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Home My WebLink AboutH2019-0068 - Permitsr1 City of Newport Beach - Building Division MECHANICAL Permit: H2O19-0068 0 .100 Civic Center Drive, Newpoi` Beach?CA 92660 H 2 0 1 9 0 0 6 8 Project No: w Permit Counter Phone (949)644-3288 ) Inspection Requests Phone (949)644-3255 Job Address: 708 ORCHID AVE BIdg:1 Floor: Suite: Description of Work: MECH INSTIL (2) A/C UNITS @ THE SIDE YARDS "NOISE AGREEMENT REQ ON UNIT #1 'TAMPER RESISTANT CAPS REQ", REPLACE FURNACE & BATHROOM FAN, UNIT #1 YORK TCHE48S41S1 Inspector Area:5 Code Edit: 2016 Legal Description: CORONA DEL MAR BLK 742 LOT 10 Owner: OSTRANDER JEFFREY Contractor: Address: 708 ORCHID AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: HVAC Items Con State Lic: Issued Date:02/04/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: NO AIR MECHANICAL INC 32921 PAEO DEL AMOR SAN JUAN CAP CA 92675 714-323-0681 1042124 07/31/2020 BT30064918 10/31/2019 HERS VERIFI aA1 IUNy s Workers Comp Insurance - Carrier: EXEMPT Policy No: °°°° Expire : ° ° e ° ee o oeeeeo 1IBJFCTTOFTFLT)NFT'°I'.0 t)R'S 0e oe0 REVIEbV,v 9DAP,- R0A/4L o0 0 Dose o 0 0 oe o 0000 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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. c oa°av HVAC Items FEES °°°° FurnacesBoilers&Compressors Ventilation Other Up to 100K BTU/hr: 1 $19.00 Up to 3HP: 2 $38.00 Bathroom Fan: 1 $9.00 Fire Dampers: 0 $0.00 ..... $0 a0 ° Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 e $0.0.0° ... Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 ° ° ° ° • ° ° ° Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 .Doe Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $33.06 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 1 $19.00 Model: MSZ."MI 2-N DtIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $193.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $193.06 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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. IWNER-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 its 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 1e 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 'rofessions 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 n roved 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 pply 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: ly 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 ell 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 'rofessions Code, is 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70000))I of Division 3 of th usiness and tfs! and d my license is in full force nd effect. cense Class ' • • • License No / Da 1 C r for Sig lure kOLiKiRS' COMPE�NrSATION DECLARATION 'ARNING'.FAILURE T,%S%CyRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ,d S7 OM CVOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: �1 here and %16 Whitain 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 IN ertoMance ofjl;ile.%york for which this permit is issued. Policy No. ... 1 have and will aieintain 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' compensatior isurance carrier apd policy number are: Policy Number Expiration Date tt)p *rtormanc of qqj� e r (or which this permit is issued, I shall not employ any person in any manner so as to becomes bject to the works ' compensation laws of California, and sm"_sub}eet,tithpjk+o E0 (compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thq p oyisions A. /, " nature of Applic�pf� s - — ate/ ti�l�1 CLARATION REGARDI CON RU ON LENDING AGENCY :reby 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). ider's Name Lender's Address 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 provid is correct. I agree to comply with all applicable city and count rdi an nd state laws relating to building construction. I authorize representatives of this city or county t he - roperty for inspection purposes. nahvn of PrnnRrIv Owner or Authnrizerl ADAM Print Prooertv Owner's or Authorized AQWs Name ACRON DATE BY vctLsrxurrufv ur cumruAvuc vnrn avuc run vrll cv.ac afro FEDERAL REG ULA TIONS PART 61 OF 77TLEZA PERMITEXPIRED -07 AQM13 RULE 1403. ❑ 1SUBKTTEDASBESTOS NO➢FICA77ONTO. PERMITCANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS N017FTCA770NIS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: