The URL can be used to link to this page

Home My WebLink AboutH2017-0341 - PermitsCity of Newport Beach - Building Division IIIIIII IIIIIIIIII111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 3 4 1 Permit Counter Phone (949)644-3288 Job Address: 72 HILLCREST LN Bldg:1 Floor: Suite: Description of Work: MECH/CONDENSER & FAU C/O "TAMPER RESISTANT CAP REQ" InspectorArea:4 Code Edit: 2016 Legal Description: N TR 7223 LOT 33 Owner: ESSLINGER AMY Address: 722HtCLC1t6aT LN CA 92660 949-324-8588 Date:06/30/2017 nacesBoilers & Compr sors Ver to 100K BTU/hr: 1 18.00 Up to F 'r 100K BTU $0.00 > 3 HP >15 HP t >30 HP tc II/Floor Heaters: 0 $0.00 it Pumps &Package Units to 100K BTU/hr: 0 $0.00 >50 HP: 'r 500K BTU/hr: 0 $0.00 Air Handl to 1 M BTU/hr: 0 $0.00 up to 1 OK Over 10K to 1.75M BTU/hr: 0 $0.00 'r 1.75M BTU/hr: 0 0.00 VAV Box: TOTAL: $122.16 Contractor - MECHANICAL Permit: H2O17-0341 Project No 0000 aP�IV-a�`� .__ _........._.. ..fG Work[' �D Insurance - Address: 50 E BIRCH ACIFIC COMP BREA CA 1 olicy No: WA000607 Puppe 714- -7777Expire :03/22/2018 on State Lic: 9170 Glkroo Lic Expir 09/ /20 J3,u B 01 'Lic Exp Da 07 /�(�(�\(� -f iea • /9 Q 15 0 $0.0 Faust Fan: 30 0.00 Attic Fan: \UnIts 00 Down -Draft Al $0.00 Residl od 0 0. r/Al Eld� 0 Su R1�nrm t"a .00 owo Y0_0\1 Ian r4i6i 0 $0.00 0 $0.00 $0.00 +n\� $0.00 dtl. 0 $0.00 " 6) 0 $0.00 f$. 0 $0.00 Fee: $am Fee : QL ne T- par�1QN�0 : 0 Metal Fireplace: 0 Record Mgt Fee/ Phone (949)644-3255 Otl%r�� / � .00 $0.00 w Investigation: $0.00 Plan Check: $0.00 Issuance: $33.00 Fee Due at Permit Issuance: $122.16 PERMIT XPIRE 1 AY ER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Mo d ri :00 afto 6:30 p.m.and Saturday from 8;00 a.m. to 6:00 p.m. nese e o eOC® le^¢ e e e 006ef< O O O O t G e0Y O Otl%r�� / � .00 $0.00 w Investigation: $0.00 Plan Check: $0.00 Issuance: $33.00 Fee Due at Permit Issuance: $122.16 PERMIT XPIRE 1 AY ER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Mo d ri :00 afto 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(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) , action 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 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 dhd Ifesslons 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 penattfrl�f 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3iness 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). 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 )1y to an owner of prpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am gxempt fre"licensure under the Contractors' State License Law for the following reason: my-ell-ature bplpwJ 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 Iegalll a structure Utht f kgve 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 Resslgns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nahae of Property Owner or Authorized Agent Date :EN6ED CBNTRACTOR'S DECLARATION :reby affirm uh8er'pisnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n,70010)pf Division 3 of the Business and Professio 5-C d -mg icensuVhh-full force lailict. ...... pcgClass License No Date �U Contractor Signatur .RKIERS' COMPENSATION DECLARATION 2TJING�FAILURFF,�''[[OO SECBRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ;To COMPEN 1931N7C'$(rMAGES AS PROVIDED FOR IN SECTION 5108 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . .s.. ,rebyaffirm yndeC pgnalty of perjury one of the following declarations: I have and-Mll 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 th f rr nce of the work for which this permit is issued. Policy No. 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: 1e of Agent _ certify that, in the . if I should bacon of Policy Number Date LQY ich-this-per Led, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and compensation prov_ tuns -o Section 3700 of the Labor Code, I shall forthwith comply with those pryvisions. 0-1501 IECLARATION REG DWQ=NSfiRUCTION LENDING AGENCY ` hereby affirm underenalty 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). Ender's Name Lender's Address iy my signature beloOv, 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.provid Is correct. I agree to comply with all applicable city rdm sand state laws—fi�r laffhg to building construction. I authorize representatives of this city or ckunty tgeg he above-identifyproperty for inspection purposes. ACT30N PERMIT FINAL CERTIFICATEOF OCCUPANCYISSDED DATE BY AQMDRULE1403. El I SUBMITTED ASBESTOS N077FIC4TION TO.' ❑ EPA ❑ AQMD NOT APPLICABLE FO