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