HomeMy WebLinkAboutH2019-0117 - PermitsCity of Newport Bea11 tch o Buildi1.ng Division 1111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O19-0117
u '0 100 Civic Centerm rive, Newport @eaoh-CSA 9j660 H 2 0 1 9 0 1 1 7 Project NO
'q Permit Counter Rhone t9491644-3268 • ® a
�•e,v.xu��' Inspection Requests Phone (949)644-3255
Job Address: 14 DAUPHINE vlag:1 Floor: Swtel. `®
Description of Work: MECH - *AS -BUILT* INSTIL A/C CON DENSOR. TAMPER-RESISTANT CAP & TIMER REQUIRED (119-0363)
InspectorArea:6 Code Edit 2016
Legal Description: TRACT 14588 LOT 9 OF PROJECT 936-46 LOCATED ON AP 461-201-61
Owner: CHUKA CLARK
Contractor:
OWNER/BLDR
Worker's Comp Insurance -
Address: 14 DAUPHINE
Address:
CHUKA CLARK
Carrier:
NEWPORT COAST, CA 92657
Policy No:
Phone:
Phone:
949-717-0017
Expire
Cod State Lic:
OIB
Issued Date:02/28/2019
Lic Expire:
$0.00
s �1
0 $0.00
Bus Lic:
0 $0.00
��� +
Processed By:
Lic Exp Date:
$0.00
I
c +a s
0
$0.00
> 3 HP to 15 HP:
'M"
Exhaust Fan:
0 $0.00
Gas Line:
1 a�
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:
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 1OOK BTU/hr:
1
$19.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$19.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$16.53
Up to 1 M BTU/hr:
0
$0.00
up to I OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
4TTX6036BI Issuance:
$35.00
Up to 1.75M BTU/hr.
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
TRANE
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$40.00
TOTAL:
$129.53
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$129.53
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.
)WNER-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 ;y ;is ckocksna k(s}I have placod 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 repajr 4y strtctYrecpr1or4o Is ibsukce, also requires the applicant for
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9'(Cor111ABnclh% witll'Sectiibn 700M of Division 3 of the Business and,
Irofessions 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 civil penalty of
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 stl ctuie is mt intended or offevedfor sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' 44persotlal effort, buil'rl: or hilroves tha 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 Myrr(Pr-ptljjder wtll ftavg4Je bur JWtorp;Oving that it was not built or
nproved 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
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).
m exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
structure that I have built as an owner -builder if it has not been Sir cted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Bu mass and
Irofessions Code, is available upon request when+t}�is applica it dor at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent& l Nei Date 19
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect.
icense Class License No Date Contractor Signature
COMPENSATION DECLARATION
ARMING: 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 7
OST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury 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
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
�f Agent
Date
Iify that, in the perform an o e 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, ' I should become subject t r ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /) Q
(nature of Applicant Y —
CLARATION REGALING CONSTRUCTION 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 o ances and state laws relating to building construction. )
I authorize representatives of this city or county to eq= ov -identified property for inspection purposes.
Owner or Authorized
ACTION
PERMITEXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIRCATEOF
OCCUPANCYISSUED
DATE
Name
BYIDtLLAKAf1UIV Ur- LUMHLIANUE VPI i IT UVVr
FEDERAL REGULATIONS PART Qf OF TITLE40AND
1 SUBIWTT€D ASBESTOS NORFICATION TO.
❑ EPA
❑ AQMD
ASBESTOS M017RCAIIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
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