HomeMy WebLinkAboutH2019-0044 - Permits (2)City of Newport Beach - Building Division III III IIIIIpIII IIII IIII111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 0 4 4
Permit Counter Phone (949)644-3288
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MECHANICAL Permit: H2O19-0044
Project No : 0739-2018
Inspection Requests Phone (949)644-3255
Job Address: 1837 PORT STIRLING PL BIdg:1 Floor: Suite:
Description of Work: MECH/(2) A/C, UNITS 48.5dB & 51.5dB (BRYANT; 124ANS;60-A) "TIMER REUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM
-REVISED 11/06/2019
Inspector Area:4 Code Edit: 2016
Legal Description: N TR 7027 LOT 7
Owner: MAYO FAMILY TRUST Contractor:
Address: 1007 EMERALD BAY Address:
LAGUNA BEACH CA 92651
Phone:
Phone:
Con State Lic:
Issued Date:01/23/2019
Lic Expire:
FEES
Bus Lic:
Processed By: 26�Lic
Exp Date:
RANCHO VIEJO A/C & HEATING Worker's Comp Insurance -
22596 COTTONWOOD CIR Carrier: NORGUARD INSURANCE
LAKE FOREST CA 92630 Policy No: LAWC000721
949-212-4870 Expire :01/0112020
745018
01/31/2020
BT30031040 TIMER REQUIRED ON EQUIPMENT
BT0310
03/31/2020 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
0
$0.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
2
$70.00
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 :
$0.00
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$60.90
Up to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0
$0.00
Repair/Alter/Add:
0 $0.00
Model:
60-Alssuance:
$35.00
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:
$40.00
TOTAL:
$205.90
Plan Check Fee
: $205.90
Fee Due at Permit Issuance :
$0.00
PERMITS ,EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hoursr Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
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✓NER-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)
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 and
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 of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
>iness 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
Irovements 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 property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
illy 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, I cannot legal'.
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
fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
LENSED CONTRACTOR'S DECLARATION
:reby,affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rrofessigl ode, and my license is in full force
License No
COMPENSATION DECLARATION
Date %AMM, Contractor
s
IARNING: 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 ($100,000), IN ADDITION TO THE
;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
� have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI
Irmance of the work for which this permit is issued. Policy No.
have and wuli$Iaintain 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'
Date
of
I certify that, in the performance oAtho which this 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 agrethat, if I should become bject to thmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1
Signature of Applicant Date
DECLARATION REG DING CONST UCTION LENDING AGENCY
I hereby affirm under enally 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).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property ownebehalf.
I have read this application and the information I have provided 's rrect.
I agree to comply with all applicable city and county ordinanc state laws relating to building construction.
I authorize representatives of this city or county o nter the o entified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam
ACTION DATE RY
DECLARATION OF COMPLIANCE IMTN CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TIRE40 AND
AQMD RULE 1403.
PERMITEXPIRED
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