HomeMy WebLinkAboutH2018-0413 - PermitsCity of Newport Beach - Building Division �illllllllllllllllllllhi IIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O18-0413
a t 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 6 4 1 3 Project No
Permit Counter Phone (949)644-3288
e. S,Pe Inspection Requests Phone (949)644-3255
Job Address: 2927 CASSIA ST Bldg:1 Floor: Suite:
Description of Work: MECH - FAU & A/C CONDENSOR *TAMPER -RESISTANT CAP REQUIRED* rs� •
InspectorArea:8 Code Edit 201E ®, 4 �a = ' " u NJ
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IN Description: T r
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Owner: FARR KATH EENOat � I �tocr-----RI6FFTIME-KONIE"SERVICES Worker's Comp Insurance
Address: 2927 CASSI ST Address: 965 RIDGE LAKE BLV'D SUIT 0 C r i 1 •' •
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NEWPORT B ACH CA 9 0 TrlM off Policy No: WA763D508631017
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Phone: o _.,g.� 1 6 974 Expire :10/0112018 m
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Issued Date:07/73/2018 Ga'ir
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Bus Lic: BT30053474 l e.m•�m ° °
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HVAC Items FEES j _°••*° '
FurnacesBoilers&Compessors Ventilation Other •°®
Up to 100K BTU/hr: 1 18.00 Up to 3HP: 1 18.00 Bathroom iNo
eer . l an $0.00 ° ° $0.00"`
Over 100K BTU/hr: 0 $0. h > P Exhaust F l L� $0.00 $0.00
Wall/Floor Heaters: 0 $0. > Attic Fin: ��� Metal Fire a e: 0 40.00
Heat Pumps & Package U its >33�P to 50 HP $0.00 Down.Dra Fan. gNos9mrk I F� Fee: 80.00
Up to 100K BTU/hr: 0 $0.00 >50 xo'rk started)$o.00 Residential Hood: 0 $0.00 Additional Fee: $1,5.66 Investigation: $0.00
Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 1 Plan Check: $0.00
Up to 1 M BTU/hi 0 O,.QO b up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 _ .011__.Medefa Issuance: $33.00
Up to 1.75M BTU/hr: 0 ate: jaysao u,".n--� - up eemental Fee: $0.00 Mannift�ler EEM
Over 1.75M BTU/hr: 0 0.00 VAV Box: 0 $0.00 ,��Sp. @t9EYi�; ' 11 Zoning PC: $37.50
Plan Check Fee: $0.00 Fee Due at Permit Issuance: $122.16
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.
✓NER-BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(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 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 3 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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 the purpose of sale).
1, as owner of the property, amtexclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
dy 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 lfdehsure underthe ContractorsState License-Lawfor-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
a structure 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 al
fessions Code„is available upon -request -when -this -application. is-submitted-or_at-the.following Web sifb:fitfptillwl�W304in�fo.0a.gov/calaw.html.
nature of Prgll3 ' wner or Authorized Agent
h€ItB% affirm g r
see
I have and H
o nce of (j
r� a and wIll
ra a carrier
:a'r
lam f Agent _
3 certify that, it
iat, if I should bI
�ionature of ADD(
ens`eIt'
on a, pinvlsions of Chapter 9 (commencing wrthlS 'oHan` tilit9) -Div{sii�Fr 3'6f tlt§'Blrsi�%esa
nsarN , �. "` - Date ,� Contractor Signaturi
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON'.
iCTION3706.OE31FIE LABOR CODE.. INTEREST..ANDATTORNEY'S FEES.
Tents covered by this permit, I cannot
law, Section 7044 of the Business and
my license is in full force
DOLLARS (E100,000), IN ADDITION TO THE
sure qm+ V@ke Co.pensat"" ad by the Director of Industrial Relations as prided for by Section 3700 of the Labor Code, for
No. u:
wtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for
policy number are:
areby affirm unn erlp`khAIgef-per} tpel3Fiere_is
Ider's Name
my signature I w, I certify to each of the follow
I am the rty owner or authorized to act on
I have read thw app Ica Ion an a moo mar o 5
I agree to comply with all applicable city and cc
I authorize representatives of this city or cw4
rovisions o idff"�00 of the �bftr Vb,letlf rtbWll Fymply with those p
bb llcc/1 �: llCC`�''// Dit
AGENCY
ictinn lendina aaencv for the De6ormance of the work for which this permit is issued
the performance of the work for which this permit is issued
Lender's Address
-- Insp. initials:(
Brty owns
ion Slate I we relating to building construction.
ffe—above-ldentllTad property for inspection purposes.
this permit is issued. My workers'
compensation laws of California, and
3097, Civil Code).
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODEOF
FORDFRCEUSEONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMDRULE1403.
PERMITEXPIRED
�,
�.
/
1 SUBMITTED ASBESTOS NOTLFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NORRCAIIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
SIGNATURE: