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Home My WebLink AboutH2019-0109 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 0 9 `g Permit Counter Phone (949)644-3288 Job Address: 1549 OCEAN BLVD Bldg:1 Floor: Suite: Description of Work: MECH RIR FAU & AIC CONDENSOR. TAMPER-RESISTANT CAP REQUIRED *PERMIT REVISED 06.25-19* Inspector Area:1 Code Edit: 2016 Legal Description: N TR 518 BILK B LOT 33 Owner: ROBERTS KEVIN Contractor: WALTERS MARK T Address: 1549 OCEAN BLVD Address: 1972 ADOBE AVE NEWPORT BEACH, CA 92661 CORONA CA 92882 Phone: 714-328-6777 Phone: 951-768-5173 Issued Date:022 9 Con State Lic: 865930 Bathroom Fan: Lic Expire: 07/31/2019 Processed By: Bus Lic: BT30043446 0 Lic Exp Date: 05/31/2019 MECHANICAL Permit: H2O19-0109 Project No : 1432-2018 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire : SU13JECTTO FIELD INSPECTOR'S RE VJE W AND AYP.jt,O VAL moss rnacesBoilers & Compressors Ventilation Other °p°• laces °° °� $0.06° BI f to 100K BTU/hr: er 100K BTU/hr: 1 0 $19.00 $0.00 Up to 3HP: > 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ill/Floor Heaters: 0 $0.00 3 HP to 15 HP: >15 HP to 30 HP: 0 0 $0.00 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 at Pumps & Package Units >30 HP to 50 HP 0 $0.00 Attic Fan: Down -Draft Fan: 0 $0.00 0 $0.00 Metal Fireplace: 0 $0.00 to 100K BTU/hr: :r 500K BTU/hr: 0 0 $0.00 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Record Mgt Fee: Additional Fee $0.00 $16.53 to 1M BTU/hr: 0 $0.00 Air Handling Units up to 1OK CFM: 0 $0.00 Comm. Hood: Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: 0 $0.00 $0.00 Model: Manufacturer: RA1460BIssuance: :r 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 RHEEM TOTAL: $129.53 Plan Check Fee : $129.53 Fee Due at Permit Issuance 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 a:00 a.m. to 6:00 p.m. ° o eme m�mmoo eo 0 $0.00 Other °p°• ° mno °° °� $0.06° BI f InvestigWilt`" $0.00 ° PlanChpck,, $o.Qe°°° Zoning PC: $40.00 $0.00 OWNER-BUILDER DECLARATION m the Contractors' have e item(s) I hereby affirm under p n (Professions Code: Any city or county that requires a ty of perjury that I am exempt fropterin alto con t uct oalter, demolish,improve, lore repair any structure, rrlplaced cense priort its sua ce, also requi requires lapplicant for (Section 7031.5, Business a 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 an 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 dollar ($500). ❑ 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 7 044, Business and Professions Code: The Contractors' State License does not apply to an owner of property who, through employees' effort, builds proving property, provided tste improvements are not mededoroffered for ale. If, hoever, the building or improvement ssold with one year of completion, the Owner-Builder have the burden of hat itwas nobuilt or improved 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 no apply town 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). ❑ ll I am exempt from licensure under the Contractors' State License Law for the following reason:pe Bell a structure hat11 halve built als aneownere-builder f i has of been clonstruclad whichdence in it entirety by I ce sed contractors.I une nderstand that a copy of thehappl cable law, Section 7044ofthe Business snandnotlega Professions Code, is available upon request when this application is submitted or at the following Web silexhttp://www.leginfo.ca.gov/calaw.hlml. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenoT 'k Se on 7000) of Division 3 of the Bu n �f Ions an my license is in full force and effect. to 1 `r�, Contractor Si natur License Class License No THE WORKERS' COMPENSATION DECLARATION NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON H DRED THOUSAND DOLLARS 15100,0001, IN ADDI WARNING: FAILURE i0 SWURE WORKERS' COMPENSATION COVERAGE IS UTION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • . I.herebyaffirm under penalty of perjury one of the following declarations: the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, ••••• I ha0e and jNili l7>aintain acertificate of consent to self-insure for workers' compensation, issued by or erf� rnignce of the�work for which this permit is issued. Policy No. ve and will makAain 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 rrie4T pfilicy number are: Expiration Date ars i�� . : Policy Number phone # oEAgent: �.•• com g�tity that, in the performs hich this permit is issued, I shall not employ any person in any manner so as to become subje t to the workers' sation laws of California, and agree if I should become's b' a or ensa ion rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr isions. 