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HomeMy WebLinkAboutH2019-0407 - Permits1Q1 City of Newport Beach - Building Division 4'f 100 Civic Center Drive, Newport Beach, CA 92660 � mut Counter Phone (949)644-3288 c "ucrvn�.'tA�'v �II II VIII VIII VIII III IIIIII VIII VIII VIII III MECHANICAL Permit: H2O19-0407 Project No : Inspection Requests Phone (949)644-3255 Job Address: 2228 VISTA HOGAR BIdg:1 Floor: Suite: TIMER REQUIRED Description of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* AND FURNACE C/0 ON EQUIPMENT NEIGHBOR LETTER ATTACHED TO SHUT OFF Inspector Area:8 Code Edit: 2016 BETWEEN 10 P,M AND 7 A Legal Description: N TR 6468 LOT 26 Ventilation M m m mo Owner: FRIEDLANDER ADAM Contractor: ECONO AIR Worker's Comp Insurance - Address: 2241 VISTA HOGAR Address: 555 VANGUARD Carrier: ARCH INS COMPANY * NEWPORT BEACH, CA 92660 BREA, CA 92821 e m m m• Policy No: ZAWCI-25387-00 Phone: Phone: 714-695-6661 Expire :10101/2019 Con State Lic: 445220 0 $0.00 Issued Date:07/09/2019 Lic Expire: WV\__ Bus LicExp 02/26/2020 BT31/20196' Over 100K BTU/hr: Processed By: L/Ih' V Lic Exp Date: 08/31/2019 INSPECTOR-., 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 e ° f.m O omeco e meacc mmmm UO P O O V O OC60(C 0 O mOCU HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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. 1 $19.00 >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: $33.06 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: ML14XC1.0301ssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $146.06 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. IINER-BUILDER DECLARATION I I- 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 a1e^IQi ,&*Rem(s) action 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 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. ifessions 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 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 I_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 )rovements 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 )roved for the purpose of sale). I, as owner oLipp oroperty, am exclusively contracting- with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' -State -License Law does not fly to an owner of&prsperty who builds or improves thereon and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ,IMexempj from licensure under the Contractors' State License Law for the following reason: my signaturs bslowl acknowledge that, except for my personal residence in which I must have resided for least one year prior to completion of the improvements covered by this permit, I cannot legally a structure chat 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 11Sslons Code, -is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.html. nasuIS Of Proparly.Owner or Authorized Agent D e [dGED CONTRACTOR'S DECLARATION ren y affirmad �r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Business and P fessio e, d my license is in full force IeffQct Age Class License No Date U7 09 Zb I g' Contractor Signature )1XERS' C�MPVNSATION DECLARATION ININ& FAILUITE"It'SEISURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONHUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT Oa COMPENSATION,UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. iisb°y affirm,llhtgr denalty of perjury one of the following declarations: •... 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 the Ibrmance of the work for which this permit is issued. Policy No. yiave 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 uance carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # I certify that, in the w o hi 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 agree t, if I should becomwo C ansation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro Ions. "ancehe nature of Applicant DaCLARATION REGA T DING AGENCY ;rebyaffirm under p 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 provid rrect I agree to comply with all applicable city and colint ordinan s state laws relating to building construction. I authorize representatives of this city or cn to nter t a 'd ' d property for inspection purposes. /ate nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name 7 /9' ACTION DATE BY OECLARATIONOFCOMPLfANCEWITHCODEOF FOR OFFICE USE OAA Y FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE1403. ❑ t SUBMfTfEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ASBESTOS PROPOSED DEMOLITION.nONtS NOT APPLICABLE TO PERMITEXPIRED PERMITCANCELLED PERMITEXTENDED PERAW FINAL - Y y' r" CER77RCATEOF OCCUPANCYISSUED SIGNATURE: ,,