HomeMy WebLinkAboutH2018-0514 - Permits. City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111
a 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 5 1 4
i Permit Counter Phone (949)644-3288
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Job Address: 3621 SAUSALITO DR Bldg:1 Floor: Suite:
Description of Work: MECH INSTIL (3) A/C UNITS @ THE SIDE YARD "TAMPER RESISTANT CAPS REQ"
Inspector Area:4 Code Edit:
2016
Legal Description: N TR 6229 LOT 6
Owner: EDWARDS GARY AND NAOMI
Contractor:
REUTER GEN CONTRACTING
Address: 3415 SEABREEZE LN
Address:
887 PRODUCTION PL
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92663
Phone:
Phone:
949-645-5824
Con State Lic:
760411
Issued Date:08/20/2018
Lic Expire:
03/31/2019
C
Bus Lic:
BT30043520
Processed By: _
Lic Exp Date:
05/31/2019
MECHANICAL Permit: H2O18-0514
Project No: 1471-2014
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier: STATE FUND
Policy No: 1535045
Expire :07/01/2000
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SUBJECT TO FIELD FftP 'TOR'yp
REVIEW AND APPROVAL °tl°•°
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.
HVAC Items
FEES
°
urnaces of ersCompressors
Ventilation
Other
tlY C
Up to 100K BTU/hr.
0
$0.00
Up to 3HP:
0 $0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
"'
$0.60..
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
3 $99.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
KOO. ° ° °
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
Investigalioa� tl
$O.DO° ° °
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check: tl
$86.13
Up to 1M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
187B-360/488
Issuance:
$33.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
BRYANT
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$37.50
TOTAL: $255.63
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$255.63
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 reasons) 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
:he 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 tw.any apfticant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
improvemeRtS'are not'intended or offered -for s a. 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
mproved for the purposelof 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
apply to awbwner 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 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.govlcalaw.htmi.
Al Z
Signature of Property Owner or Authorized Agent D
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec on 7 of Division 3 of the usiness an as s C de, an lic is in I force
and effect.
License Class License No Contr c Signal
NORKERS' Caf�RNSATION 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 THO SAND DOLLARS 100,000), IN ADDITION TO THE
.01ST OF eOMPENSA1rIO14,b11MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm untler•panalty of perjury one of the following declarations:
Zrrha'sand 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
ce of Ult wpTC for which this permit is issued. Policy No.
I rid 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' compensatio
arriecandpolicy number are:
• '••• o,.r..,.. 14 Exoiration Date
maad.4gent
Phone #
I certify that, iRlltErortrforma of the for whic hi er it' ' sued, I sh
n t employ any person in any manner so as to become subject to the worker '' c�en tion laws of California, and agree
It til-Viould be�orrg su 0 r rs' compe on pr s' ns of Sect'
he labor Code, I shall forthwith comply with thosevisions.
]nature of App it• •
D
:CLARATION REG G C NST UCTION LENDING AJ9ENeT
ereby affirm under penalty of perju that there is a constru tion lending agency
for the performance of the work for which this permit is issued (Section 309 , Civil Code).
rider'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 bell
I have read this application and the information I have pr 'ded is oor
I agree to comply with all applicable city and count di nces ate la sr ti g o uild'
g co t ction.
I authorize representatives of this city or count e r a v-!dentifia
ops inspe
ion ur oses. -
g
'N-4emgL�)
Tnature of Prooertv Owner or Authorized
t pe Owner's or Authorized Agent's to
ACTION I DATE dl 4r- /BY
I PERMITEXPIRED I I l I
pPERMITCANCEII€D
PERMIT EXTENDED
OCCOPANCYfSSUED
01 OFTITLE40AND
❑ I SUBMITTEDASBESTOS NOTIFICATION TO:
EPA
❑ AIQUD
❑ ASBESTOS N017RCA170MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE.