HomeMy WebLinkAboutH2021-0191 - Permitsa
City of Newport Beach - Building Division H2O21-0191 MECHANICAL Permit: H2O21-0191
t= Civic Center Drive, Newport Beach, CA 92660 Project No
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 2139 VISTA LAREDO BldgA Floor: Suite:
Description of Work: MECH INSTALL A/C UNIT AT THE SIDE YARD "TAMPER RESISTANT CAP REQ
Inspector Area:4 Code it : 2019 y tl
Legal Description: TR 5692 (L.L.84-21 27) �R P -- _ If applicable:
le:
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Owner: CCLOSKEY ROBERT K T AR Contractor: I COL9 SERVICES
Address: 2139 VISTA LAREDO as:CL
119,70%
'1 C�arrieY: t IOW iNS�ItXt�CE `I` `
N�WPORT BEACH, CA 9266 G `,19243[u,17
Policy No: WCV550233402
Phone: NL
Ph7i E�eV,9P1QRt(�021
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Issued Date: 2Q21 Lic Expire: 02/28/2022 -
ic: $0
Processed
L pD0 1 T11r1 n ) e �i_,,
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(mm mm
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HVAC Items FEES
Furnaces Boilers&Compressors Ve Ails m OtherL�•OB4• •°�
Up to 100K BTU/hr: 0 $0.00 Up o 3 P: 2 h o 0 re s:
ri
Over 100K BTU/hr: 0 $0.00 > HP t P: 0 t hs� 0 Ljtll V. ° ° ° • $0 QQ ....
Wall/Floor Heaters: 0 $0.00 >1 HPto30HP: p 0.00 tI an: 0 0.00 rr eJP4e:star%d) $0.00
Heat Pumps & Package Units >3 HP to 50 HP V��C�.tfo$ral v<hf Draft Fan: 0 $0.00 R cord Mgt Fee: $0.00 r• •
Up to 100K BTU/hr: 0 $0.00 >5 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investid'Qtim e • $0.00
Over 5110K BTU/hr. 0 $0.00 Ai }�{� iJnits Comm. Hood: 0 $0.00 _ _ n Cl gck: $18. ;Y
Up to 1M BTU/hr: 0 $0.00 up o�01�CFM:-�--'0-'--$0.010 AepaIr7ATfer d: 0 $0.00 Model: DX74SA-0371 G�:••O% $37.00 "
Up to 1.75M BTU/hr: 0 $0.00 Ov r 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturei:nSp. io4 S:
Over 1.75M BTU/hr: 0 $0.00 VA Bey----0— $tF00 E NZorltng PC: $46.25
TOTAL: $122.52 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $122.52
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.
�i
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable tam(s)
.ction 7031.6, 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 of the Business and
fessions Code) or that he or she is exempt from Iicensure 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Movements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
(roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall
a structure ghffl°h#ave*ffDtlKa�arFowner uilderahit.#ra-- �� mstaustad j0.lts �nf t' gl ens contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
is available upon request when this application is submitted or at
of
hereby affirm Inder penalty of perjury that I am licensed under provisions of Chapter
nd effect. rr�,n N icense Class k1 A ,. icer&No . I
ropy Di irm
I have ant
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have and
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rebv affirm
rjury one of the following declarations:
rtific o
this I$is als
s' c f f 'peasrMd
M are:
Policy Number
f g1c, issued, I
p6nalty of perjury that there is a
encing with Section �d)efi Division 3 of the Busine
_ Da((}}YY,FF 8j�0�0J� I�� 04 tM
MWIPLC R NFIdsIl.11 I I4 PENALTIES AND CIVIL FINES UP TO
issued. by the Director of Industrial Relations as
Labor Code, for the performance of the work 1
AGENCY no m
nstruction lending. agency for the per
rmance
Lender's Address
my slgnatur Delowl LuanM [O eacn or me rouowmD:
I am the property owner or authorized to act on the property owner's
I have readghis application and the information. I. have provided is cc
I agree to c11 with all applicable city and county ordih�peEs an
I authorize repr��" seen`("a Ives o y ,UNWITtrove
Date
Code, and my license is in full force
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO
for by Section 3700 of the Labor Code, for
this permit is issued. My workers'
Phone # ig
so as to become subject 10 the worker(; compensation laws of California, and
this permit is issued (SNon 3097, Civil
iTlif§d��:
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTN CODE OF
FOROFRCEUSEONLY
FEDERAL REGULATIONS PART 69 OF TITLE 40AMU
AQMDRULE 9403:
PERMITEXPIRED
❑ ISUBMITFEDASBESTOSN01IF1CATiONTO:
❑ EPA
❑ AQMO
ASBESTOS NORFICARON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITCANCELLED
PERA41TEXT€NDED
PERMIT FINAL
CERTIFICATEOF
SIGNATURE.'OCCUPANCYISSUED