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HomeMy WebLinkAboutH2019-0510 - Permits0City of Newport Beaeh Building Division IIIIIIIII IIII IIIIIIIIIIIIIII IIIIIII III MECHANICAL Permit: H201 9-0510 $' :. 100 Civic Center Drive_ ^learpgrt Beach, CA 92660 H 2 0 1 9 0 5 1 0 Project No N ',, Permit Counter Phone (949)644-3288 `r'�"�an,ti�t Inspection Requests Phone (949)644-3255 Job ress: 317 D AVE B1dg:1 Floor: Suite: CTOR Description of Work: MECHI SNTL A/C UNIT @ THE ROOF DECK "TAMPER RESISTANT AND TIMER REQ", REPLACE FURNACE I PE V Inspector Area:5 Code Edit: 2016 Legal Description: CORONA DEL MAR BLK 241 LOT 17 Owner: EVE M E CHAUVEL Contractor: A C COOL INC Worker's Comp Insurance - Address: 3210SEAVIEW Address: POBOX6868 Carrier: CORONA DEL MAR CA 92625 ORANGE CA �?,tla6yl QEVEREST r�p�'�+T V OI V J 6 RU rnacesBoilers&Compressors �GNATIONAL 8191 . + Phone: Phone: 714-720-3938 V B/0't/202�' xpire.0 Con State Lic: 804056 e v o IssuedDate:O 22/ 19 Lic Expire: 01/31/2020 ° Processed By: Bus Lic: Lic Exp Date: BT30042073 01/31/2020 ON �.H� WEEKEND aL�CTTOFIELD�'� CTOg°e,e O b�AL $0.00.0 °°°°°+ $0.°§0°°'. kj;VILW AND °. 1 $35.00 > 3 HP to 15 HP: 1 $35.00 Exhaust Fan: 0 $0.00 Gas Line: 0 AC Items FEES 0009°° rnacesBoilers&Compressors Ventilation Other ° to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00.0 °°°°°+ $0.°§0°°'. sr I OOK BTU/hr: 1 $35.00 > 3 HP to 15 HP: 1 $35.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 0 ° $0.06009 ill/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 106K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $30.45 Investigation: $0.00 er 500K BTU/hr. 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 to 9 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AHA460AOlssuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER er 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $175.45 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $175.45 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. L)VVNtK-tlUILUtK Utt;LAKA I IUN 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 MMM zsplaced 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 acivil 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 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 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 -ct ap ly 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: 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 CON'TRACTOR'S DECLARATION I hereby affirm under ppnalty of perjury that I am licensed under provisions of Chapter 9 (comment i Sect! n 7000 of Division 3 of the usiness and Proles ' s Cod 'c se s in full force LIC eifeeyI License Class 00-**, License No D' t 'LTi Contractor ig lure. NORK&RS' COII4PENSATION DECLARATION t ARNIA& FAILURE T() BE C�L E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNOREO THOUSAND DOLLARS )$100,000), IN ADDITION TO THE COST ORCOMPENSAT1441, Trp AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. terebq affirm under pefialty of perjury one of the following declarations: . "ve and 44ij1•rfla[it itor 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 nce of the work for which this permit is issued. Policy N0. av' will•maintnin 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 sur c9 car iePAr"0Jicy number are: ' ITer' • tt e a !) Policy Number 7 & 0000 % !V e f �/ phone ate # n f Z C7 NI VIe df Agent ' ' ' i C certify that, in the p'e'rformance wc,0413r,,which this qPFTit is issued, I shall not employ any person in any manner so as to become subjec to the workers' compensation laws of California, and I, if I sh0 t me subjec r rs' c ns do pr V 0rya action 3700 of the Labor Code, I shall forthwith comply with those pro g. nature f licant ��.,,,�� Dat CLARA REGARQ(I G CONSTRU ION LENDING AGENCY Ll ;reby 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 309 , Civil Cod ). )der'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 correc I agree to comply with all applicable city and county ordpa3bes and stqfeJIajNs relating to building construction. I authorize representatives of this city or county to 4tyfio yidperty for inspection purposes. Z__7 ACTION DATE I BY I PERMITEXPIRED I I I I PERMITCANCELLED I1 \ V \ I PERMITFINAL CERTI€ICATEOF OCCUPANCYISSUEO © I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTTFICARONIS NOTAPIDUCABLE TO PROPOSED DEMOLITION. SIGNATURE: