HomeMy WebLinkAboutH2019-0020 - Permitst City of Newport Beach- Building Division... IIIl6IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII ; MECHANICAL Permit: H2019 -0020
' 100 Civic Center Drive, Newport Beach, CA92660 m m m m c F' 2e 0 1 9 0 0 2 0 Project No :0080-2019
`q Permit Counter Phone (949)644-3288 °o ° e ` e e °o o ° o m
000 0 0 m nee oe
Inspection Requests Phone (949)644-3255
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Job Address: 100 COAST HWY W BIdg:1 Floor: 2° `9'uite: 20§
Description of Work: COMM MECH - INSTALL (2) NEW CONDENSING UNITS @ ROOF (USE EXTG SCREENING) N (RESTAURANT USE NOT AUTHORIZED)
Inspector Area:7 Code Edit:
2016
Legal Description:
FEES
Owner: VBAS PROPERTIES
Contractor:
OWNER/BLDR
Worker's Comp Insurance -
Address: 100 W COAST HWY
Address:
VERDULT GLENN
Carrier:
NEWPORT BEACH CA 92663
1775 NEWPORT BLVD
Policy No:
Phone:
Phone:
$0.00
Expire
2 $38.00
Con State Lic:
O/B
Fire Dampers:
Issued Date:01/09/2019
Lic Expire:
$0.00
Over 100K BTU/hr.
0
Bus Lic:
> 3 HP to 15 HP:
0 $0.00
Processed By:
Lic Exp Date:
Gas Line:
f `w� a
FT .
$0.00
Wall/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
HVAC items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
2 $38.00
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:
$248.00
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:
$321.00
Plan Check Fee
: $248.00
Fee Due at Permit Issuance:
$73.00
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.
IWNER-BUILDER DECLARATION "' '• '••
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the Igalon(a);ndicr ted below by the-checkmark(s) I have placed next to the applicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Win ove, demolish; or repalcany structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Li&Me Law (CAaptel'9 (cElMnencing with Section 7000) of Division 3 of the Business and
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do C) all of or V Qortilft of theVyork, and the skuoture is not intended or offered for sale (Section 7044,
'usiness and Professions Code: The Contractors' State License Law does not apply to an owner of propertyMho, tgh emp 4ea' or pea6ona1 effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one hougear.&oompUgn,1440wng;gulltlgPwill have the burden of proving that it was not built or
nproved 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
¢ppto 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).
LI�I-a exempt from licensure under the Contractors' State License Law for t ollowing reason:
my ignature below I acknowledge that, except for my personal r Iden which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
e tructure that I have built as an owner-bu' der' it has not n c rutted i i ty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request wh is app' o ubmitl or eb site:http://www.leginfo.ca_gov/calaw.html.
ignature of Property Owner or Authorized Age t ate
.ICENSED CONTRACTOR'S DECLA�ST�nsed
hereby affirm under penalty of perjury that under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is in full force
nd effect.
icense Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST 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:
I 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
erformance 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' compensatioi
Isurance carrier and policy number are:
larrier _ Policy Number Expiration Date
e of Agent
'c rtify that, in the performance of 9r or which t permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t, i I should become ub'ect t rka 'GO ation f Section 3700 he-LabGrCO16,Tshall forthwith comply with those p visions.
lure of Applicant Dae
CLARATION REGA CONSTRUCTION LENDING AGENCY
)reby affirm unde of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (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 owne eh f.
I have read this application and the information I have pr s co ct.
I agree to comply with all applicable city and county a s relating to buil ' RstructlSr
I authorize representatives of this city or co t - -I entifie ep or Inspection purposes.
nature of Prooertv Owner or Authorized AGent Print Property Owne
ACTION - BY
FEDERAL rREGULATIONS PART 61OFTITLE 40AND
RULE 1403.
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