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HomeMy WebLinkAboutX2019-0575 - Permits (2)City of Newport Beach - Building Division III 111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 7 5 Permit Counter Phone (949)644-32P Job Address: 2126 ARALIA ST BIdg:1 Floor: Suite: Description of Work: MECH INSTIL AIC UNIT @ THE SIDE YARD "TAMPER RESISTANT CAP REQ", REPLACE FURNACE Inspector Area:8 Code Edit: 2016 Legal Description: N TR 4705 LOT 27 +o 0 Owner: STOLIAR TINA Contractor: Address: 2549 EASTBLUFF DR 3470 Address: NEWPORT BEACH CA 92660 e roe Phone: Phone: Con State Lic: Issued Date:09/24/2019 Lic Expire: FEES Bus Lic Processed By: �� Lic Exp Date: MECHANICAL Permit: H2O19-0575 Project No: Inspection Requests Phone (949)644-3255 INSPECTOR BERG MECHANICAL PARTNERS Worker's Comp Insurance - 7 GINGHAM ST Carrier: NORGUAR INSURANCE CO TRABUCO CANYON CA 92679 Policy No: BEWCO27591 ++e+ee L900 949-337-2740 Expire :02/24/2020 o em+� 962843 SUBJECT TO FIELD D tgpff':FOWRO 04/30/2021 REVIEW AND APPItOVAL + 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. +o 0 s o m e o e roe o ee+ HVAC Items � FEES cT meson +emx m Ventilation 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. mo 10 HVAC Items FEES ae°°• FurnacesBoilers &Compressors Ventilation p Other m m m ° • m O O f ° Up to 100K BTU/hr: 1 $20.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 m 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 I n $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 m 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 : $17.40 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: 1 $20.00 Model: TCHE48S41S1 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $133.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $133.90 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 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 structm, prior to 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 Action 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 fora 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 (_) 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-Builderwill 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 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). ❑ 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 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.hlml. Signature of Property Owner or Authorized Agent Date LICENSED CON.T47ACTOR'S DECLARATION I hereby affirm undeGOe'nalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith Section 7000) of Division 3 o he Business and Professions Co�de,/an/j (cense is in full force �rYI.P.ffEtt. , ,.. License Class • �• License No ate % L ���� Cont a r Signature &tjRKERS' COIyIPEN§ATION DECLARATION RAR NCI: FAILURE 10 SE,FWIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPEN$ATI04J, QiAMAGES AS PROVIDED FOR IN SECTION 8700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :ieiabl7 affirm untgr punalty of perjury one of the following declarations: .... f flays and will Aigintain 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 once of the work for which this permit is issued. Policy No. g and w1" mainjain 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' compensation f,s ran1 carriwalimd pslicy number are: Mae • Policy Number Expiration Date O Df Agent 0 ,_,.;—° F :ertify that, in theyerformance of the work for which this permit is issued, I shall not employ any person in any manner so as to becc if I shoul¢hecome subject to the worker"mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with of to the workers' compensation laws of California, and CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby 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). Ider's Name Lender's Address 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 al(app ble city and county ordinances and state laws relating to building construction. I authorize representatives this or county t en the above -i Pied property for inspection purposes. nature of Property Owne r Authorize gent lf� Print Property Owner's or Authorized Agent'/am. OPO Z14 /jFc - Z/ ACTION DATE BY DECLARATION OF COMPLIANCE VWTHCODE W FOR OFFICE USED FEDERAL REGULATIONS PART Of OF TITLE 40 AND AQMD RULE 7403. PERMITEXPIRED ❑ I SUSMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD P€RMITCANC€LIED PERA41TEXTEIVDED El ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED