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Home My WebLink AboutH2019-0482 - Permits�w City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 12 RUE BIARRITZ Bldg:1 Floor: Suite: Description of Work: MECH REPLACE A/C UNIT 2 THE ROOF InspectorArea:4 Code Edit: 2016 Legal Description: N TR 7809 LOT 19 Owner: ROPER WILLIAM& MARIA Contractor: Address: 12 RUE BIARRITZ Address: NEWPORT BEACH, CA 92660 Phone: Phone: Ventilation Con State Lic: Issued Date:08/0812019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: iii iiiii iiiii iiiii iiia iiiii iiiii iiiii iii KEMNITZ A/C & HEATING INC 188 TECHNOLOGY SUITE C IRVINE CA 92618 949-453-8500 695874 09/30/2020 BT30010593 07/31/2020 MECHANICAL Permit: H2O19-0482 Project No: Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: NORGUARD INS Policy No:KEWC038134 eee. Expire :02/01/2020 ° .... ° m 00 ° meeeem oe ° e ° ST.TB7ECT TO FIF,LD INSPHC4'OR')s !;FVIEW AND APP&P 4A:C om o om m HVAC Items FEES °°... FurnacesBoilers & Compressors Ventilation Other Up to I OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $O.QQ ... 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 ° ° o $0.6Q ... 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 IOOK 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: $16.53 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add 0 $0.00 Model: 24VNAO-060-30 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $110.53 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. )WNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thereason(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 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 w•vh Section 7000) of Division 3 of the Business and Irofessions 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 fora permit'subjects the applicant to a civil penalty of of 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, lusiness 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 nproved for the purpose of sale). 1, 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 :tui pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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:/Aw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED COO.TMCTOR'S DECLARATION hereby affirm Mder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of 3of th Business and Professions Code, and my license is in full force nd effect. $Sel 9riass .'. License No D O Cont or Signature VORKERS' CCIMPENSATION DECLARATION IARNWO. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUND DOLLARS 1$100,0001, IN ADDITION TO THE OST OF COMPEN.ATIOR,,-DA MAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he%bYeffirm under -penalty of perjury one of the following declarations: � 6 have and 04maiotain 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 thr rfp2nce of thlb ufAk for which this permit is issued. Policy No. Wffiva 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' compensatior Urance carries Aad policy number are: if I Policy Number Expiration Date 'Agent . . : Phone # 'y that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject Jo the workers' compensation laws of California, and ouldy ecome subje w ' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro ' ions. / Applicant OR c� DECLARATION REGARDA6-CONSTRC N LENDING AGENCY I hereby affirm under penalty of perjury t 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 is correct. I agree to comply with all applicable city and county rd' es nd state laws relating to building construction. I authorize representatives of this count enter t bo -id 'led property for inspection purposes. faN �/ r � j.D Signature of Property Owner or Auth r' d Agaht / Print Property Owner's or Authorized A Name "e AMON DATE BY DECLARATION OF COMPLIANCE MT CODEOF FOR OFRCE USE ONLY FEDERAL REGULATIONS PART fit OF TITLE40AND AQMO RULE 1403. PERMIT€XPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD. PERMIT CANCELLED P€RMITEXT€NDED ASBESTOS M017RRCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED SIGNATURE.