Loading...
HomeMy WebLinkAboutH2014-0416 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 325 VISTA SUERTE BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL NEW A/C UNIT 54dB InspectorArea:3 Code Edit: 2013 Legal Description: N TR 7148 LOT 11 Owner: ALILING,JOSE R P Contractor: Address: 325 VISTA SUERTE Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:1111712014 Lic Expire: Bus Lic: Processed By: o Lic Exp Date: to 100K BTU/hr: 0 $0.00 )r 100K BTU/hr: 0 $0.00 II/Floor Heaters: 0 $0.00 it Pumps & Package Units to 100K BTU/hr: 0 $0.00 ;r 500K BTU/hr: 0 $0.00 to I BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 :r 1.75M BTU/hr: 0 $0.00 Boilers & Compressors KLONDIKE AIR INC 1308 LOGAN STE E COSTA MESA CA 92626 714-979-2070 754456 09/30/2016 BT30038255 0212812015 Up to 3HP: 1 $19.00 > 3 HP to 15 HP: 0 $0.00 >15 HP to 30 HP: 0 $0.00 >30 HP to 50 HP 0 $0.00 >50 HP: 0 $0.00 Air Handling Units up to 1 OK CFM: 0 $0.00 Over 10K CFM: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $73.00 FEES Ventilation Bathroom Fan: Exhaust Fan: Attic Fan: Down -Draft Fan: Residential Hood: Comm. Hood: Repair/Alter/Add: Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $19.00 $0.00 MECHANICAL Permit: H2O14-0416 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : SECURITY NATIONAL Policy No: SWC1018033 Expire :01/01/2015 Misc Fire Dampers: 0 Gas Line: 0 Metal Fireplace: 0 ICBO App. #: $0.00 $0.00 $0.00 Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Other $0.00 $0.00 Record Mgmt Fee: $0.00 Investigation: $0.00 Plan Check: $0.00 Issuance: $35.00 Supplemental Fee: $0.00 $73.00 OWNER -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 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). ❑ 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, 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). ❑ I, 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: By 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Iw .leginfo.ca.gov/calaw. html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 an rotes ions Cod y li i in full force and effect. License Class License No DateContractor Signatur, WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 the performance of the work for which this permit is issued. Policy No. srl have and will ft-ain'taitin workers' compens surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior isuuance carrier a poll number are: :arrier Poicy NhjLExpiration Date lame of Agent Phone # 71 certify that, in the performance he work fo this pe 1s 'ssued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agrel iat, if I should become sub'ect t the orkers' com nsa n f Section 3700 of the Labor Code, I shall forthwith comply with those provii ions. Iignature of Applicant IECLARATION REGA ING CONSTRUCTION LENDING 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 Ender'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 ov ed is correct. I agree to comply with all applicable city and County lrdina4es an relat g to building construction. I authorize representatives of this city or county toe tee bove-id i a for inspection purposes. , of Owner's or Authorized Agent's Name Civil Code). WC4v ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODE OF FOROFRCEUSEONLY FEDEW1 PEGULA:IONS PAR7 bI OF ,I ILE40 AND A(Wn RUI E 1403. PERMIT EXPIRED ❑ISULM7TiEPASBESIrOSNO^FICPTIONTO: [] EPA PERMITCANCELLED ❑ AQMO PERMIT EXTENDED P❑RROFCSEFASBESTOS0EMJUTION.HON)SNOFAPPLJCABLETO PERMITFINAL j5/►4 CERTIFICATE OF ; �!/ SIGN' TGRE: OCCUPANCYISSUED C.� (9) CITY OF NEWPORT BEACH BUILDING DEPARTMENT PO Box 1768 Newport Beach, CA 92658-8915 Inspection Request - (949) 644-3255 Permit Number :H2O14-0416 Address : 325 VISTA SUERTE NB Date : 11-21-2014 Type: MECH Inspector : JSLOUKA JS Inspection Item: 420 HVAC Disposition : CO Inspector Signature: MAKE ALL CORRECTIONS PRIOR TO REINSPECTION ALL WORK SHALL BE SUBJECT TO INSPECTION AND SHALL REMAIN ACCESSIBLE AND EXPOSED UNTIL INSPECTED AND APPROVED. CALL FOR REINSPECTION : (949) 644-3255 Inspector's A.M. office hours are : 07:00 A.M. To 08:00 A.M. Inspector's P.M. office hours are : 03:30 P.M. To 04:30 P.M. Correction Required - AIR CONDITIONING UNITS OVER 50 DECIBAL REQUIRE TIMERS TO BE INSTALLED