HomeMy WebLinkAboutH2019-0466 - PermitsCity of Newport Beach - Building Division III�IIIIIIIIIIIIIIIIIIIIIIIII�I'IIIIIIIIIII
u ! 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 4 6 6
Permit Counter Phone (949)644-3288
MECHANICAL Permit: H2O19-0466
Project No: 1320-2018
Inspection Requests Phone (949)644-3255
Job Address: 5607 SEASHORE DR BIdg:1 Floor: Suite:
Description of Work: MECH INSTIL (3) A/C UNITS @ THE ROOF, TAMPER RESISTANT CAP REQ, A/C #3 38MGRQ24C-3 CARRIER
Inspector Area:3 Code Edit: 2016
Legal Description: OCEAN FRONT TR BILK 56 LOT 4
Owner: KROENER ERNEST C
Contractor:
Address: PO BOX 2010
Address:
PASA ROBLES, CA 93447
Phone: 805.431-4402
Phone:
Con State Lic:
Issued Date:07/31/2019
Lic Expire:
to 100K BTU/hr:
Bus Lic:
Processed B
Date:
CONTEMPORARY AIR CONTROL INC
16787 BEACH BLVD, STE 255
HUNTINGTON BCH CA 92647
714-373-5331
575613
10/31/2020
BT300326259
07/3144
INSPECTOR
SUBJECT TO FIELD INSPECTOR73
Worker's Comp Insurance - REVIEW AND APPROVAL
Carrier: NORGUARD INS CO
Policy No: 90EKY76 1 b" ° °°
Expire :06/01/2020Sl tv�v �B � �p�y,� ......
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ON
b° 1.
0*,IIJY®�YS .....
- - -
•nacesBoilers&Compressors
Ventilation
Other
to 100K BTU/hr:
0
$0.00
Up to 3HP:
1
$19.00
Bathroom Fan:
0
$0.00
Fire Dampers:
0
$0.00
$O OO ° b
it 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.t1(1,
II/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0
$0.00
Attic Fan:
0
$0.00
Metal Fireplace:
0
1$0.00
`
it Pumps & Package
Units
>30 HP to 50 HP
0
$0.00
Down -Draft Fan:
0
$0.00
Record Mgt Fee:
$0.00
to 100K BTU/hr:
2
$38.00
>50 HP:
0
$0.00
Residential Hood:
0
$0.00
Additional Fee :
$0.00
Investigation:
$0.00
:r 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0
$0.00
Plan Check:
$49.59
to 1M BTU/hr:
0
$0.00
up to 1OK CFM:
0
$0.00
Repair/Alter/Add:
0
$0.00
Model:
24AHA436/25HHA4
Issuance:
$35.00
to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0
$0.00
Supplemental Fee:
$0.00
Manufacturer:
CARRIER
-r 1.75M BTU/hr:
0
$0.00
VAV Box:
0
$0.00
Zoning PC:
$40.00
TOTAL: $181.59 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $181.59
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.
INER-BUILL7ER UCGLAKAI IUN
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)
rction 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
riness 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).
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
)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 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 improvem nts covered by this permit, I cannot legally
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 , Section 7044 of the Business and
�fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
SENSED CC"TRACTOR'S DECLARATION
Ireby affirm dgdpt p2nalty of perjury that I am licensed under provisions of Chapter 9 (commen Section 7000) of Division 3 ofthp usineL
d P f Bions Code, and my license is in full force
I effect. _
InULlass : . License No Date Co r r Signal
)IRKERS' COMPENSATION DECLARATION
rNWD�FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IT OF COMPENJATICKO AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
�rebylaffirm uf?Jel•(Yenalty of perjury one of the following declarations:
L Gave and wk-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
fQW10h Ce of the work'for which this permit is issued. Policy No.
and will maintain workers' co nsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carriesari:o"icy number ar
Date
Ite.of Agent *-
certify that, in the performance
, if I should become subject to i
ratu of Applicant
hereby affirm under
Policy Number
for which this permit is issued, I shall not employ any person in any manner so as to beh thct to the workers' compensation laws of California, and
„Compensation provisions of Section 3700 of the Labor Code, I shall forthwith coin wito p isions. w
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 n Lender's Address
my signature below, I certify to each of the follow!
I am the property owner or authorized to act on t
I have read this application and the information I
I agree to comply with all applicable city and cou
I authorize representatives of—tlYoirCity or county 1,
ACTION
PERMIT FINAL
CERTWCATEOF
DATE
owner's behalf.
ed is correct.
:as and state laws relating to building construction.
above -identified property for inspection purposes.
BY
Name
OFTIJLE40AND
❑ 1 SUBMITTED ASBESTOS NOTIFICATtONTO:
❑ EPA
❑ AOMD
❑ ASBESTOS NONFICARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE.