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Home My WebLink AboutH2019-0241 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O19-0241 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 2 4 1 Project No Permit Counter Phork. (84,.)644-3288 Inspection Requests Phone (949)644-3255 HVAC Items Job Address: 1322 KEEL DR Bldg:1 Floor: Suite: Description of Work: MECH/NEW A/C 47.5dB W/DUCT WORK (CARRIER; 24AHA49A) FurnacesBoilers & Compressors Ventilation f Inspector Area;4 Code Edit: 2016 Up to 100K BTU/hr. 0 Legal Description: N TR 6634 LOT 60 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Owner: ROWE STUART/ANN Contractor: ALISO AIR INC Worker's Comp Insurance - K Address: 1322 KEEL DR Address: 29736 AVE DE LAS BANDERAS Carrier: LIBERTY MUTUAL 0 $0.00 CORONA DEL MAR, CA 92625 $0.00 RSM CA 92688 Policy No: WC2Z61036218098 $0.00 Phone; Phone: 949-589-2021 Expire :07/01/2019 0 $0.00 Metal Fireplace: Con State Lic: 526420 Heat Pumps & Package Issued Date:04/26/2019 Lic Expire: 03/31/2020 $0.00 Down -Draft Fan: 0 $0.00 Bus Lic: BT30019236 Processed By: Lic Exp Date: 02/28/2020 >50 HP: 0 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr. 0 $0.00 Up to 3HP: 1 $19.00 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: $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 OK CFM: 0 $0.00 Repair/Alter/Add: 2 $38.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $165.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $165.06 PERMITS EXPIRE 180 DAYS•AFTF,IJ (SSUANCEQj;1.9$T VALID INSPECTION - Construction Hours: Monday- Ffid$y6Ti10 a.di.jo 0:311 p.m.$nd jq(turday from 8:00 a.m. to 6:00 p.m. f 4• f f f f• • f 4 2 f x. 4 VL f U OCU' • Cip ♦• ff s•f x s c c � O Df f v c • uo� xes ca c v ops uo 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, priorld'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 Im roved 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 ap ly 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). I 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 S tion 7 00) of Division 3 of the Business a 'nn rrty license is in full torte and effect. a -- License Class License No Dat —/ Contractor Signat WORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: of DOLLARS ($100,000), IN ADDITION TO THE and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for :e of the work for which this permit is issued-. Policy No. and g5ifiaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrkr ank policy number arg9 0 Date 71 certify that, in the performan6e of t work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree tat, if I should become sub'ect to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant 2 _o—, Da� �!�'f�/I `7 IECLARATION REGA TION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information vided is correct. I agree to comply with all applicable city and cou ty ordi nces and state laws Ing to building construction. I authorize representatives of this city or county�o a the above+ e y for inspection purposes. ` , linnaeuf9 of Pmnertv Owner or Authorized Ace Print ProDertv Owner's or Authorized AGent's Namur Lam' -!/I Da ACTION DATE BY ueteramareeser Ur wlNruxrrtcrrr rn UUME ur •PPD1 RECzI,9Jg790FSPST&T•OF,TITLE40AND •li(iMD ULE 40 • e ' I hifTT�QA$BESfOS 4414ATION TO: • ❑' EFA" ❑ AQMD PERMITEXPIRED PERMITCANCELLED PERMITEXTEND€D ❑ ASBESTOS NORRCATIONIS NOT APPLICABLE TO Pf+'QPB3f:B QEQfO,(1TfO1{.` • `: ` ° • ° • ° ` Sl iN$Tufti:: : `• '• i PERMIT FINAL 41. ( CERT(FtCATEOF OCCOPANCYISSUEO