The URL can be used to link to this page

Home My WebLink AboutH2019-0204 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O19-02041 0 00 Civic Center Drive, Newport Beach, CA 92660 H 2. 0, 1 9 - 0 2 0 4 Project No: 0346-2018 Ye'Counter Phone (949)644-3288 si Inspection Requests Phone (949)644-3255 Job Address: 350 BUENA VISTA BLVD BIdg:1 Floor: Suite: Description of Work: 'MECH A/C UNIT ON ROOF DECK *TAMPER PROOF CAP REQ* ;3 `' • "• •• Inspector Area:1 Code Edit: 2016 Legal Description: EAST NEWPORT BILK A LOT 146 •• e Owner: MCDONOUGH PAUL & CAROLYN Contractor: BREEZY AIR Worker's Comp Insurance - Address: 350 BUENA VISTA BLVD Address: 13582 SISKIYOU ST Carrier: EXEMPT • ° NEWPORT BEACH, CA 92661 WESTMINSTER CA 92683 Policy No: NO EMPLOYEES . ...... Phone: 818-645.5854 Phone: 714-606-0814 Expire: °` Lon State Lie: 1025139 ..,,„ � Issued Date:04/10/2019 Lie Expire: 03/31/2021 ° m ° Bus Lie: � BT30062167 Processed By: Lie Exp Date: 02/28/2020 . • e• bm„oo .•.,P° HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to IOOK BTU/hr. 1 $19.00 Up to 3HP: 1 $19.00 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 10oK BTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $33.06 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CSAIBE4M1SN42K Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: SEER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $146.06 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-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 by the checkmark(s) I have placed next to the applicable*em(s) ction 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 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). 1, 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, ;1ness 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 thc6I1LVgose of sale). 1, as owne?gf Iii%property; am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not tly tB an owQgr.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 aril exempt f4a licensure under the Contractors' State License Law for the following reason: mpsignature 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 'a vf'ructure 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 law, Section 7044 of the Business and feVlons Codl,iv available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date ASED CPWRACTOR'S DECLARATION �ebysaffirm uRdef penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division of the Business P s ions Code, a lic nse is in full force fnssClass License No Date Contractor Signature )RKERS' ddA?4ISATION DECLARATION AIWFAILURE;%SECyRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 4 OG tOMPEN9ATIO.,DAMAGES AS PROVIDED FOR IN SECTION3706 OF THE LABOR CODE, INTEREST, AND ATTORNE'S FEES. reby 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 thl 'ormance 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' compensatior Trance carrier and policy number are: rier - Policy Number Expiration Date ne of Agent - - Phone # ertify that, in the perto anc the work for which this peued, 1 shall not employ any person in any manner so as to become subject to f'ia workers' compensation laws of California, and agre( �I should be the e r Gj to the orkers' compensatio Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' ns, nature of Applican Date 7LARATION REG -G CONST ION LE AGE CY reby affirm under p ally 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). der's Name Lender's Address Try 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 co my ordinances and state laws relating to building construction... I authorize representatives of this city or. county o enter the above -identified_ property. for inspection purposes. nature of Property Owner or Authorized Agent tr Print Property Owner's or Authorized Agent's NamDa(�` - ACTION DATE BY DECLARATION OF COMPLIANCE WIT CODEOF / FOR OFFICE USEDNt/ FEDERAL REGULATIONS PART 61 OF 7ITLE40AND AQMORULE1403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD -. PERMITCANCELLED PERMITEXTENDED ASBESTOS 710N13NOTAPPLICABLETO- P OPOSEDOEMOUTION. - 'PERMITFINAL 'CERTIFICATEOF OCCUPANCYISSUED SIGNATURE:.