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HomeMy WebLinkAboutH2019-0516 - Permits} City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0516 4r4 '' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 1 6 Project No: H '.� Permit Counter Phone (949)644-3288 c"+sfivn*�` Inspection Requests Phone (949)644-3255 Job Address: 5310 RESIDENCIA BIdg:1 Floor: Suite: Description of Work: MECH - 57 ROOF -MOUNTED AIC CONDENSORS & FAU, LIKE FOR LIKE. LOWER DB LEVEL THAN (E) UNIT. *NOISE COMPLAINTS -ED GROLEAU 949-720-3126 OR DONOVAN SCHMIDT 949-720-5415* Vw(i3 53 i a InspectorArea:4 Code Edit: 2016 Legal Description: N TR 15584 LOT 7 20 TRUMAN SUITE 210 Owner: NEWPORT BLUFFS LLC Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 800-882-3019 Phone: Phone: 1003704 Con State Lic: Issued Date:08/23/2019 04130/2021 BT300 0143 Lic Expire: t 08/31/2019 Bus Lic: Processed By: Lic Exp Date: AMTECH HEATING & AIR INC Worker's Comp Insurance - 20 TRUMAN SUITE 210 Carrier: EVEREST PREMIER INS CO IRVINE CA 92620 Policy No: 7600019879181 800-882-3019 Expire :12/2012019 Ventilation 1003704 04130/2021 BT300 0143 t 08/31/2019 Up to 100K BTU/hr. 57 1,083.00 Up to 3HP: 0 $0.00 Bathroom Fan: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr. 57 1,083.00 Up to 3HP: 0 $0.00 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. 57 1,083.00 >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: $0.00 Up to 1 M BTU/hr. 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model CA16NA018000 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $2,201.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,201.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSP€CT10N Construction Hours: Monday- Friday 7:00 a.m.to 6:30 p.m.and Saturday frq, n 6:o a.m, to°6:00 P.M. °O co ° °°v a e • • O 00 °0°4D OO°IBO O O 0p O C O O O IWNER-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) lection 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 ie 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.. 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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: ly 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 ell 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec ion 700 ) of Division 3 of the Business and Profession C d and m '' ense I full force ndeffect. ,7 `1 ''%yii�� icense Class License No Date �_S ,Contractor Signatur@� 7 �C YORKERS' COMPENSATION DECLARATION ��• ARNING: 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 9705 OF THE LA13OR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty 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 thl arf4rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date me of Agent vnone u I certify that, in the performance of th w rk 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 agree I, if I should become�lsubjed to the o e Jp,B�nlsaticonn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provA\sioons. -{ ..nature of Applicant 7. ( " / Date Y �,2/2- / CLARATION REG Q DING CONSTRUCTION LENDIrNT AGENCY V areby affirm under penalty of perjury that there is a co truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder'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, county to enter v -id tified property for inspection purposes. �/ (/-7 mature of Pmnertv Owner or Authorized Anent l � / /L�// '�? 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