HomeMy WebLinkAboutH2018-0200 - Permitsyq�4f't $
City of Newport Beach - Building Division III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 2 0 0
Permit Counter Phone (949)644-3288
Job Address: 262 MORNING CANYON RD Bldg:1 Floor:
Description of Work: MECH HEAT PUMP IN ATTIC
Inspector Area:5 Code Edit: 2016
Legal Description: N TR 1116 LOT 85
Owner: CL PROPERTIES 2017 TRUST Contractor:
Address: 233 ENERALD BAY Address:
LAGUNA BEACH CA 92651
Phone: Phone:
Con State Lie:
Issued Date:04/04/2018 Lie Expire:
CC Bus LIC:
Processed By: J Lie Exp Date:
Suite:
RDMSINC
250 E BAKER ST # 300
COSTA MESA CA 92626
714-448-9835
815872
12/31/2018
BT30008726
01/31/2019
MECHANICAL Permit :H2018-0200
Project No : 1988-2017
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier: EVERST NATIONAL INS
Policy No: 7600015443
Expire :09/01/2018
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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
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:
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 1OOK BTU/hr:
1
$18.00
>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:
$0.00
Up to 1 M BTU/hr:
0
$0.00
up to I OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$33.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK 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: $51.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$51.00
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.
✓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 (a) `
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 (_) all of or U 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
)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:
my signatyr>Sbe%w 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)
a structure I tdt i have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
J%4ions Code eis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nalbre of PropestyOwner or Authorized Agent Date
,BnSED CONTRACTOR'S DECLARATION
ueby affirm Wilir penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 'ection 7000) of Division 3 of the Business andAr Bions Code, and my license is in full force
Ieffect. •���,• p f// C��
x924 Class License No Date _ o Contractor Signator
)RKERS' 6OMP, NSATION DECLARATION
`TIO COMPERE TOS URE WOR AS PROVIDED FOR IN SECTION GE IS UNLTHEAWFUL,
AND CODE, LL SUBJECT AN EMPLOYER REST, AND ATTORNEY'S FEES.
RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
i..•
rebyaffirm I rDVp penalty of perjury one of the following declarations:
Ipaile 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 the
�rnpnce of p%.work for which this permit is issued. Policy No.
. ..
�'$1te 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' compensation
trance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the pe ormance of the wor or which this permit is issued, I shall not employ any person in any manner so as to become subject t e workers' compensation laws of California, and agn
t, if I should become object to the works ' co nsati rovisi ns of Section 3700 of the Labor Code, I shall forthwith comply with those pro Ions.
nature of Applican /
-DKe
CLARATION RE ARDING CONSTRUCTION LENDING AGENCY
areby affirm and r penalty 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).
lder'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 count rd' antes and sta a laws relating to building construction. J n // U,
I authorize representatives of this city or county t en th v -i of roperty for inspection purposes. I�EU W F"��l'('7'�� ` u 1 �I
nature of PrODertV Owner or Authorized Aaent Print Property Owner's or Authorized Agent's N e ate I
ACTION DATE BY
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FEDERAL REGULATIONS PART 61 OF 7ITLE40AND
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