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Home My WebLink AboutH2019-0672 - Permitswl ,$ City of Newport Beach - Building Division ,I II IIIIIIIIIIIIII IIIIIIIII IIIIIIIIIIIII MECHANICAL Permit: H2O19-0672 100 Civic Center Drive,. Newport Beach, CA 92660 H 2 0 1 9 0 6 T 2 Project No: FEES `i Permit Counter Phone (949)644-3288 ° v `n,14 vxsuT�ti> urnacesBoilers & Compressors Inspection Requests Phone (949)644-3255 -. Job Address: 517 WESTMINSTER AVE BIdgA Floor: Suite:' Other Description of Work: MECH C/O A/C UNIT ON GROUND *TAMPER PROOF CPA REQ* i pQ CCTO R $0.00 Inspector Area:2 Code. Edit: 2016 1 $20.00 6§ ua 0 $0.00 Legal Description: N TR 27 BLK 2 LOT 23 0 $0.00 e • • °:. ° $0.00 Owner. DAVARISHAHRIAR Contractor: GREENSTAR HOME SERVICES Worker's Comp Insurance 'Address: 517WESTMINSTER Address: 1951NMAIN ST Carrier: LIBERTY INS °°°° ° NEWPORT BEACH, CA 92663 ORANGE CA 92865 Policy No: WA763DS08631019 o Phone: Phone: 949-885-0102 Expire :10/01/2020 ° o o Con State Lie: 795556 - °.;" o Issued Date:10/29/2019 Lie Expire: 02/29/2020 o e•coo Bus Lie: BT30056111 Down -Draft Fan: 0 $0.00 Processed By:- Lie Exp Date: 08/31/2020 .•.m°° p to 100K BTU/hr; 0 ° >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: VAC Items FEES ° urnacesBoilers & Compressors Ventilation Other p to 100K BTU/hr; 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: ` 0 $0.00 $0.00 Iver 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 Jall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 -$0.00 eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 p to 100K BTU/hr; 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Iver 500KBTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $17.40 p to 1M BTU/hr. 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model 24AAA5-60Issuance: $35.00 p to 1.75M BTU/hr. 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Iver 1.75M BTU/hr: 0 $0.00 VAVBox: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $113.90 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. 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). 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 ofessions 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 f more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, isiness 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 provements 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 proved for the purpose of sale). 1.1, 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 ply 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 exemptfrom jicensure under the Contractors' State License Law for the following reason: my signature.beioovl 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 legalll II a sjructure 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 ftelons CgFlb* lblVailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 3nature of Proper1rOwner or Authorized Agent Date LENSED CONTRACTOR'S DECLARATION ereby affirm uaderrpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 91c,' n 7000) of Division 3 of the Busines i my license is in full force r�eRgrct. :eRse Class License No Date ,Z Contractor Sign (5RK€RS' CQWXNSATION DECLARATION RNING: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FI ES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,000), IN ADDITION TO THE $T,QFFOMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES Eteb);affirm yryJr4 penalty of perjury one of the following declarations: i 4VVe and VIL 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 0ocmance ofthe work for which this permit is issued. Policy No. ve 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' compensatiol nce carrier and policy number are: rrier Policy Number Expiration Date me of Agent Phone # I certify that, in the performance work for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agree it, if I should beco C nrkers' compensation provisions o the -Labor Code, I shall forthwith comply with those provi ' ns./ jna[ure of Applicant Dat / U /" T( Gj !CLARATION REGA TRUCTION LENDING AGENCY ereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issu (Section 3097, Civil Code). rider'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 or in ces and state laws relating to building construction. I authorize representatives of this city or co rJbe'above-identified ACTION DATEDECLARATIONOF Y COMPLIANCE MTB CODEOF FOR OFRCE USE ONLY FEDERAL REOULATIONSPART &1 OFTITLE40AND AQMD RULE 1403. PERMITEXPIRED i SUBMITTEDASBESTOS NO71FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERIrrIITEXTENDED ❑ ASBESTOS NOURCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION '.FINAL .PERMtT. / CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: