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Home My WebLink AboutH2019-0429 - Permits- City of Newport Beach - Building Division III III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0429 o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 4 2 9 Project No Marmit Counter Phone (949)644-3288 n + Inspection Requests Phone (949)644-3255 +r{felk� HVAC Items Job Address: 2222 VISTA HUERTA BIdg:1 Floor: Suite: `/aA�^ ° ° ° of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Inspector Area:B Code Edit: 2016 , V �JC ��Description (� 01q Legal Description: TR 5798 (L.L.84-245722) PAR 45 eeee Other OOO° Owner: MUELLER MARK D Contractor: CLIMATE AIR MASTERS INC Worker's Comp Insurance - � o .... o Address: 2222 VISTA HUERTA Address: 1139 N ANAHEIM BLVD Carrier_: SECURITY NATIONAL °°° 0 $0.00 NEWPORT BEACH, CA 92660 ANAHEIM CA 92801 Policy No: SWC1246292 0 $0.00 Phone: Phone: 951-288-6822 Expire :06/25/2020 0 $0.00 oe o Con State Lic: 695854 $0.00 Wall/Floor Heaters: 0 Issued Date:07/18/2019 Lic Expire: 08/31/2019 0 $0.00 Attic Fan: 0 $0.00 Bus Lir: BT30059886 e o e oeeo° Processed By: Lic Exp Date: 12/31/2019 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 ° Up to IOOK BTU/hr: 0 $0.00 >50 HP: ° Residential Hood: HVAC Items FEES ° ° ° ° FurnacesBoilers & Compressors Ventilation Other OOO° Up to IOQK BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over IOOK 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 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 I OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4TTL6036Al Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over I OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANE 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. OWNER -BUILDER DECLARATION R 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 ap licaU; ! 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 itsissuance, also requires the av*plicant 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 L) all of or L) 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). j ❑ 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 tM? Pl%ve 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,ie available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. $igaatMra of Prope44QMmer or Authorized Agent Date CICENS"ED C®NfRACTOR'S DECLARATION 4fteby affirm undgr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ct! n 7000) of Division 3 of the Business and Pr fess! e, and my license is in full force and effect. Id License Class .:...: License No Date / O Ci Contractor Signature AfORKERS' COMPENSATION DECLARATION MAISONS: FAILURR TOSECe RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE FWPf COMPENSRTICIV DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,lW1gV affirm und9r penalty of perjury one of the following declarations: I have and Jlk lnerintain a certificate of consent to self -insure for workers' compensation, issued by the fpiraance of the work for which this permit is issued. Policy No. 4a1+ie and All Lr$traain workers' compensation insurance, as required by Section 3700 of the Labor Code, ance carrier and sapolicy number are: Policy Number Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Date Name of Agent Phone # I certify that, in the perform ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject the workers' compensation laws of California, and agre that, if I should become subje t the r er ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' ions Signature of Applicant Da �1�1Ja DECLARATION REGARD G CONS CTION LENDING AGENCY I hereby affirm under pe ny of perjury the here 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 o dinances and state laws relating to building construction. I authorize representatives of this city or county to tet - ntifie -property for inspection purposes. Signature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Agent's Name I I a^. a-=. Date ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODEOF FOR OFRCE USE ONLY FEDERAL REGULATIONSPART B1OFTITLE40AIVD AQMDRULE1401 P€RMITEXP/RED - t SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELED P€RM/TEXT€NDED ❑ ASBESTOS M07IRCA770MIS NOTAPIDUCABC.E TO PROPOSED. DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: