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HomeMy WebLinkAboutH2019-0393 - PermitsCity of Newport Beach -Building DivisionIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJIIIIIIIIIIIIIII +� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 Permit Counter Phone (949)644-3288 ��tleriN.�4 Job Address: 1231 SAND KEY BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL A/C UNIT 39.5dB (DAIKIN; RXTQ60TAVJU) MECHANICAL Permit: H2O19-0393 Project No : 2249-2018 Inspection Requests Phone (949)644-3255 HVAC Items InspectorArea:4 Code Edit: 2016 Legal Description: N TR 6634 LOT 117 FurnacesBoilers & Compressors Ventilation Owner: HAKES GLENN Contractor: BASSETT BUILDING INC Worker's Comp Insurance - Address: 1231 SAND KEY Address: 389 NORTH FAWNWOOD LANE Carrier: STATE COMP. INS jl CORONA DEL MAR, CA 92625 1 ORANGE, CA 92869 Policy No: 9247007 0 $0.00 Phone: 951-285-2840 Phone: 949-933-9785 Expire :03/07/2020 Over 100K BTU/hr. 0 Con State Lie: 987806 0 $0.00 Issued Date:07/02/2019 Lie Expire: 10/31/2019 0 $0.00, $0.00 Bus Lie: BT30059476 $0.00 >15 HP to 30 HP: Processed By: Lic Exp Date: 06/30/2019 0 $0.00 F HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 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: 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: $16.53 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 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: $40.00 TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00a.ip tp 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. DOQ � •� �y4 8 O • � p� C oao ° o ocL o •. oao •� no e ® °• °o 0 oom o m cu° o°° ��c )WNER-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) 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 1e 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 '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 U all of or U portions of the work, and the structure 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 property who, through employees' or personal 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 year of completion, the Owner -Builder will have the burden of proving that it was not built or n 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 pply 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: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. - ;ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 of Division 3 of the Business and Professions Code, and my liq@a II force nd effect. icense Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL R5 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0700 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 thi ejobrmance of the work for which this permit i5 issued. Policy No. have and will ai In 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' rance carrier ancNpolty number *a;, e -a I Date of Agent ]I certify that, in the performance of the work for 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 agree tat, if I should becom su the workers' compensation provisions f Section 3700 of the Labor Code, I shall forthwith comply with those pr v ions. ignature of Applicant ate Z��q DECLARATION REGARDIN49,tONSTRUCTION LENDING AGENCY hereby affirm under penalt ury that there is a construc'on g agency Qerformance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y 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 county ordinances and state laws relating to building construction. authorize representatives of this city or county to�nter the ` o eri y for inspection purposes. inna}ure of Prnnedv C)wner nr Authorized Anen} '�/ 1 Print Prooertv OWnef'3 or Authorized Agent's Name ACTION DATE BY 1Y Vr wmrUArn-r rvr IT7 lvu yr iyulFvrnr.c uJ'c uYYLr FEDERAL REGULATIONS PART 61 OF T17LE40.AND P€RMITEXPIRED AQMDRULEIJ03. •• t U$A N7 ED ASBESTOS•jW77FJCATION TOr PERMIT CANCELLED • • • . EPA. • ; P€RMITEXT€NDED •.�• ASB€STOSNO17RCA710MISNOTAPPLfC48LETO PERMITFINAL S ',7� PROPOSEODEMOLITION. C€RTIFICATEOF ... .• ,51GNA�R OCGOPANCYISSUED . • • ,. � .