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Home My WebLink AboutH2018-0428 - Permitsw1 City of Newport Beach - Building Division MECHANICAL Permit: H2O18-0428 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 4 2 8 Project No : 1282-2017 FEES Permit Counter Phone (949)644-3288 ' � eee• Ventilation "trFrct+ r Inspection Requests Phone (949)64'4"255° Other m a Up to 100K BTU/hr: 0 •m e e Job Address: 415112 29TH ST BIdg:1 Floor: Suite: Bathroom Fan: ;, e • ®• ee o e ° Description of Work: MECH - (2) A/C CONDENSORS *TAMPER-RESISTANT CAPS AND TIMERS REQUIRED* $0.00 ° • m ° a $0.00 Over 100K BTU/hr: e ee ° • e o••oo Inspector Area.K1 Code Edit: 2016 0 $0.00 Exhaust Fan: mmmeo Legal Description: 0 $0.00 m o $0.00 Wall/Floor Heaters: e e emm•om m ° Owner: M & J DEVELOPMENT LLC Contractor: GRAVES M H INC Worker's Comp Insurance - .... ° ° Address: 7642 W IRVING PARK RD Address: P O BOX 3030 Carrier: MID-CENTURY INS CO e . ••eo NORRIDGE IL 60706 BELL GARDENS CA 90202 Policy No: A09493423 >30 HP to 50 HP Phone: Phone: 562-833-3703 Expire :0110112019 Record Mgt Fee: Con State Lic: 241731 F Date:07/1Lic Expire: 03/31/2020Issued ^ CTOR9/2018 >50 HP: Bus Lc: BT30058921 4 « Additional Fee: Processed By: Lic Exp Date: 01/31/2019 Investigation: $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $36.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 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 $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 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 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: CZF0301314 Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $137.82 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $137.82 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. 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 fi1j:VA fled 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 Coda{ o►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 nob Mom than five hundred dollars ($500). I,` s ownerof. the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 impf oDements ape not jntended 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 IRI rWgd for theepurpose of sale). 1,'as owner pfthe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not N'to an owner of jxoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I tm exempt > om licensure under the Contractors' State License Law for the following reason: Bymyeignature 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 improve ants covered by this permit, I cannot legal) seal a 4ructure6diat46ve 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 w, Section 7044 of the Business and P,rpfVsions Code, is Available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmi. §19natere of Property Owner or Authorized Agent Date LICENSED 66UY4ACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec on 70 ) of Division 3 of the Business and P ofessions Code, and my license is in full force and effect.' License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 3706 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 the �bQormance of the work for which this permit is issued. Policy No. tiave 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' compensation piance carrier and policy numbeyare: Tier 17 Policy Number Expiration Date ne of Agent Phone # certify that, in the performan of t work far which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree I, if I should become subjec o the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dater CLARATION REGAR N UCTION LENDING AGENCY vX Ireby affirm under pe ty 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 A Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop owne behalf. I have read this application and the information I have p vided is orrect. I agree to comply with all applicable city and county or ances n state laws relaf to building construction. I authorize representatives of this city or county o n r IMIS a v-identifie arty for inspection purposes. A fa .! �G nature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Nam ✓i Date ACT70N DATE BY DECLARATION OF COMPLIANCEWITR CODE O FOR OFFICE USE ONLY FEDERAL REGULATIONS PART Bt OFTITLE40AND AQMDRULE 1403. - ❑ t SUBMITTEDASBESTOS N071FICATION TO: ❑ EPA ❑ AQMD PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PROPOSEDDEMOLITTON.ASBESTOS RONIS NOT APPLICABLE TO PERMITFINAL/� CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: