HomeMy WebLinkAboutH2017-0028 - PermitsCity of Newport Beach - Building Division 'H2O17-0028*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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na<rro9,e"s
Job Address: 2901 CAROB ST BldgA Floor: Suite:
Description of Work: MECH - (3) NEW CONDENSERS @ SIDE YARD "TAMPER -RESISTANT CAP REQUIRED" (X2014-3702)
MECHANICAL Permit: H2O17-0028
Project No : 2765-2014
Inspection Requests Phone (949)644-3255
Inspector Area:8 Code Edit:
2016
Legal Description: N TR 5018 LOT 102
Owner: RADOVANOVIC ALEX
Contractor:
W A M CONSTRUCTION
Worker's Comp Insurance -
Address: 2901 CAROB ST
Address:
11246 MOUNTAIN AVE
Carrier: STATE COMP
NEWPORT BEACH, CA 92660
RIVERSIDE CA 92505
Policy No: 9134943
Phone:
Phone:
949-290-1842
Expire :06/1112017
Con State Lie:
781538
Issued Date:01/17/2017
Lie Expire:
07/31/2018
Bus Lie:
BT30024689
Processed By:
Lie Exp Date:
0813112017
HVAC Items
FEES
Other
FurnacesBoilers & Compressors
0
$0.00
Ventilation
Up to 3HP:
2 $36.00
Bathroom Fan:
0 $0.00
Fire Dampers: 0
$0.00
$0.00
Up to 100K BTU/hr:
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
$0.00
Heat Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
0 $0.00
Down -Draft Fan:
Residential Hood:
0 $0.00
0 $0.00
Record Mgt Fee:
Additional Fee:
$0.00
Investigation:
$0.00
Up to 1 OOK BTU/hr:
Over 500K BTU/hr:
0
0
$0.00
$0.00
>50 HP:
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$31.32
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$0.00
Up to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$9.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
TOTAL:
$76.32
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$76.32
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a reason (a) 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 civil penalty of
not more than five hundred dollars ($500).
Q 1', aF owner of m= 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,
3, uil,Lsa 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 c.r) i Y 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
i'opmved for the purpose of sale).
n I, ,-s 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 Iicensure under the Contractors' State License Law for the following reason:
By Iny,signaturg hPlnw'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 legal[,
sell 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
Pro`ess.Dns CodeJs available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
ICHUSED C11N1kP.CTOR'S DECLARATION
hereby affirm under nenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ction 7000) of Division 3 of the Business and Pr fessi n Code, and license is in full force
and effect. - 17° Y(i( 7 -icense Class License No Date Contractor Signature
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 ($100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 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 thi
1Normance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
of Agent
certify that, in the performance of
if I should become subieat to the
of Applicant
Policy Number
Date
this permit is issued, I shall not employ any person in any manner so as to become subject to the vyorkers' compensation laws of California, and agre
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proviusiops.
Date, CV/
CVuMR I IVK MMDAKu11Np was I KLKG I IUIN LtINviNG AGENCY
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),
Ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on "rdinan
beh
I have read this application and the information Iorrect
I agree to comply with all applicable city and coustate aws relating to building construction.II authorize representatives of this city or countdenti property for inspection purposes. . 1I
ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /I_/14
Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FEDERAL REGULATIONSPART 61 OF TITLE40AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USE ONLY
PERMIT EYPiRED
PERMIT CA NCELLED
PERMIT EXTENDED
PERMIT ANAL
CERTIFICATEOF
OCCUPANCYISSUED
L