HomeMy WebLinkAboutH2019-0345 - PermitsCity of Newport Beach - Building Division Illlllllllllllllllllllllllllllllllllllllllllllllll
` 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 3 4 5
y, Permit Counter Phone (949)644-3288
Job Address: 1 SORRENTO CT BIdg:1 Floor: Suite:
Description of Work: ISR -A/C CON DENSOR (TAMPER-RESISTANT CAP REQ'D) & C/O FAU.
InspectorArea:6 Code Edit: 2016
Legal Description:
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owner:-, SA&L,Ig°AttlTHONY & RENEE
Contractor:
Address:° 1 SORRENTO CT
Address:
m NElrWPOMT COAST CA 92657
Phorap. m
Phone:
....
Con State Lic:
Isoucd'Date:06/1p/,2d1&19
Lic Expire:
000m
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Bus Lic:
Lic Exp Date:
ALISO AIR INC
29736 AVE DE LAS BANDERAS
RSM CA 92688
949-589-2021
526420
03/31/2020
BT30019236
02/28/2020
AG Items mmmc
3-6J! 3) IS NOT ALLOWED FOR
FEES
-nacesBoilers°&°C°ompressors
Ventilation
to 100K BTU/hr:
1 $19.00
Up to 3HP:
1 $19.00
Bathroom Fan:
0 $0.00
-r 100K BTU/hr:
0 $0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
JI/Floor Heaters:
0 $0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:.
0 $0.00
A Pumps &Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
to 100K BTU/hr.
0 $0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
:r 500K BTU/hr:
0 $0.00
Air Handling Units
Comm. Hood:
0 $0.00
to 1M BTU/hr:
0 $0.00
up to 1 O CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
to 1.75M BTU/hr:
0 $0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
:r 1.75M BTU/hr:
0 $0.00
VAV Box:
0 $0.00
MECHANICAL Permit: H2O19-0345
Project No
Inspection Requests Phone (949)644-3255
Worker'? a�(rp liisrc` /
Pokcy t� Uf/t2�10�98
Expire :07/01/2019
T Ii L N -JE 11PILLIC TUBING
Zoning PC: $40.00
TOTAL: $129.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $129.53
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.
3-6J! 3) IS NOT ALLOWED FOR
Other
Fire Dampers:
0 $0.00
$0.00
Gas Line:
0 $0.00
$0.00
Metal Fireplace:
0 $0.00
Record Mgt Fee:
$0.00
Additional Fee:
$16.53
Investigation:
$0.00
Plan Check:
$0.00
Model:
24APB6-301ssuance:
$35.00
Manufacturer:
CARRIER
Zoning PC: $40.00
TOTAL: $129.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $129.53
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.
DWNER-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)
(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 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).
❑ 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,
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
improved 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
apply 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).
❑ 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 legall
sell a structure that 1 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 tt %Vysiness 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 • `,tee
LICENSED CONTRACTOR'S DECLARATION ••••••
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 90) of
DIOS= 3 of the Business and Professio =n�+ mJl;renSe is in fu......
and effect. • .. 0 0 0
License Class License No Date ` O (Contractor Signature �e ...... ° • !
WORKERS' COMPENSATION DECLARATION ....
°°
'
NARNING: 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 ($100,.00.04
•�N ADDITION TQ Tri
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • • °
hereby affirm under penalty of perjury one of the following declarations: . • , ° ° ° o
and will maintain a certificate of consent to self -insure for workers' compensation,
:e of the work for which this permit is issued. Policy No.
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, foP t
•
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. W*8*2rs'
carrier and policy number are: ....
Policy Number
Date
ine of Agent rnone v
I certify that, in the performance of t rk fo icMhis-pe -moi sued, 7sial - ny person in any manner so as to become subject to the workers' compensation laws of California, and agrer
t, if I should become sub' vers' compensation ' ' - - ec Ion 3700 of the Labor Code, I shall forthwith comply with those provisions. / P
nature of Applicant at `i
CLARATION REGARDIN coNgT-RugiiDWILENDING AGENCY
areby affirm under penalty o 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.
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 statelaws rell tinn14uilding construction.
I authorize representatives of this city or d�unty/to enter eve'Itlen i ieIt prop ert Inspection purposes.
nature of Property Owner or Authorized A AnA� Print Property Owner's or Authorized Agent's Name Date
ACTION DATE
By
DECLARATION OF COMPLIANCE MTNCODEOF
FOR OFRCE USE ONLY
FEDERAL REGULATIONS PART 01 OF TITLE40AIVD
AQMD RULE 1403.
PERMIT EXPIR€D
❑ I SUBMfTTEDASDESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
P€RMITEXTENDED
❑ ASBESTOS M017RCATIONIS NOT APPLICABLE TO
PROPOSED. DEMOLITION.
PERMITFINAL 30 !
C€RTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED