HomeMy WebLinkAboutH2013-0255 - Permitswrr, City of Newport Beach - Building Division Il�llllll�lllliiiiill�ll�l.illllll II
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 3 0 2 5 5
Permit Counter Phone (949)644-3288
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Job Address: 29 HARBOR RIDGE DR BIdg:1 Floor: Suite:
Description of Work: MECH- INSTIL (2) A/C UNITS @ SIDE YARD "TAMPER RESISTANT CAP REQ"
Inspector Area: L4 Code Edit: 2010
Legal Description: TR 9587 LOT 7 UNIT 45 OF PROJECT LOCATED ON AP 461-074-11
TOGETHER ---
Owner: t_,MOHAM H FAMILY TRUST Contractor: ATPJ LIQ�I f eAIR-' Work
Address: 10 SIERRA VIS Address: 17 MICA RIVE #A Ca ie
�� NIGUEL HUNTIN t�,B�AC�tC�2��o/p refu� y
Phone; L_�858- B��Expire
Issue Dat 4 : 1#? WhO M:
iCA NBC
41
Procesed Lic Exp Date: 04/30/2014;
ffimill! Lk
IR
HVACrO;K
_ $
Furnac 8 Compressors Ventilation M1sc
Up to 1 $0.00 Upto3HP: 0 $0.00 Bathroom Fan:• 0 $0.00 Fire Dampers
Over 1U/hr: 0 $0.00 > 3 HP to 15 HP: 2 $68. ust Fa $0 1 6e:
Wall/Floo{�r Heaters:/ 0 $0.00 >15 to 30 P: 0 $ .00 tti ',u6t atd$0. t I ireplai
Heat Pu�rtps a > I P 0 $ [ieesn-97�tn: 0 ICBO App. #:
Up to 10®K 6 `a� >I 0 $0.00 R¢�r(11(oditafte00
Over 506K B 0 $0.0p� �dling Units Camm. Hood: 0 $0.00
Up to 1 M BTU/hr: 0 \V$Q6f� Sta�FWOK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00
Up to 1.71M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00
Over 1.75M BTU/hr: 0 $0.00 VAV Box:
fJete: Insp. init aais:
1 TOTAL: $128.96 �-- a —PI- n Check — fee I
MECHANICAL Permit: H201 3-10255
Project No:2014-2012
Inspection Requests Phone (949)644-3255
s Comp Insurance -
EXEMPT
Other
0 $0.00
$0.00
0 $0.00
$0.00
0 $0.00
Record Mgmt Fee:
$3.00
Investigation:
$0.00
Plan Check:
$48.96
Issuance:
$0.00
-
Supplemental Fee:
$9.00
e at Permit Issuance :
$0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-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 9� licanC. for
is 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
Irofessions Code) or that he or she is exempt from licensure and .:ielbas's for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the 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,
lusiness 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
nprovements 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
nproved 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
opiy 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).
J I am exempt from li^ensure under the Contractors' State License Law for the following reason:
.y my si,tnature 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 legal
a;: a atructure 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
'r^f3.eions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ippefure of Property Owner or Authorized Agent— - — ate
ICENSED C(UN fRACTOR'S DECLARATION
iielebv affirm under penalty of perjury that I am Iicer/s,p111n�Prr provisions of� encing with Section 7000) of Divisiorit e9tpe, 6lylepid Professions Code, yl e I in full force
nd effect. iLi cal `` - F'.N � �"
•tense glass License NO Date S Zo1L� Contractor gignatur
COMPENSATION DECLARA
17r]nC ?AILURE TO SECLRE WORKERS' COMPENSATION C11
JST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEtl
hereby affirm w ider oe, salty of perjury one of the follii
7 I have and will maintain a certificate of consent
erformance of the work for which this permit is issue
]I have and will maintain workers' compensation i�
Isurance carrier and policy number are:
Agent
in the performance of the
become subject to the wo
or
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
to whom.,
e for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700
req nce of the.work-four which this permit is issued.
Dered b 3 0 h r rfor Expiration Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation
ions of Section 3700 of the Labor Code, I shal♦•forWytith %QWIylwith those provisiohL _ — I e -_
ignature of Applicant I Ig,;t—J/1A AT r
DECLARATION REGA DI G CONSTRUCTION LE G _
hereby affirm under penalty of perjury that there is a cons uction "pRg„agg5erformance of the work for which t mve �va, �97, Civil Code).
Ender's Name r's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act or�IBGp party owner's behalf. -
I have read this application and the informatio pr .
I agree to comply with all applicable city and county ordinances and stateJa1Ns relating to building construction. i n s ps. initials:
I authorize representatives of this city or count), to r fH H .4 F n r es
IN ADDITION TO THE
the Labor Code, for
workers'
of California, and
ACRON
DATE
BY
DECLARATION OF COMPLIANCE NRTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFT17LE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMHTEDASBESTOS NOTIFICATION TO:
EPA
AQMD
PERMITCANCELLED
IX
PERMlTTENDED
AS TOS NOIIHCA170NIS NOT APPLIC48LE TO
PO DDEMOUTION.
PEBMITFINAL
CERTIFICATE OF ,
SIGNATURE:
OCCUPANCYISSUED
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