4k, D Sisuature PkAp. t �6GI�ARA I CONSTRUCTION LENDING AGENCY I hereby affirm rIHEP an y of perjury that there is a construction lending agency for Lender's Address of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name By 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. la s relating to building construction. — I agree to comply with all applicable city and county ordinan 9 �� rr I Ocd I authorize representatyv� of this city or county to roperty for inspection purposes. orinr Prnnnrfv Owner's or Author' Agent's Name ACTIONt DATE BY FEDERAL REOULATjONSPART 61OFTITLE40AND AQMD RULE 1403. I SUBMITTED ASBESTOS M071FICATIONTO.' [3 EPA Q AQMD ❑ ASBESTOS NORHCAIIONIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: EXPIRED CANCEEIED EXTENDED FINAL — ! 'l 2 ;ATE OF OCCUPANCYISSUED Citf of NewPCc rt:Bsac�teo Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 'r 100 CIVICCE Bearh, CA 92660 H 2 0 1 9 0 1 0 9 Permit Counter Phone (949)644-3t t $t a e e y e e oo n oc o e Sy ®®O O®• ®eC .l Od k1e ape Job Address: 1549 OCEAN BLVD Bldg:1 Floor: Suite: Description of Work: MECH - R/R FAU & A/C CONDENSOR. TAMPER-RESISTANT CAP REQUIRED Inspector Area:1 Code Edit: 2016 Legal Description: N TR 518 BILK BLOT 33 Owner: ROBERTS KEVIN Contractor: Address: 1549 OCEAN BLVD Address: NEWPORT BEACH, CA 92661 Phone: 714-328-6777 Phone: Con State Lic: Issued Date:02/26/2019 Lic Expire: Bus Li Processed By: xp Dater MECHANICAL Permit: H2O19-0109', Project No: 1432-2018 Inspection Requests Phone (949)644-3255 WALTERS MARK T orker's Comp Insurance - 1972 ADOBE AVE Carr' �V$6 EXEMPT {%J4 951- 68517CORONA A 92882 Eire No: (QNQ ��tO�fES) AU Items W' rnacesBoilers & Compressors Ventil do C to100KBTU/hr: 1 $19.00 Uper 100K BTU/hr: 0 $0.00 \Alan 0 00 dl/Floor Heaters: 0 $0.00 t 0 $0.0Q at Pumps & Package Units P 0 . 0 to 100K BTU/hr: 0 $0.00 : 0 or 500K BTU/hr: 0 $0.00 Unito 1 M BTU/hr: 0 $0.00 FM:to 1.75M BTU/hr. 0 $0.00 K ,e $0.00 :r 1.75M BTU/hr: 0 $0.00 x: 0 $0.00 TOTAL: $129.53 Other Bathroom F &�Mas Dampers: 0 Ex r _'` Line: 0 IN ti a w; 00 Metal Fireplace: 9000 ow ", aft F : 0 $0.00 Record Mg ��ss�� $0.00 tial Hood: 0 $0.00 d io Q , ked'�16.53 Investig Comm. Hood: 0 $0. s 151'6" ta PI Repair/Alter/Add: 0 $0.0 del: rQ CCK Issuance: Suppleml $0.0 Manuf�Cturer: AM STA nin aq`kt� anS�' k Fee: $0.00 Fee Du er once: $129.53 PERMITS EXPIRE 180 AFTER 15SU GE O VALIpINSPECTION ours: (t1Qnd rlday L00 i 6:3 and Saturday from 8:00 a.m. to 8:00 p.m. $0.00 ' $0.00 $40.00 DWNER-BUILDER DECLARATION�� i e • °,' •0• 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 check?r&(s)J4iave plac4d 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 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 70002 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 applicantfor apermit 3d*cts Ohe p�lidanl:toe civil penalty of not more than five hundred dollars ($500). ' • �• ` • • • • • " ` • • • + + • , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structurIi5 not Intended, groTfesed for Sdid (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personale oR!bdiRt$ 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). 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 apply t0 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 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 least one year prior to completion of the improvements covered by this permit, I cannot legally sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions CyUe, an Ii n is in full force and effect. n G License Class License No DataY d"' 1!l/ Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance 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' compensatiol insurance carrier and policy number are: rriPolicy Number Expiration Date a e of Agent Phone # I certify that, in the performance of the work for which l�i�%s/gpermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre th , if I should become subje o%�/hy'h w e �sG✓ provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi/on�s. 7./ o / /�j Signature of Applicanlgl-y/c Tr J eby 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). fer's Name Lender's Address iy 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county!g�r tf7e aboy�v�ggg--� �Ified property for inspection purposes. iature of Prooertv Owner or Authorized Agent // / Print Property Owner's or Authorized Agent's Name / �' � l/h� IA /� �'-r�r Date ACTION DATE BY ...... ........-, FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ i SUBMITTEDASSESTOS NOT7FICATION TO: ❑ EPA ❑ AQMD PERMfTCANCELLED -" PERMIT€XT€NDED ❑ ASBESTOS NOTIFTCATIONIS NOT APPLICABLE TO PROPOSEDDEMOLIfION. SIGNATURE., PERMITFINAL CERTIRCAT€OF Z LL W 0 N W cr W W. OD F ao z Lo N F � Uo0 U M a V 0 F 0 c. v z�I Z0 a 0�cw* 5 X V W �Amod z � AAaa Y O m L+ C� C N M� U U o U 5 0 0 I Z LL W 0 N W cr W W.