HomeMy WebLinkAboutH2017-0245 - PermitsCity of Newport Beach - Building Division III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII a ° ( °° g IdIE,CMNICAL Permit: H2O17-0245
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 2 4 5 Project No
Permit Counter Phone(949)644-3288 ppO
oinsp64tion.Requ'sIs`one (9d9j644-3255
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Job Address: 1910 YACHT MARIA Bldg:1 Floor: Suite:
Description of Work: MECH - 2 A/C CONDENSORS *TAMPER-REyS�$T�INT CAP REOUIeFp*
Inspector AreaA Code Edit: 2016 /�_ / ifapplicable:
Legal Description: N TR 926 LOTDate' �'--' �I-�tI �I ((11����
Owner: HECHT BEN C tor: N B ❑ $0%rQr s-9or71q Yi4tarr@fund
Address: 1910 YATCH MARI DR dre Carrier
NEWPORT BEACH, A 660 t0 w�,gllCy.No:
Phone:CEL Ito..
Con State Lic: O/B
Issued Date:05/10/ 1 Lic Ex Jr
P I R EE D
Processed By: X
HVAC Items F y'�
FurnacesBoilers & Compresso la M �q `{ 1— EaOther
Up to 100K BTU/hr: 0 $0.0 Up 3 : ca$3a tl oom Fan: 8 Ir $0.00 $0.00
Over 100K BTU/hr: 0 $0.0 P to 15 HP: 0 $ 0 Exhaust Fan: 0 $,00�QQ ((�� ,�-}} 0 $0.00 $0.00
Wall/Floor Heaters: 0 $0.0 >15 HP to k $tc�ru Attic Fan: 0 $b�.b� WWP1r�1�'o 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 > 0 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00
Over 500K BTU/hr: 0 $0.00 �Q aadliag tdei L, Platt Check: $31.32
Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Moml$p. iiniitiaiscAw"ffK Issuance: $33.00
Up to 1.75M BTU/hr. 0 $0.00 Oter 1D r np_ 9 $0 BO--.Sapplemen anufa turer: 24AHA4
Over 1.75M BTU/hr: 0 $0.00 ti
TOTAL: $100.32 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $100.32
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT/ON
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.
` om
)WNER-BUILDER DECLARATION "•
I hereby affirm under penalty of perjury that I am exempt from the Cohtractore' 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 Cbda: ArW 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
is permit to file a signed statement that he orshe i -licensq(J•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 fjom McenSure and tVbasislQr:the Tlleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
ot more than five hundred dollars ($500). • .:, . : '
I, as owner of the property, or my employees with wages as t4l, sole agmpe°ns';tion, will do i_) all of or(_) 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 apQly 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 year of completion, the Owner -Builder will have the burden of proving that it was not built or
:proved for the purpose of sale).
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
pp y o 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).
m exempt from licensure under the Contractors' State License Law for the following reason:
ty m 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
II structure that I have built as an owner -builder if it has not been constructsin its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon requestvul�ia this b e rat the f eb site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized A n
.ICENSED CONTRACTOR'S DECLARA
hereby affirm under penalty of perjury that I am licensed un er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C and my license is in full force
nd effect. -
!cerise Class License No Date 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 HUNDRED THOUSAND DOLLARS ($100,000), 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 1 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 th
erformance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
,ante carrier and policy number are:
of Agent
6y that, in the performance of the
I should become subie_QLhlthe wo
of
Policy Number
Date
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 agre
compens evisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nod "s I .t�, 1:
CLARATION REDARMUQ40RSTRUCTION LENDING AGENCY - "
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S tion 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 c unty ordinances and tate laws relating to building construction.
I authorize representatives of this city or ckn&tG-e7rt€P e �Aventif sryertyTor inspection purposes.
Owner or Authorized
AC77ON
PERMITEXPIRED
PERMITC47VCELLED
PERMITEXTENDED
PERMITFINAL
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