HomeMy WebLinkAboutH2020-0294 - PermitsCity of Newport Beach - Building Division III 11111111111111111111111111INIININIII
e3 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 9 4
Permit Counter Phone (949)644-3288
Job Address: 8 TORREY PINES LN BIdg:1 Floor: Suite:
Description of Work: MECH (5) NEW A/C UNITS *TAMPER PROOF CAP REQ*
Inspector Area:4 Code Edit:
2016
Legal Description: N TR 7638 LOT 27
Owner: TAORMINA WILLIAM COSMO
Contractor:
ON TIME ENERGY SOLUTIONS
Address: 8 TORREY PONES LN
Address:
43397 BUSINESS PARK DR D5
NEWPORT BEACH, CA 92660
TEMECULA CA 92590
Phone: 714-308-0220
Phone:
954-331-3838
Con State Lic:
857180
Issued Date:06/04/2020
Lic Expire:
04/30/2021
Bus Lic:
BT30065834
Processed By:
Lic Exp Date:
01/31/2021
MECHANICAL Permit: H2O20-0294
Project No: 0862-2018
Inspection Requests Phone (949)644-3255
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Worker's Comp Insurance -
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Carrier: EMPLOYEE SERVICE GROUP
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sees,
Policy No: C66385577
Expire :02/01 /2021
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HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
5 $100.00
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 100K 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:
$87.00
Up to 1M BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
ARUB060GSS4
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
LG
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$263.50
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$263.50
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday- Friday7.00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m.
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
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 (commencing with Section 7000) of Division 3 of the Business: and
'rofessions 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 i, a ciyil,penalty of
of more than five hundred dollars ($500). 1
7 1, 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,
lusiness 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
nprovements are nn& 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
nproved for t*pVMpSe of sale).
11, e5 owner I#w,property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ipply tman owrler U( grbperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
A; 2hl exempt frpm licensure under the Contractors' State License Law for the following reason:
ly my.signatura , 9V 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
qIII a structure that I have built as an owner -builder it 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
'roleaslbns Codg,is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of PrdiM Owner or Authorized Agent Date
:fCREASED CONTRRCTOR'S DECLARATION
'hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion 7000) of Division 3 of the Business and rofessions Code, and my license is in full force
icense Class ! _ _' License No Date U/) AID Contractor Signature
�'OWeRS' COMPENSATION DECLARATION i
IARI$ILtG: FAILUREArQ CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED'rHOus 0 DOLLARS ($700,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. L/
hereby affirm under penalty of perjury one of the following declarations:
7 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 th
ertormance of the work for which this permit is issued. Policy No.
Agave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennfl is issued. My workers' compensatiol
rsura ce carrier and policy number are:
:arrier Policy Number Expiration Date
lame of Agent Phone #
]I certify that, in the perform ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation laws of California, and agre
tat, if I should become subje t to the workers' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. l
Iignature of Applicant Date
)ECLARATION REGARD ONSTRUCT ENDING AGEN
hereby affirm under pen Ity of pequry,t there is a construction lending agency for the performance of the work for which this permit is issue Section 3097, Civil Code).
ander's Name Lender's Address
ly 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.
1 agree to comply with all applicable city and county oroances and state laws relating to building construction.
I authorize representatives of this city or county to en rghre--aFbove-identified pro for inspection purposes.
Iignature of Property Owner or Authorized Agent f 1-- Print Property Owners or Authorized Agent's Name / �s?o, �5r! D/te,
ACOON
DATE
DECLARATION OF COMPLIANCEW/TN CODEOF
FOR OFROF USEONt
FEDERAL REGULATIONS PART 61 OF TITLE 40AMD
AQMORULE1403.
PERMITEXPIR€D
❑ I SUOUTTEDASSESTOS M077FICATION TOr
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITLXTENDED
[3ASBESTOS NORFICARONIS NOTAPPLICABL.E TO
PROPOSEODEMOLITION.
PER1UlITFLNAk
3 22
CERTIFIC4TEOF
SIGNATURE:
OCCUPANCYISSUED