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Home My WebLink AboutH2019-0168 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 " x Permit Counter Phone (949)644-3288 t'J�1R'hW�'Lg IIII IIIIII�III III III IIIIIIII�IIIIIII� I� ee (mo mMECHANICAL Permit: H2019-0168 H e 0 1 991 6 9 m 9 n m v e mPgoject No • O O 9 b pC p • m e e e e 9 m e s •. e • eo• 9• Inspection Requests Phone (949)644-3255 C J fiJ0 0 m 00 q 8 Om oC Y 6 U® e tl etl e S O< O t O O~T 999 0 t m tl •tl 909 9 •O. 49 Job Address: 186 HARTFORD DR BIdg:1 Floor: Suite: Description of Work: MECH - R/R A/C CON DENSOR & FAU. TAMPER-RESISTANT CAP & TIMER REQ'D Inspector Area:8 Code Edit: 2016 Legal Description: TR 11604 LOT 5 UNIT 113 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER Owner: BURKE SHEILA MARIE Contractor: OWNER/BLDR Worker's Comp Insurance - Address: 188 HARTFORD DR Address: BURKE SHEILA Carrier: NEWPORT BEACH, CA 92660 Up to 1OOK BTU/hr: Policy No: Phone: Phone: 949-244-5556 Expire 0 $0.00 Con State Lie: OIB Issued Date:03/22/2019 Lie Expire: 0 $0.00 > 3 HP to 15 HP: Bus Lie: Exhaust Fan: 0 $0.00 Processed By: Lie Exp Date: $0.00 DUPLICATE INSPECT _OR HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1OOK 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 100K 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 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 106ANA-30-Alssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $129.53 Plan Check Fee : $129.53 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 6:30 p.m.and Saturday from 6:00 a.m. to 6:00 p.m. DWNER-BUILDER DECLARATION .. ... . . • • ^' I hereby affirm under penalty of perjury that I am exem;t fromtha Oor tractolS Stag, 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 br couoty that mgWrec,s•perviij to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires tge applicant for he permit to file a signed statement that he or she is licerfsed Q013uaM 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 Tot more than five hundred dollars ($500). I, as owner of the property, or my employees with W;9es 441heir so�e corlPn$at:)n;wiIIK U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' Stat$;.fcen& Law does not apply to eln ovtner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, hbVvpver;tre buildirjg 4inprovement ie cold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or m 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 cell 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://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -icense Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 IN )erformance of the work for which this permit is issued. Policy No. :1I have 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 nsurance carrier and policy number are: Policy Number Expiration Date of Agent certify 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 to the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY rreby 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). )der'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 all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OFCOMPLIANCE TH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AOMORULE1403. PERMITEXPIRED ❑ I SUBMfTTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEKTENDED ❑ ASBESTOS M07JFTCAIIONIS NOT APPLICABLE TO PROPOSED. DEMOLITION. PERM1TFINAL CERTIRCATE OF SIGNATURE: OCCUPANCYISSUED