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HomeMy WebLinkAboutH2019-0292 - Permitst City~ of Newport Beach - Building Division MECHANICAL Permit: H2O19-0292 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 2 9 2 Project No Permit Counter Phone (949)644-3288 TIMER REQUIRED ON EQUIPMENT Inspection Requests Phone (949)644-3255 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Job Address: 2309 VISTA HUERTA BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT F.A.U. & ROOF MOUNTED A/C UNIT 52dB* (AMERICAN STD; 4A726024A) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM InspectorArea:8 Code Edit: 2016 Legal Description: TR 5798 (L.L.84-245722) PAR 14 Owner: SHERSHENOVICH SUSAN Contractor: Address: 2309 VISTA HUERTA Address: NEWPORT BEACH, CA 92660 Phone: Phone: FurnacesBoilers & Compressors Con State Lic: Issued Date:05/22/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: NEXGEN A/C INC 700 N VALLEY ST STE K ANAHIEM CA 92801 657-208-1987 1011173 02/29/2020 BT30055503 06/30/2019 Worker's Comp Insurance - Carrier : NATIONAL LIABILITY INS Policy No: A9WC985382 Expire :0112912020 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 10oK BTU/hr: 1 $19.00 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 10oK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $16.53 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 175M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $129.53 Plan Check Fee ; $0.00 Fee Due at Permit Issuance: $129.53 PERMITS EXPIRE 180 DAYS AfTERTSSUANCE 041 AS°f°V•4LID INSPECTION Construction Hours: Monday - Fridaay7:00 mrp.toa §:30'1jaq.an i Saturday from 8:00 a.m- to 6:00 p.m. � * •n• aV 4 V V i V 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) lection 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 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 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, Iusiness 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). 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 p 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: ',y 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://ww .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 action 7000) of Division 3 of the Business an Professions Codef," IlWeetis in full force nd effect. icense Class ri -,71) _ License No I O 1 Date y'y 1 `) Contractor Signatur eYH I/ORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU ND DOLLARS ($100,000), IN ADDITION TO THE OST 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: I I 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 th 7rfh (mance of the work for which this permit is issued. Policy No. AI have and wi� iaalntain workers' compensation insurance, a required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Isurance carrier�nd irolicy number area 1 11 Date 'same Of Agent _evlf� T v v -+ tai mune i ]I certify that, in the performance of the work i this it 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 tat, if I should become qu act to the worke s' comp s Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4 ignature of Applicant Dail / 2- yX REGA iECLARATION R ING CONSTTION LENDIN ENCY hereby affirm under penalty of perjuryt t there is a con ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ymy 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 is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or couritVb enter the above -identified property for inspection purposes. �tiles/ _ /r innate ve of Prnnerty owner or Authorized ADen �� Print Property Owner's or Authorized Agent's Nam v ACTION DATE BY LNC.LFarwrrvIx air a-anrwrrrxnra.r xn an a. I_ WN v r....�rn..t ...,�,..... •aAFETAIt•RLI��SPAR TOI OF TITLE40AN D PERMITEXP/RED Q;SS-1. °• ❑ tiw7TE©Asmsrw*TrfcATfoNTo. PERMITCANCELLED '0 rat • ° PERMITEXTENDED ❑ AQMD ❑ ASBESTOS M017FICA1I0NIS NOT APPLICABLE TO PERMITFINAL RR6796)SED DEt$OLITIQN ••• 4 CERTIFICAi€OF •ShiNAaTfI�: - � r • • ° • � OCCUPANCYISSUEO _ • _ _ • • . °