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Home My WebLink AboutH2019-0549 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 4 9 Permit Counter Phone (949)644-3288 41) MECHANICAL Permit: H2O19-0549 Project No: Inspection Requests Phone (949)644-3255 Job Address: 2316 FAIRHILL DR BIdg:1 Floor: Suite: e Description of Work: MECH A/C`UNIT AND FURNACE C/O *TAMPERPROOF CAP REQ* TIMER REQUIRED ON EQUIPMENT InspectorArea:3 Code Edit: 2016 e oe . TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Legal Description: TR 2516 LOT 6(AND POR OF LOT 9 ee e Ventilation Owner: QUERRIERA JOSEPH JAMES Contractor: 1ST CHOICE Worker's Comp Insurance - Address: 2316 FAIRHILL DR Address: 20371 LAKEFORESTDR STE A-5 Carrier: NORGUARD NEWPORT BEACH, CA 92660 c o 0 LAKE FOREST, CA 92630 Policy No: ONWC002759 Phone: Phone: (949) 305-5754 Expire :02115/2020 Fire Dampers: Con State Lic: 1006824 oemce Issued Date:�9/11/2019 e $0.00 ooeoo m Bus Lic: Bus Lic: BT31/2021 BT30064046 � �� Processed By:- < Lic Ex Date: 08/31/2020 n einem e e..e FEES e oe . mmmmoo e m m ee e Ventilation e m e n 00 0 mm Up to 100K BTU/hr: c o 0 0 0 o me o e Bathroom Fan: mo n Fire Dampers: 0 $0.00 o m oemce oomm e $0.00 ooeoo m Exhaust Fan: 0 $0.00 mommoa o m o m cooemm n m $0.00 >15 HP to 30 HP: 0000ca 0 co 0 o e m mooco moms HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $20.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over IOOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $36.00 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: $0.00 Investigation: $0.00 Over 500K BTU/hr. 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $48.72 Up to 1 M BTU/hr:: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: EL16XC1-048lssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K 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: $41.50 TOTAL: $181.22 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $181.22 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. VNER-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) Iction 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 tr(? 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 L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 6iness 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 of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BusinessandProfessions Code: The Contractors' State License Lawdoes not Ay 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 forrr Prensure under the Contractors'. State License Law for the following reason: my signature bbitiMl acknowledge that, except for mypersonalresidence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally he Orticture that I #lave 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 rfessions Coderiseuallable upon request when this application is submitted or at the following Web site:hltp://w .leginfo.ca.gov/calaw.htmi. batu%of ProperV Owner or Authorized Agent Date TENSED CONTWTOR'S DECLARATION Iripb f affirm uMq%rpe(Ialty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seown 7000) of Division 3 of the Business an to ode, an full force 204JE6CI8ss ."". License No Date V I Contractor Signatur -� BRMIRS' COT1 RNSATION DECLARATION 71 amrim FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE rrOF ObMPENSA IION1 DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. eby�a�ffirm under penalty of perjury one of the following declarations: .I.haue and wili 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 formance of the 11I for which this permit is issued. Policy No. 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 France carrier and pj lhgQ number are: P. c G, Tier I�I))(, SUI/`C� Policy Number Q��WC r) lJ 27J / Expiration Date �"�1S �.Z� of Agent certify that, in the perform ce of thew rk this permit is ' I not employ any person in any manner s0 as to become subject to the workers' compensation laws of California, and agref t, if I should become subj t to the w rk ensation pro, 3700 of the Labor Code, I -shall forthwith comply with those provisio p nature of Applicant Date r CLARATION REGA ING CONN LENDING A Ireby affirm uat there is a construction lending agency for the performance of the work for which this permit is issue (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 all applicable city and county inanc s q, ws r ding construction. moi, I authorize representatives of this city or county to ter t e tified r spection purposes. /' nature of Prooertv Owner or Authorized ADent 7 I, / Print Property Owner's or Authorized Agent's Name /r IA I �/ ACTION GATE I BY II FEDERAL DECLARA€ION OF COMPLIANCE MTH CODE OF REGULATIONSPARTB OF TiiiriaAND I FOROFFICE PERMIT€XP/RED SUBMLTTEOASBESTOSNOItFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT:€XTENDED ❑ ASBESTOS M017RCA770NIS NOT. APPLICABLE TO PROPOSED DEMOLITION. PERMITFLNAI /Q-/7— CERTIFICATEOF SIGNATURE: OCCDPANCYISSUED