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Home My WebLink AboutH2017-0200 - Permits9Q City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O17-0200 i3� ,�� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 2 0 0 Project No st Permit Counter Phone (949)644-3288 `��rdYUit�} 9 Inspection Requests Phone (949)644-3255 HVAC Items Job Address: 2445 VISTA NOBLEZA BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT A/C UNIT 31.75dB (LENNOX; ML14XC1-042) FurnacesBoilers & Compressors Ventilation InspectorArea:8 Code Edit: 2016 Other Up to 100K BTU/hr: 0 $0.00 Legal Description: N TR 7052 LOT 36 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 Owner: JU FRED & PHYLLIS J B TRUST Contractor: ECONO AIR Worker's Comp Insurance - 0 Address: 2445 VISTA NOBLEZA Address: 555 VANGUARD Carrier: ARGONAUT INS CO 0 $0.00 NEWPORT BEACH, CA 92660 $0.00 BREA, CA 92821 Policy No: WC948198470174 Wall/Floor Heaters: Phone: Phone: 714-695-6661 Expire :10/01/2017 Attic Fan: 0 $0.00 Con State Lic: 445220 " Issued Date:04/18/2017 Lic Expire: 02/28/2018 0 $0.00 FG 0 $0.00 Bus Lic: BT30028533 Processed By: o Lic Exp Date: 07/31/2017 >50 HP: 0 $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 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: $37.50 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $15.66 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $104.16 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $104.16 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 �o c s o • • o o • o . o �e e a o o •u • •o { p V & O ♦Yd fO U • oY0 4• 4 L O 4 i v c v c • ooe moo moo v o u�o om 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 U 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://www.leginfo.ca.gov/calaw.htmi. 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 and Prof ssiolJGoPany license is in full force License Class License No Date��__i7?��r Contractor Si natur INORKERS' COMPENSATION DECLARATION 7 NARNING: 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 5706 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 thf 7erfytmance of the work for which this permit is issued. Policy No. have and' I m intain 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' 'ance carrier d olicy number are;., _ Date Name of Age7it— , LXX/ ' ( 1 t d�� Phone # I I certify that, in the performance oft a wor for wlhjQ4 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 agre that, if I should become subject to the 1vorker, co en tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGARDING CO ING AGENCY I 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, Civil Code). Lender's Name Lender's Address By 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 provided' correct. I agree to comply with all applicable city and county a ce �es ing to building construction. I authorize representatives of this city or county t ante h a e -i ay for inspection purposes. C Sicnature of Prooertv Owner or Authorized AGent Print Property Owner's or Authorized Agent's Na i1 JMI�i�n Date' II EDERA ACi1DN DATE BY II FEC"RLT4EG'QPATIOAtSPAW% OP_TITLr;,WAND I FOR OFFICE USEON(Y III PERMIT EXPfR€D CERTIFICATE OF OCCUPANCYISSUED U �3zas Iao71�ICAi3O� Ib: U AQMO ❑ ASOBSE PROP fiITO 7AICAT•ON15NOTAPPUCA8LET0 • • • • : P SIGNATURE: •• ••• • • •• •• •••