The URL can be used to link to this page

Home My WebLink AboutH2019-0346 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H. 2 0 1 9 0 3 4 6 Permit Counter Phone (949)644-3288 Job Address: 307 BAY FRONT N BldgA Floor: Suite: Description of Work: MECH/INSTALL A/C UNIT 48dB (TEMPSTAR; NH4A4-48) Inspector Area:2 Code Edit: 2016 Legal Description: BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 4 Owner. FISHER LARRY Contractor: SKY HEATING AND COOLING Address: 307 N BAY FRONT Address: 769 N GLASSELL ST NEWPORT BEACH, CA 92662 Carrier: NORGUARD INSURANCE ORANGE CA 92867 Phone: Phone: 714-883-0623 Con State Lic: 1045281 Issued Date:06/10/2019 Lic Expire: 10/31/2020 ^ // Bus Lic: BT30065983 Processed By:' " y Lic Exp Date: 02/28/2020 MECHANICAL Permit: H2O19-0346 Project No: 1810-2018 Inspection Requests Phone (949)644-3255 HVAC Items Milers FEES Worker's Comp Insurance - 00�a� Carrier: NORGUARD INSURANCE Ventilation Policy No: SKWC010873 Expire :02101/2020 Other HVAC Items Milers FEES Furnace & 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 1o0K BTU/hr. 0 $0.00 > 3 HP to 15 HP: 1 $35.00 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 >60 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: $30.45 Up to 1M BTU/hr. 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Bax: 0 $0.00 Zoning PC: $40.00 TOTAL: $140.45 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $140.45 PERMITS EXPIRE 180 DAYS APTFk4ISSGANCE,QV 44$T VALID INSPECTION Construction Hours: Monday- F:idal47,V0 a.mdto 15:30 p.m and $;Pturday from 8:00 a.m. to 6:00 p.m. •' OL OR a ®O 6 OL [• 004. 09 m0 0 O CGO Cptl IWNER-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) lection 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 to 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 1 ear of completion,. the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). - - 1, 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 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 legal) 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.html. lignature 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 Sectio 700 ) of Division 3 of the Business and Profess'ons y my license is in full force nd effect. ' ��" ,!cense Class License No Date Iq Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN R THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 IN ,re rmance of the work for which this permit is issued. Policy No. _ LII have and 61iNaintan 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' compensatior Isurance carr rad policy nu r Bir are: /� _...... 11 A ( C -S wJIAExpiration Date c✓ certify that, in the performance of the work f r 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 agref I, if I should become su jact to th IS ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi. 'ons. nature of Applicant a-Wp l CLARATION REGAR ING STRUCTION LENDING AGENCY :reby affirm under pe al of rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I ce Ify 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 r is relating to building construction. I authorize representatives of this city or county t� eme property for inspection purposes. % //�� // s p�/ q nature of Propertv Owner or Authorized Agent Y Print Property Owner's or Authorized Agent's Name\ L e "'16i� Lvov r7 /`6 Da�p�'�F 7�` ,;' ACTION DATE Y uc�rrvi•vr EDER&t REG, "TgVSPAIJP JT QP7pTLE40.AND PERMIT EXPIRED QMO MLE 1 3• 13 • I S&VOTTUCASMMS ATTIZOITION TO: PERMITCANCELLED • [3• EPA " • •• PERMITEXTENOED ❑ AQMD 0 ASBESTOS N01IRCA770NIS NOT APPLICABLE TO PERMIT FINAL IQOUTAPII •• 0:0 CERTIRCATE OFI • a i 0• 0• r OCCUPANCYISSUEO $IC'�: U •F�'•• : •.• •.• •:•