HomeMy WebLinkAboutX2021-0313 - PermitsCity of Newport Beach - Building Division
w4 r 100 Civic Center Drive, Newport Beach, CA 92660
4. Permit Counter Phone (949)644-3288
si Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH
COMB Permit: X2021-031
Project No :
Issued Date : 0211112021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02f1212024 OR PERMIT WILL BE INVALID
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. No work on Sundays or Holidays
Job Address:
Description:
DRYWALL REPAIR BEHIND A/C UNIT, RECONNECT A/C UNIT IN SAME LOCATION (H2O19-0662)
DR W PROMONTORY DR NB ��®
Legal Desc.:
Owner:
PROMONTORY POINT APARTMENTS LLC Contractor:
SUBCOOLING HEATING & AIR LLC Architect:
Address:
200 PROMONTORY DR Address:
43397 BUSINESS PARK DRIVE D2 Address:
NEWPORT BEACH, CA 92660
TEMECULA, CA 92590 _
Phone:
Phone:
951-587-3887 Phone: State Lic:
Applicant:
SUBCOOLING HEATING & AIR LLC Con State Lic:
1011603 Engineer:
Address:
43397 BUSINESS PARK DRIVE D2 Lic Expire:
02/2612021 Address:
TEMECULA, CA 92590
Phone: 951.587-3887
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
$500.00
Building Permit Fee:
$110.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $115.40
PROCESSED BY:
ZONING APPROVAL:
Bus Lic:
BT30069434
Lic Exp Date:
10131/2021
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
COMPWEST INS
Address:
Policy No:
WCV5504431
Expire:
08/3112021
Phone:
Building Setbacks Rear: I
Front: I
Left: /
Right: /
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical W
$4.40
Plumbing %:
$0.00
State Lic:
Special Conditions: SUB CONTRACTOR
AGREEMENT ATTACHED
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $115.40
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
the 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
Professions 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 ckgil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7d44,
Business 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
improvements 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
improved 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 li�ensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall
sa:la siracture 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
Professions Cods, 'a available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.gov/calaw.html.
Sigrator= of Property Owner or Authorized Agent Date
LICENSED CONTRA. CTOR'S DECLARATION
I Irareby_affirm undui penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) o Division 3 of the Business and Prof ions Code and my license is in full force
and e`fjct. License Class License No Date 1•"` Contractor Signature
VJOnKERS' C3NiPt7,4SATION DECLARATION
WA.CdWU: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU13JFCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CORT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I oereby affirm unaerpenalty of perjury one of the following declarations:
IJ I I,ava 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
KI
cr7ance of Vic sock 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' compensatio nce carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the perorfmance 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 agre
that, if I should become, aWSject to the workers' compensation provisionjytl1o/f—Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,/ i
Signature of Applicant XX G Datke 11'�\
DECLARATION REGA DI .CONSTRUCTION LENDING AGENCY III/// ���
I hereby affirm under penalty 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).
Lender's Name Lender's Address
By 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 co ty ordinances and state laws relating to building construction.
I authorize representatives of this city or coun o enter the ove-identified property for inspection purposes.
Signature of Property Owner or Authorized Agent I Print Property Owner's or Authorized Agent's Nam u. ��- Date ACTION DATE DATE BY 7 10ECLARATIONOFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU TIONS PART 61 OF TITLE 40 AND AQMD RULE
1
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED WEPA
PERMIT EXTENDED QMD
PERMITFINAL I14 �1 ASBEST TIFICATIO SNOT APPLICABLE TO
CERTIFICATE OF r�� F OSEDD OLITION
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