HomeMy WebLinkAboutH2019-0737 - Permits-hr � City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII11111111111111111111111 MECHANICAL Permit: H2O19-0737
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10q Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 3 7 , aP p Project No: 0213-2018
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4 Permit Counter Phone (949)644-3288
NOInspection Requests Phone (949)644-3255
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Job Address: 203 SAPPHIRE AVE Bldg:1 Floor: Suite: ®" y
Description of Work: MECH/(2) NEW S/C UNITS 64dB* & 60.5dB* (ALLIED; 4AC161 L3OP) *TIMER REQUIREGN F;Q,UIP O SHUT OFFWJEN 10PM & 7AM,
AGREEMENT W/PERMIT
*ELEC/BY OTHERS
Inspector Area:2 Code Edit: 2016
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Legal Description: BALBOA ISLAND SEC 2 BILK 9 LOT 2 "• ° • °
°
Owner: PERRY PROPERTY MANAGEMENT
Contractor:
Address: 203 SAPHIRE AVE
Address:
NEWPORT BEACH, CA 92662
Phone:
Phone:
Con State Lic:
Issued Date:11/20/2019
Lic Expire:
(
Bus Lic:
Processed By:
Lic Exp Date:
GMF CONSTRUCTION & DEV.INC
34145 PACIFIC COAST HWY
DANA POINT CA 92629
702-533-4158
1037945
04/30/2020
BT30063045 TIMER REQUIRED ON EQUIPMENT
04/30/2020
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.l .
Worker's Comp Insurance -
Carrier: NO EMPLOYEES
Policy No:
Expire :
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PERMITS EXPIRE 780 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:
2
$72.00
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:
$62.64
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 Box:
0
$0.00
Zoning PC:
$41.50
TOTAL:
$211.14
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$211.14
PERMITS EXPIRE 780 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(s)
action 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 o-- rolicant 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 th%. 3usiness 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 tcjcivil 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
flness 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
)rovements 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
fly 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 signaturebelow 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 structur&fhtf I•Fjave 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
fesalons Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw,htm].
Mare of P4*oty Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
Igpy affirm un&r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business and Professions Code, and my license is in full force
I effect. • •'
ansa Class • • •• License No Date '— Zd l Contractor Signaturg�4
li2KERS' 90MPENSATION DECLARATION
MINA FAILURE40SECURE 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
IrCIF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
�815faffirm ugder penalty ofperjury 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
Wince of tlas work for which this permit is issued. Policy No.
have and will fh'afntain 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
uance carrier and policy number are:
Policy Number
of Agent
Date
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
t, if I should becomes ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicantt Date/— Zo —/9
CLARATION REG DING STRUCTION LENDING AGENCY
;reby affirm under 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).
Ider'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 county ordinances and state laws relating t wlding construction.
I authorize representatives of this city or county to nter the above -identified prope or inspection purposes.
nature of Provertv Owner or Authorized AGent —7., . /%..L _ Print Property Owner's or Authorized Agent'sDato-
ACTION DATE
BY
UtLLAHAriUIV Ur LL)MYLJANt.t WWI n UUUC Ur
FEDERAL REGULATIONS PART 61 OF TITLE40AND
PERt4ITEXPIRED
AQMD ROLE 1403.
❑ 1 SUBMITTED ASBESTOS NOIIFICATION TO:
PERMITCANCELLED
❑ EPA
PERMITEXTENDED
❑ AQMD
❑ ASBESTOS N077RCA170HIS NOT APPLICABLE TO
PERMITFINAL
PROPOSED DEMOLITION.
OCCUPANCYfSSUED
SIGNATURE:
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