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HomeMy WebLinkAbouth2018-0440 - PermitsCity of Newport Beach Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F z: Permit Counter Phone (949)644-3288. 1N11111�111111111111111111111111IIIII III III H 2 0 1 8 0 4 4 0 Job Address: 936 VIA LIDO NORD BIdgA Floor: Suite: Description of Work: MECH/INCREASE SCOPE OF WORK, BATH EXHAUST FANS 1347-2018,REV18-1313 Inspector Area:1 Code Edit: 2016 Legal Description: N TR 907 LOT 326 Owner: HARDER STEVE & CINDY Contractor: PMR CONSTRUCTION Address: 936 VIA LIDO NORD Address: 2061 FAIRWEATHER RD NEWPORT BEACH CA 92660 SANTA ANA, CA 92705 Phone: _ Phone: 714-231-7272 Con State Lic: 716745 Issued Date:07/25/2016 Lic Expire: 1213112019 Bus Lic: 30053615 Processed By: Lic Exp Date: 01/31/2019 AC Items - FEES nacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 -r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP:. 0 $0.00 Exhaust Fan: 6 $54.00 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 it 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 - Over10K CFM: 0 $0.00 Supplemental Fee: $9.00 :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O18-0440 Project No : 1347-2018 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE COMP Policy No: 9024949 Expire :09101/1018 Other Fire Dampers: 0 $0.00 $0.00 Gas Line: 0 $0.00 $0.00 Metal Fireplace: 0 $0.00 Record Mgt Fee: $0.00 Additional Fee: $0.00 Investigation: $0.00 Plan Check: $0.00 Model Issuance: $0.00 Manufacturer: 0 Zoning PC: $0.00 TOTAL: $63.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $63.00 PERMITS. EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday A day 7.00 aem.ta 6:30 p.6t-n.aWd-Saturday from 8:00 a.m. to 6:00 p.m. . o . o 0 0 . ao° a )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 by the checkmark(s) I have placed 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 repair any structure, prior to its issuance, also requires the applicant for :he 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 3rofessions 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 iot 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, 3usiness 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 mprovements 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 mproved 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 apply 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legally ;ell 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 applicable law, Section 7044 of the Business and 3rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED 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 Profe ions Code, and my license is in full force and effect. -icense Class License No Date Contractor Sig atur — NORKERS' COMPENSATION DECLARATION YARNING: 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, ),IN ADDITION TO THE :DST 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: 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 thl )eVormance of the work for which this permit is issued. Policy No. I 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 urance carrier Choy number argyq crier Expiration Date me of Agent Phone # I certify that, in the performance of the 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 agrer t, if I should bec ensation provivions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // _ mature of Applic Da%;N 7/�S V- g CLARATION REGA ING CONSTRUCTION LENDING AGENCY 41 areby affirm under penalty of perjury that there is a construction lend , 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 ordinances and state laws relating to building construction. I authorize representatives of this city or coun4Vj an�r - - -- '-'n ^'' ' 'nspection purposes. ACTION DACE BY DEClARATT OFCOMPLIANCEMRTHCODEOF FOROFHO=USEONLY i FEDERAL•REGULATLOM&PART 61OF WTLE40AND A4MQR1QE140; 0 .• PERMITEXP/RED \ \ Q .tf UWTFEDAy MST�OR 1V71F1�A17ON TO: ❑ -EPA • • •• ❑ AQMD. PERIWITCANCEtLED - PERMIT EXTENDED.. �� ❑ ASBESTOS NOT7RCATIONIS NOT APPLICABLE TO PROPBSESDEEMOUTION, . . • • PERMITFINAL CERTIFICATE OF SIGNPTVRE? • 0. 0.s OCCUPANGYISSUED