HomeMy WebLinkAboutH2018-0268 - Permits,t City of Ne ort Beach - Building Division III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
100 0,mc Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 2 6 8
Permit Counter Phone(949)644-3288
Job Address: 2505 CRESTVIEWDR Bldg:1Floor: Suite:
Description of Work: MECH -NEW A/C "TAMPER RESISTANT CAP REQ"
Inspector Area:2 Code Edit: 2016
Legal Description: N TR 1140 LOT 69
Owner: H H JIMMY actor: ALP'
Address: 505 CRESTVIEW D A dr s: 00
NEWPORT BEACH C 9 AN
Phone: `` e: 1
Con Stat
Issued Date:05 018 it /
us Li c: 30
Processed Bv:E05 e: 06/30
MECHANICAL Permit: H2O18-0268
Project No:
Phone (949)644-3255
EEH E # C (® �ar\Q Carrierr's Comp (
: FALLS LAKE FIRE
1F�1 9 Policy No: FLA007$1700 d,
}� 892 - Expire :10/19/2018
19
047511
l2
_. • NL r-$ '
AC Items ® .0
FEES V `, c
•nacesBoilers & Compressors V iIro \4401y,\4401y,to 100K BTU/hr: 0 $0.00 U o $18.00 Bathroom Fan: 0 0 Dampers:
:r 100K BTU/hr: 0 $0.00 >3 P 0 $0.00 Exltay 0 $0.00 Gas Line:
II/Floor Heaters: 0 $0.00 >15 HP: 0 $0.00 0 $0.00 Metal F o
it Pumps & Package Units z30 HP to 50 HP 0 n -Draft Fan: 0 $0.00 rd Mgt Fe
to 100K BTU/hr: 0 $0.00 X60 HP: t Irential Hood: 0 $0 Addition;r 500K BTU/hr: 0 _ $0.00 A'iT HanOCF
ni i•i tam. Hood: 0.00
to 1.7 BTU/hr. 0 $0.00 up to 10 0 0S Repair/Alter/to 1.75M BTU/hr: 0 $0:00 Over 100�� 0.00 Supple al Fee:0 anufacturer.
:r 1.75M BTU/hr: 0 $0.00 VAV� ox: 0 $0.00 �
0
oor $0.00
$0.00 Investigation: $0.00
Plan Check: $15.66
4AX6048A Issuance: $33.00
AMERICAN STAND
Zoning PC: $37.50
0 0
_q y`q� mmoco
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ooeoo
p
000•oo
000 0
mme.m
momo° $0.00...m
$0.00
TOTAL: $104.16WlVelheck Fee: $0.00 Fee Due at Permit Issuance: $104.16
ERM1T5 EXPIRE' 980 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.
OWNER -BUILDER DECLARATION 1• •
r '
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 far
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 L) all of or L) 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
im roved for the purpose of sale). y,
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The -Contra' ors' 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 Con_trac(prs'-State License L ).
❑ I 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 leaQ.nnery6Wfprior to completion of the improvements co ered by this permit, I cannot legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed confttictors. I understand thataegQpy'of the applicable law, Sect n 7044 of the Business and
Professions Code, isavailable upon request when this application is submitted or at the folloWng Web site:http://www.legi9fo.ra,ggyl491dw}HYm-I.' rr..U�( f
e of
ed
LICEUuraffirm�fieer• ACTO f SDEC ARATtlicensed under - ov Io}1 s�{,L';ha te� i� r � " ni�}�yn (c%t Dat'
LICENSED CGIGYFtACTOR'S DECLARATION ` �_4i�' ��— _ ,0 �}P• '
e e y p Pe Y perjury pr 1 p 9 (cosirt with Section 70001 o Di iawdHf the Business and Professions 9d and my license is in full force
-icer se Class V
VOP,KERS' 9O'MFVNSATION D
VARyyl8d: FAILURE•)O-SECURE WORKERS' C
;OS f OF COMPEN$/QION,pAMAGES AS PROP
Wety affirm IA88r *natty of perjury
and wKI maintain a certific
e of the wock-for which this
pel-VVIll maintain workers' con
carrLef aiMpolicy number are:
is of Agent
certify that, in the performance
if should beco esu 1
lature of Applicant
License NO
tp',�yf
EN9'ATION COVERAGE IS UNI
FORIN SECTION 37060E
of
�f#e6alffi decl
0f c sent to If-insi3{:
it issued. icy No.
'iensafi urance, as
)reby affirm under pl�`nalty of perjury that there is aVonstl ctic
Ider's Name ? 't1
my signature below, I certify to each of the foltowindovo
I am the property owner or authorized to act the property
I have read this application and the informatio I
I agree to comply with all applicable c ,(Inty ordi ani
I authorize representatives of this city or couqygto.
AMON I DATE
:rs' compensation, issu by
S ti 37 o h CiJi
I shall not employ any person in
retian 700 o the Labor Code, I
A y or Its Trance of, h
_k/�''k Address-
If. —�
>awSFelating to building con
ed property for
Ion purer
I PERMITEXPIRED I I
I PERMITCANCELLED I I I
PERMIT FINAL
CERMCATE OF
OCCUPANCYISSUED
to \�Y I ,. - o
:a AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
Relations
this permit is
FEDERAL REGULATIONS PART Of OFTI LE40AND
AQMD.RULE1403.
❑ t SUBMITTEDASBESTOS NO7IFICATION TO.
El EPA
❑ AQMD
❑ ASBESTOS NOTIFIC4170NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
for by Section
for which this permit is
($100,000), IN ADDITION TO THE
of the Labor Code, for
workers'
of California, and
J