
S.
Policy No: NO EMPLOYEES
Up to 3HP:
2 $36.00
Expire
ommm
Fire Dampers:
0
o�oo
$0.00
0
m m
0
$0.00
omomom
0
0 $0.00
Exhaust Fan:
om m
e m m
00 0
om0000
o
ommo
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $36.00
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
$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 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:
$31.32
Up to 1 M BTU/hr:
0
$0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
24APB6
Issuance:
$33.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$37.50
TOTAL: $137.82
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$137.82
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.
VNER-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)
fiction 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, applicpnt for
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 t'ne Business and
�fessions 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
more than five hundred dollars ($500).
1, 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,
ainess 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
)rovements 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
(roved for the purpose of sale).
I, as owner of�t�%property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
fly 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 plr-exemptfrom Licensure under the Contractors' State License Law for the following reason:
my signature.below iacknowledge 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
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
%%l8ns Code, fs available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Proppe�rtOwner or Authorized Agent Date
:FUSED CONCTOR'S DECLARATION
freby affirm undebpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi f5 Section 7000) of Division 3 of the Business and fofess'ons Code, and my 'een a is in full force
I•dF2pt. .:..
fisc Class License No Dat '7— 2- 4 --18 Contractor Signature
V?KCRS' CQMPEjJSATION DECLARATION
JNINGG. FAILURLPYd9BCJQARE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
�i OC COMPENSATION, VAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
;%1V%ffirm Ikn!l@r gValty of perjury one of the following declarations:
• ••
I have and will maintain a certificate of consent to self -insure for workers' compensation,
ormance of the work for which this permit is issued. Policy No.
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
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'
carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
JI certify that, in the performance of the work for which this permit is issued, I shall not employ.any person in any manner so as to become subject to a workers' compensation laws of California, and agree
iat, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ons. �`
signature of Applicant D -2 —;Lie
IECLARATION REG RD CONSTRUCTION LE If G AGENCY
hereby affirm under e y perjury that there is c tr t?on lending agency for the performance of the work for which this permit is issu d (Section 3097, Civil Code).
ender's Name A4 -t 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.
I agree to comply with all applicable city and county7brdinances and laws relating to building construction.
1 authorize representatives of this city or county t r the above -i entifi d prpperty for inspection purposes.
Owner or Authorized
AEON
DATE BY
DECLARATION OF COMPLIANCE WITH CODEOF /
FOR OFFICE USE ON
FEDERAL REGULATIONS PART 67 OF TITLE40AND
AOMDRULE1403.
PERMITEXPIRED
❑ t SUBMITTED ASBESTOS M077FICATIOIV TO.
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
[3 ASBESTOS NORACARONIS NOTAPPLICABL.E TO
PROPOSED DEMOLITION.
PERMITF1NAt
-
3 '
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: