The URL can be used to link to this page

Home My WebLink AboutH2019-0562 - Permits. City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0562 �'t 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 6 2 Project No: 1708-2018 �, '� - Permit Counter Phone (949)644-3288 I.. amu:..._.. AY ;�; <.,y, Inspection Requests Phone (949)644-3255 Job Address: 1801 BALBOA BLVD E BIdg:1 Floor: Suite: Description of Work: MECH/(2) A/C UNITS @ ROOF DECK 46.5dB & 46.5dB (AIRTEMP; VT4BE;036KA) InspectorArea:1 Code Edit: 2016 N4 z Legal Description: N TR 518 BLK L LOT 22 icy " / lJ Owner: 1801 BALBOA LLC Contractor: K L P M INC V Comp Insurance - Address: 1101 QUAIL ST Address: 12188 CENTRAL AVE #269 Carri r' MPLOYEES ON NEWPORT BEACH, CA 92660 CHINO CA 91710 Poli /,o ��X� r'1 Phone: 949-204-7272 Phone: 949-246-2923 Expire Con State Lie: 831751 Issued Date:09/17/2019 Lie Expire: 02/29/2020 �C�� Bus Lie: BT30065030 Processed By: rd� Lic Exp Date: 11/30/2019 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 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 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: $34.80 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Madel: 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: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $151.30 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Fridatr•7r08 a}m.to• 6 36p.m.anriSaiardaV from 8:00 a.m. to 6:00 p.m. A O i f O 1 c .. (. f`.y o r0• O O 000 <C 4 4 G G O O d4 U` C • 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 he 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 lot 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 I_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 Ipply 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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.htmi, Signature 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 Secti ory7000) of Division 3 of the Business and as ' ns o ,and m cense is in full force Ind effect. �(p� /w .icense Class License No Date /� Contractor Signature ai a!f 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 HUNDRED THOUSAND DOLLARS IS'100,0001, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 ertormance of the work for which this permit is issued. Policy No. I have 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performanc of t work fo hich this p mit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tha , if I should becomesubj t workers' mpen ti provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGA D G CONSTRU TION E ING A CY I hereby affirm under penalty of perjury that there is a construe on 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 owner's I have read this application and the information I have ided 1 orrect. I agree to comply with all applicable city and count or ina ce a state I s relating to building construction. I authorize representatives of this city or count to a =d ed property for inspection purposes. Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name �✓`�►'l�iR�ZD /p ACTION DATE BY Fil DECLARATIONOFCOMPLIANCEMTHCODEOF FOR OFFICE USEONLY PERMITEXPIRED IA(IMLI HULL 44UJO . ❑, 1 SVB1WtTE€9ASQE'.ilbs 0OPFIC4PDN TO: PERMITCANCELLED .0 FP,4 : • • - • • . - P€RMITEXTENDED ❑ AQMD ❑ ASBESTOS NONFICATIOMIS NOT APPLICABL.E TO PERMIT FINAL 4/- 3 O - ZO D "— • PW.OSF,D DEIVOLFTPM-. CERTIFICATE OF • • • • • • • • • SSGM4tU4E.. DCCUPANCYISSUED ' • `