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H2019-0016 - Permits
City of Newport Beach - Building Division IIIIpIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII r7 100 Civic Center Drive, Newport Beach, CA 92660 MECHANICAL Permit: H2O19-0016 Permit Counter Phone (949)644-3288 Project No: 1583-2018 a'r't fi�ys'* Inspection Requests Phone (949)644-3255 Job Address: 220 VIA ITHACA BIdg:1 Floor: Suite: Description of Work: MECH INSTALL LINES FOR FUTURE (2) A/C UNITS @ THE ROOF "TAMPER RESISTANT CAP REQ" "REVISED 07/1112019 Inspector Area:1 Code Edit: 2016 Legal Description: N TR 907 LOT 731 Owner: LIGHTNER CINDY Contractor: HARBOR HEATING AND A - C Address: 220 VIA ITHACA Address: 31222 BELFORD DR Workers Comp Insurance - Phone: 949-300-4443 SAN JUAN CAPO CA 92675 Carrier :WESCO INSURANCE NEWPORT BEACH, CA 92663 Policy No: W WC3336174 Phone: 949-496-1629 Issued Date:01/07/2019 Con State Lic: 228121 Expire :02/22/2019 Lic Expire: 11/30/2020 Processed By: Bus Lic: BT30045484 Lic Exp Date: 11/30/2019 HVAC Items FurnacesBoilers & Compressors Ventilation FEES Up to 100K BTU/hr. 0 $0.00 Up to 3HP: 0 Over 100K BTU/hr: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 Other Nall/Floor Heaters: 0 $0.00 > 3HP to 15 HP: 2 $70.00 Exhaust Fan: 0 $0.00 $0.00 >15 HP to 30 HP: 0 $0.00 Gas Line: 0 $0.00 feat Pumps &Package Units >30 HP to 50 HP 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 $0.00 JP to 1 OOK BTU/hr: 0 $0.00 >50 HP: $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 wer 500K BTU/hr. 0 $0.00 U $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 JP to 1M BTU/hr: 0 Air Handling Units Comm. Hood: 0 $0.00 investigation: $0.00 up to I OK CFM: 0 $0.00 h $0.00 Jp to 1.75M BTU/hr. 0 $0.00 Over I OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Plan Check: $60.90 )ver 1.75M BTU/hr: 0 $0,00 Supplemental Fee: $0.00 Manufacturer: BRYANT 30Alssuance: $35.00 $0,00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $205.90 Plan Check Fee: $205.90 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7•:00 a.m.to 6. 00 p.m,A d Saturday from 8:00 a.m. to 6:00 p.m. 0 6G •• C • �6G 4 • P y• E t`L4 4 O it 4t tl t, • • b i i •9♦ 00 tl0 0 i ••• b.t• y applicable item(s) JNER-BUILDER DECLARATION cit or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below b the checkmark(s) I have placed next to the action 7031.5, Business and Professions Code: Any Y applicant for a permit subjects the applicant to a civil penalty of permit to file seg feat hater she is exempt from l livens edpursuant to the and the basis fo provisions of the pt Stn. Any violation iof Section 7031.5 tby any aer 9 ppencit f with Section 7000) of Division 3 of the Business an ed ement that he or she is the 044, I more than Cod) provided that the I more than five hundred dollars ($500). portions of the work, and the structure is not or improves eves the property, r offered for Sale (section 7 or I, as owner of the property, or my employees with wages as their sole compensation, will dor o all of rt (_) p isiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, en of P provements are not intended or offered for sale. If, however, the building or improvementt is s the project (Sectionne year old within 0f7044PIBuis Business and Professions will The Con ractors' State License roving that it eLaw does s not t not proved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to con ,ply 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 aw . I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least oneyear prior to completion of the improvements covered by this permit, I cannot legal 1lnotibe is submitted d at the following Web site contractors. I understand that a COPY Date :II a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business an rofessions Code, is available upon request when this app' ass, and m license is in full force ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7`; 0)1�Divis� Contractor Sn 3 of the ignatlL sin and Prof ns C and effect. License No �1 THE .icense Class NORKERS' COMPENSATION DECLARATION VOST OF COMPENSATOION CDAMAGES AS PROVIMPENSATIONDED FOR IN SECT OCOVERAGE IOU THE LABOR COOS, 5 UNLAWFUL AND INTEREST,AN0 ATTORNEY'S FEES RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'100,000), IN ADDITION TO for it hereby affirm under penalty of perjury one of the following declarations: of Industrial 1 �1eve and will maintain a certificate of consent to self -insure for workers' compensation, issued Labor the eDire the performance of Relations wok for which this permit is issued. My 3700 of hwo kers, compensatic ,arffirmance of the work for which this permit is issued. Policy No. forhave and will a In workers' co tion insurance, as required by Section 3700 of the o number are: r Expiration Date ,once carrier a P Y ^ aolicy Numb Phone # I shall forthwith comply with those provisions. of the 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, an agree work�r compensation provisions of Section 3700 of the Labor Code, 1 CI nw I'. Is of Agent certify that, in the PE , if I should become iature of Applicant V :LARATION RE ARD TRUC ON LENDING AGENCrformance Y reby affirm under penalty of perjury that there is a construction lending agency fo Lthe ender's Address of the work for which this permit is issued (Section 3 097 ider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. building I agree to comply with all applicable city and county ordinancebs Vnddstate,lawsropertyfo� inspection purposes. I authorize representatives of this city or count o e r Print Props Owner's or Authorized Agent's Na ,nature of Property Owner or Authorized Agent ,,,rrnA nc rnMPttANCEWiTNCODEOF ACTION DATE BY FEDERALRE6ULAr10NSPAR1 xP�a€D 1 I$uBWWDAJBESTOS1VO_fl ArroNro: . ©• EPA- ANC€LLED �.� j'ej AQAW •• ••• ••• YT€NDED ASBESTOS NOTIFICATION'S NOT APPLICABLE TO PROPOSEDDEMOfITIOM 'INAL - •• ••• • • • ••• ATEOF $fG:'ATUVEr : ' : • : OCCUUPANCYISSUED Civil Code).