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HomeMy WebLinkAboutH2019-0438 - Permits�w City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .��� W544•t7 II SIIIIILII0IIIIILIIVIIIIIIIII0 4III3IVIII8II Job Address: 126 VIA WAZIERS BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (2) NEW AIC UNITS 47dB & 49dB W/SOME DUCT WORK (BRYANT: 124ANS-24 & 49) Inspector Area:1 Code Edit : 2016 Legal Description: TR 907 LOT 356 SWLY 17 1/2 FT THEREOF(AND NELY 17 112 FT LOT 357 Owner: WADE WRC CLARK Address: 126 VIA WAZIERS NEWPORT BEACH CA 92663 Phone: Issued Date:07/24/2019�`_s/' Processed By: MECHANICAL Permit: H2O19-0438 Project No : Inspection Requests Phone (949)644-3255 Contractor: DYNAMIC AIR SERVICES INC Worker's Comp Insurance - Address: 21088 BAKE PKWY #104 Carrier: OAK RIVER INS FEES LAKE FOREST CA 92630 Policy No: DYWC912320 Phone: 949-340-3917 Expire :03/01/2020 Con State Lie: 753286 - Lie Expire: 02/28/2021 Bus Lie: BT30064634 Other - Lie Exp Date: 10/31/2019 0 HVAC items FEES FurnacesBoilers & Compressors Ventilation Other - Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 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 : $33.06 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 10K CFM: 0 $0.00 Repair/Alter/Add: 1 $19.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $165.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $165.06 PERMITS EXPA18i DAYS AFTER I9SUAA1J1F OR (,.AST VALID INSPECTION Construction Hours: Monday- friday *006a.efa 6;30 b.mAtd 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 structure, 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 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 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 -Builder will have the burden of proving that it was not built or imlroved 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:hltp://www.leginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec b 7000) of Division 3 of the Bust Professions ode, and my license is in full force and effect. - II _ to �� � License Class License No Da tcontractor Signal NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE r ONE HUNDRED THOUSAN OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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 )edbrmance of the work for which this permit is issued. Policy No. have and wI m 'Main 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 rance carrier nd ppa�licy number are: ler Poli y bar Expiration Date is of Agent Phone # certify that, in the periotTatice 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 agree if I should become, su`bjecttorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those �p`roovisiion'S.-/, lature of Applicant Y go La_ Dgf" a AMArInu 1 nr_diery I \ ' Ireby affirm under penalty erjury that there is a colr stkuctiW 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 inform atio I have provided is correct. I agree to comply with all applicable city and cou rdinances and state laws relating to building construction. I authorize representatives of this city or county (p 9n he �kjnye„'Ioptif jpd property for inspection purposes. _ 1 ACTION DATE DECLARATION OF COMPLIANCE IMTN CODEOF FD�JOFRCEOSEDNLY ' FED�f ULAMNSPART61 OF TIJLE 40AND A 1403. © 7SUBR'4TTEDA9&STOSN0VF1C4RZVTO. Q• Eg% : •. PERMITEXPIRED PERMfTCANCELLED © AOMD ASBESTOS NOJIFICA170NIS NOT APPLICABLE TO PROP%fS D.WJfOIJTION, • • • • • • SIGNA7VF�. .: PERMITEXTENDED PERMIT FINAL jl / CERTIFICAT€OF OCCOPANCYISSOEO