HomeMy WebLinkAboutH2020-0191 - PermitsCity of Newport Beach - Building Division H2020-0191
100 Civic Center Drive, Newport Beach, CA 92660
F- x, Permit Counter Phone (949)644-3288
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MECHANICAL Permit: H2O20-0191
Project No: 2142-2017
Job Address: 303 RUBY AVE BIdg:1 Floor: Suite:��� p�
Description of Work: MECH *CHANGE OF CONTRACTOR* INSTL AIC UNIT�"rR9SIDE YARD f` 'Ime , NOISISMAT & T,
PERMIT H2020-0191)
NOISE CONSENT ATTACHED PILAjh J ol C a
InspectorArea:2 Code Edit: 2020 �*
Legal Description: BALBOA ISLACCCBL 1
Owner: 303 RUBY LLC
Address: 303 RUBY AVE
NEWPORT BEACH GA
Phone:
Issued Date:04 /0 212 010
Processed
trnacesBoilers & Compropsorl
to 100K BTU/hr:
0
.00
ver 100K BTU/hr:
0
$ 00
'all/Floor Heaters:
0
$0. 0
eat Pumps & Package Units
P to 1 OOK BTU/hr:
0
$0.0
ver 500K BTU/hr:
0
$0.0
o to 1M BTU/hr:
0
$0.00
3 to 1.75M BTU/hr:
0
$0.00
ver 1.75M BTU/hr:
0
$0.00
tQCt
or ,qml� ,CSk RU TI &�V INC
A ress; 034145 IF1C L-91 HWY
a.
t DAN _ POlt�i'CA 92629 NO
ma ne:: , `� t 3-4158 t J
onia4ic: 1037945
L1C Erre
} Nos Lic:
Lic Ex
°
Ato� 3HP: 0 �alhroom Fan:
> 3 HP to 15 HP- Exhaust Fan:
>15H o r PA Attic Fan:
3 P ePV V -c .00' Down -Draft arra
>50 P: o� $0.00 Rasi lal Hood:
andliri i hits m. Hood:
up to 10K CFM: 0 Repair/ 'la' Ho d;„
Over 10K CFM: $0.00 -lament Fee
�ty0.
0 $0.00
0 $0.00
Requests Phone (949)644-3255
Worker's `dam Ansuranc
Carrier: NO EMPLOYE.
CC"%f74UCT,10N
I Fee:
Fee:
$0.00 Model:
$0.00 Manufacturer:
RESISTANT CAP REQ, (REPLACE
TOTAL : $35.10 / ,.,s✓"'- Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00
PERMITS EXPIRE 160 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.
00000
•00°9U
$oA&co0
$00 °
.eoovr.�
0000
$0.00
$0.00
$35.00
$0.00
Y o0ee
Other
$0.00o
0 $0'00
° e
0 0e
000e
$0.00coca
$0.00
Investigation:
Plan Check:
4AC16130PIssuance:
ALLIED
Zoning PC:
TOTAL : $35.10 / ,.,s✓"'- Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00
PERMITS EXPIRE 160 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.
00000
•00°9U
$oA&co0
$00 °
.eoovr.�
0000
$0.00
$0.00
$35.00
$0.00
OWNER -BUILDER DECLARATION R'+
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 the marks) I have placed next to the applicable item(s)
(Section 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair u ure;odor to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Ch (comme Ing ijth Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any vi=ions
=thework,
y any applic t fos` ;permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). Igp
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of ord the structu�yree I n tended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of who, thrqu h� mpioyees' or per�ppg�{�ffa bw or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement' within one yeai;0foA letion, tthVe w QI��fiI der wit
aV , e burden of proving that it was not built or
improved for the purpose of sale). - P vpV\�t +�,}}}__fir ;!
❑ I, as owner of the property, am exclusively contracting with licensed Cc we is to construct the pAect (Sectiop 7W., sines& and Professj1powCo Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, an rads for the pmje s with a IicgT0AIr-actor pursuant to the rActors' St a rise Law).
❑ I am exempt from licensure under the Contract ' Ste
L o reason: Lj-
B m signature below I acknowledge that, exce t ers al si Ion I must a resided for at Is@s--t,,qq@@ ea rior�to completion of the Imp v' nts covered by this permit, I cannot legal)
sell a structure that I have built as an owner- Id It --M-_- cted in its . b ; nsed cpl�[r ji�-I�!f ?understand thf(a copy of the opplica la, •,Section 7044 of the Business and
Professions Code, is available upon re W t i ubmilted r It J g b si:Kttp'./lwww.leginfo.ca.gov/calbw html.
Signature of Property Owner or,Authorized Date
LICENSED CONT QT6R'S DECLARAT
I hereby affirm unde enalty of p am Ice d u to, f �. in full force
c encing w' a De 0 of Di ision 3. f the tractos rid . fe I®. ode, and my tcense'+t
and effect. License ass '•' e s Dae -�% — Cont[ ctor
WORKERS'COM SATION D ARA _ N
WARNING: FAILURE'b9 FET E WO SATIi pOV G S UNLAWFUL, ANO S T P 0 IMINAL PENALTIES AND CM ES 1fOrONF RED O A o S (5100,000), IN ADDITION TO THE
C®STOFOOMPENSATION,D AGE ORIN` 0] aOF THE LASO D E ND O Y ES. ®�' L-
I hereby affirm under Pen ty of r he following declar
. .. Tei
%hats and will inalnta a c consent g�plf-I for ers' nsation, issued by tMr
t 1n rdl R�eM5 s provided Se 700 of the Labor Code, for th
p rA%nce of the V Srk for hich Is perit is Ir�su $ ' y N fat
Nave.and wig sRairdain rkers' an on In a required by Section 3700 of the abor the pe#t5il%Ai of the work for w e it 1 ed. My workers' compensatio
m urdde carder apd gplicy n bar e: 1-1 �O W"•
C�FneF S� 0 Policy Number �� \ {��opn D t
Nameo1Agent Pho eA a�
I.C.ertt(y... that, iq thedhjforanc of the work toY wh(bh this p s su shall not employ any person in any m�R r so as tD�E sub a workers' compensation laws of California, and ogre
hat, if I should b Dme subject to a workers' comp t of eotion 3700 of the Labor Code, I al -fort co t�7wlth rovisio
Slgne4laie of Ap �an1 �- Data
DECLARATIO REMANDING OMY If '
I hereby affirm under pen of peau that re I cons coon lending agency a performances foie w which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's dr€ss
By my signature bel , i certify to each f thefollowing'.
I am the property owner or authodzei to act o a p>� owner's behal
I have read this application and the in ave provided is m56.
I agree to comply with all applicable cit a d county ordin an s relating to building construction.
I authorize representatives of this citV ounty t rth a-' n' d property for' spection purposes.
Signature of Property Owner or Author) d A Print Pro a Owner's Or Authorized A nt's Name Ut ate
DATE B DECLARATIO OF COMPLIANCE V(ft CODE OF FEDERAL
REGULAT S PART61OFTITLE 40AND AQMD RULE
NOTIFICATION TO
PERMITEXrENDED ' J L IAQMD
PERMITFINAL UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
FOR OFFICE USE ONLY '
f, / 3