HomeMy WebLinkAboutH2018-0545 - Permits (3)n r City of Newport Beach - Building Division H2O18-0545
' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 5 NIGHTSHORE BIdg:1 Floor: Suite:
Description of Work: MECH A/C UNITS (2) *TAMPER PROOF CAP REQ* & FURNACE (2) C/O
*N/L AGREEMENT ATTACHED TO PLANS
Inspector Area:6 Code Edit: 2016
Legal Description:
Owner: AGRELLAS RANDALL Contractor: WE CARE
Address: 5 NIGHTSHORE Address: 41085 GOLDEN GATE CIR
NEWPORT BEACH, CA 92657 MURRIETA CA 92562
Phone: 949-600-0200 Phone:
951-600-0700
Con State Lic:
779604
Issued Date:08/31/2018 Lic Expire:
06/30/2020
-
Bus Lic:
\�
BT30038344
Processed By:
\ Lic Exp Date:
0212812019
MECHANICAL Permit: H2O18-0545
Project No :
Inspection Requests Phone (949)644-3255
Worker's Comp Insurance -
Carrier: CYPRESS
Policy No: WCWC703179
Expire :0110112019
HVACltems
FEES
••
FurnacesBoilers & Compressors
Ventilation
Up to 100K BTU/hr:
2
$36.00
Up to 3HP:
2 $36.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
Other
$0.00
Over 1 OOK 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 1OOK BTU/hr:
Over 500K BTU/hr:
0
0
$0.00.
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee:
$0.00
Investigation:
$0.00
Up to 1 M BTU/hr.
0
$0.00
Air Handling Units
up to 1 OK CFM:
0 $0.00
Comm. Hood:
Repair/Alter/Add:
0 $0.00
0 $0.00
Model:
Plan Check:
$62.64
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
R4A5
DAY & NIGHT
Issuance:
$33.00
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$37.50
TOTAL :
$205.14
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$205.14
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 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)
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
Cessions 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 toca.10r 4•pe•lalty of
more than five hundred dollars ($500). i
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the
:iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through err
Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complel
Roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BI
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pi
I am exempt from licensure 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 yer
I a structure Val 1 Wave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undE
Aess ions Cotie,•i5 available upon request when this application is submitted or at the following Web site:http://www.leginfo.
cature of Prep" Owner or Authorized Agent
:EASED 6OAiFRACTOR'S DECLARATION
=relay affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing witySectiop 7000)pf C
License No
fRKERS, roMP.ENSATION DECLARATION
TANG: FAILURi!TJ SF::URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALI
JOR COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
[eh)' affirm under penalty of perjury one of the following declarations:
I hEve an& Ntll'rtlhintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
pfrance of the work for which this permit is issued. Policy No.
J%ve and %v rU eihtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the PE
lance carrier and policy number are:
Tier Policy Number
ne of Agent
certify that, in the pf
, if I should become
of
k, and the structure is not intended or offered for sale (Section 7044,
ass' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
'ision 3 of. smess d and my license is in full force
' Contractor Signal e
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
for which this permit is issued, I shall not employ any person in any manner sd as to become subj t toe
workers' comp nsation laws of California, and agree
ome ..
che Labor Code, I shall forthwith omply with those ovisions.
ate
CLARATIOt.REG`/�RDING CTION LENDING AGENCY.
�reby affirm under Pena ty 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).
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 o wner s behalf.
I have read this application and the inforniation I have provided is correct.
I agree to comply with all applicable city and courley ordina a e laws relating to building construction.
I authorize representatives of this city or cou n er the above -identified property for inspection purposes.
inature of Property Owner or AuthD ' gent / Print Property Owners or Authorized Agent's Name
z&/JJJ0
_. ACTION DATE I BY
FEDERAL REGULATIONS PART 61 OF 177LE40.AND
PERM1TfXP+RED AQMDRULE1403.
❑ ISUBMITTEDASBESTOSMOT1F1 TIONTO:
PERMI€CANCELLED ❑ EPA
PERMITEXTENDED ❑ AQMD
❑ ASBESTOSNORF/CARflNfS NIT) PPLfCR6LE TO
PERMITFINAL %-1—tpr 0 — PROPOSEDDEMOLIT70M
CERTIFICATE OF SIGNATURE.
Date
OCCUPANCYISSUED