The URL can be used to link to this page

Home My WebLink AboutH2019-0313 - PermitsCity of Newport Beach - Building Division H2O19-0313 t 100 Civic Center Drive, Newport Beech, CA 92660 N j _ Permit Counter Phone (949)644-3288 Job Address: 637 VISTA BONITA BIdg:1 Floor: Suite: Description of Work: MECH/MINI SPLIT W/HEAT PUMP & ONE INTERIOR DEVICE "TAMPER RESISTANT CAP REQ" MECHANICAL Permit: H2O19-0313 Project No : Inspection Requests Phone (949)644-3255 Inspector Area:8 Code Edit: 2016 Legal Description: TR 5877 (L.L.84-214030) PAR 22 FEES Owner: L ANET Contractor: GREENSTAR HOME SERVICES Worker's Comp Insurance - Address: 37 VISTA ONITA Address: 1951 N MAIN ST Carrier: LIBERTY INS NEWPORT ACH, CA 92660 ORANGE CA 92865 Policy No: WA763D508631018 Phon 949-345-9164 Phone: 949-885-0102 Expire :10/01/2019 $0.00 Con State Lic: 795556 Bathroom Fan: Issue Date:05/29/2019 Lic Expire: 02/29/2020 $0.00 Bus Lic: BT30056111 $0.00 Proces d By: Lic Exp Date: 08/31/2019 0 $0.00 r 3 - a d,._ r a BOOP O ! •MOO O t •eee oo•eoo • a e s• a b 4 6 • f •• q 4L m • p mo o • r vi)13JEC'l' T-0 F4F D IN4•PT;(`�of,.:! 0 GO®NOti Oqf 000 O J q M+ nems - FEES m .. -o ,nacesBoilers& mpressors Ventilation Other �lbq'Y ®• to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 sr 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 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 at Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 1 $19.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 ar 500K BTU/hr; 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $16.53 to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Madel: 12RL21ssuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: FUJITSU 3r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $110.53 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m FINER -BUILDER UEGLAKADUN - ckmark(s) I have placed next to the applicable item($) 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 che 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 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 a. 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 .; more than five hundred dollars ($500). - 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ily 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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, 1 cannot legal) a structure tb3MMaye built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and fessigns Code, %Odvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date rratDre of Prooppeky Owner or Authorized Agent :EN&D C&NYEi4CTOR'S DECLARATION cin full force Ceti affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with a tion 000) of ivision 3 of the Business and rete s- _..,_._._� -I Date •, • • License No Date `� Contractor Signa )RKERS' COMPEf1SATION DECLARATION tNlJ?4&,.FAILURf?T0&F )RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IF OG COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �iiebyeffirm under penalty of perjury one of the following declarations: I haft and IVII-ITINptain 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 of the worms for which this permit is issued. Policy No. We d w ll,4iptain 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 .franc carrier and policy number are: Policy Number Expiration Date me of Agent Phone # certify that, in the performance of the work for sh-t ' permit is issued I shall not employ any person in any manner so as to become subject to the workers' compensation ws of California, and agre I, if I should become sub' e� sa Ion provisions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions. Date nature of Applican CLARATION REG ION LENDING AGENCY areby affirm under 6enalty 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). ider's Name Lender's Address 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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and count r saes' iiFiis. relating to building construction. I authorize representatives of this city or t = n ified property for inspection purposes. inature of PmDerty Owner or Authorized Agent Print Property Owners or Authorized Agent's Name ACTION BATEC RY FEDERAL REGULATIONS PART 61 OFTFT£E46AND AOMDRULE1403. ❑ t SUBMITTEDASSESTOS NORFICATION TO: 0 EPA D ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSEDDEMOLIIION. SIGNATURE: PERMITEXP/RED PERMITCANCELLED PERMITEXT€NDED[3AQMD PERMITFINAt ,Z C€RPRCATEOF DCCOPANCYISSUED