Loading...
HomeMy WebLinkAboutH2018-0758 - PermitsCity, of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII 100 Civic. Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 7 5 8 i "Permit Counter Phone (949)644-3288 a Job Address: 2421 WINDWARD LN Bldg:1 Floor: Suite: Description of Work: MECH FURNACE C/O InspectorArea:3 Code Edit: 2016 Legal Description: N TR 5178 LOT 6 Owner: GARRETT J C Contractor: Address: 2421 WINDWARD LN Address: NEWPORT BEACH, CA 92660 Phone: Phone: Ventilation Con State Lic: Issued Date:12/04/2018 Lic Expire: Bus Lic: Processed By: \ Lic Exp Date: GREENSTAR HOME SERVICES 1951 N MAIN ST ORANGE CA 92865 949-885-0102 795556 02/29/2020 BT30056111 08/31/2019 MECHANICAL Permit: H2O18-0758 Project No: Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: LIBERTY -INS Policy No: WA763D508631018 Expire :10/01/2019 a � FEES y t m m• • • ooncrr Ventilation Other �+fie 0 • �� m 0 c. • e 0 $0.00 0 „cmg+ e000c 0 $0.00 O bmaVO� e aooim u. o 0 r > 3 HP to 15 HP: 0 $0.00 am m oa0000 0 m 0 $0.00 cc em cv000 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $19.00 Up to 3HP: 0 $0.00 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: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model Issuance: $35.00 Up to 1.75M BTU/hr. 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $54.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $54.00 PERMITS EKPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.fo 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. INER-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) ction 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 applicarft 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 B iness 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 cil(.f penalty of 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 She property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ,ly to an.4po 6 of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J am exempt Irqm licensure under the Contractors' State License Law for the following reason: my signatLR'tre- Sow 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 % structuhat9 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 fppssions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. natureof R,rviiiy Owner or Authorized Agent Date iENSED•f.ONTRACTOR'S DECLARATION weby affir" Iyryler penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business an rofessions C e, and my license is in full force I.effect. -,„ mte Class C�G License No 71'5?5-M Date �2 Z �� Contractor Signatur )5 XERS' COMPENSATION DECLARATION ;NIIIG: FAILURE YOi SR„CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL VER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($106,606), IN ADDITION TO THE T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1e`b;ij affirm &WbI` penalty of perjury one of the following declarations: .0. 0 1 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 the 'brmance of the work for which this permit is issued. Policy No. 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' compensatior 1,"ce�c�afri�eran`d po'cy number are: h ea der r%`/v'�J >Y�/G�/ld/« Policy Number W14;9S S®� Expiration Date 1e of Agent Phone # certify that, in the pe ormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become su/one the workers' compensation laws of California, and agree ,if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Iature of Applicant D! zL7©O :LARATION REGARDING CONSTRUCTION LENDING AGENCY Iy my signature below, I certify to each of the following I am the property owner or authorized to act on the I have read this application and the information I h I agree to comply with all applicable city and cou I authorize representatives of this city or county f property owner's behalf. gRe provided is correct. rtty ordinances and state laws relating to building construction. 6 enter the above -identified property for inspection purposes. II AC77ON DATE By II OECtAR ]F AOFCOMPLANCEWITHCODEOF R I FOR OFF/CE USEDNYY PERMITFINAL CEFTIFfCATEOF OCCOPANCYISSUED I SUBMTTED ASBESTOS M077FICATION TO: ❑ EPA AOMD ❑ ASBESTOS N07713CATIONISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: k( � Ncok N; § ) ) k k / ■ m ) 2 (z § | § $ § | P § ) ) k k /