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Home My WebLink AboutH2019-0009 - Permits�v City of Newport Beggb-RuiWh1gf@jvist6n III�I �IIIII II IIII II IIIIIIIIII�I 100 Civic Center Drive, Newport beadF,, •CA 52,P6CJ `<` H 2 0 1 9 0 0 0 9 Fy, t Permit Counter Phone (949)644-'288. • • ° ° ` V • • • 000 0•° •os EtH�Ipty ° ° e Job Address: 7401 SEASHORE DR Bldg:1 Floor: Suite: Description of Work: MECH - (3) A/C CONDENSORS-TAMPER-RESISTANT CAPS REQUIRED & 10 AIR HANDLERS Inspector Area:3 Code Edit: 2016 Legal Description: SEASHORE COLONY TR BILK N LOT 8 Owner: CLARIZIO DINO Contractor: N R G HEATING & A/C INC Address: 1412 ORLANDO DR Address: 7008 OWENSMOUTH AVE ARCADIA CA 91006 Furnaces Boilers & Compressors CANOGA PARK CA 91303 Phone: 626-277-9673 Phone: 800-880-0004 Con State Lic: 781353 Issued Date:01/08/2019 Lic Expire: 07/31/2020 0 Bus Lic: BT30065081 Processed By: VZJ Lic Exp Date: 11/30/2019 MECHANICAL Permit: H2019-0009 Project No : 0696-2018 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: MIDWEST EMPLOYERS Policy No: BNUWC0142950 Expire :02/01/2019 (, i3 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 3 $57.00 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: $0.00 Investigation: $0.00 Over 500K BTU/hr. 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $162.69 Up to 1 M BTU/hr. 0 $0.00 up to 1 OK CFM: 10 $130.00 Repair/Alter/Add: 0 $0.00 Model 3MXS24NMVJU Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAIKIN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $424.69 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $424.69 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. UWNEK-BUILDER DECLARATION •• : : ,• •• :- I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) ift$icated 94w2ry Ehegchackmar%(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, Sr repair any strucrurg,.% for 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 Section031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). : : . . ,', , • 0 • , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portion$bf the••work, sa8 jh?,st�ucture is noF irfended or offered for sale (Section 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, through e * yees• DP personal bpilcp 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- uilder'v1iN have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder 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:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes 1'6ps de, and my license is in full force and effect. !' q License Class License No Iq I J Dater_ I Contractor Signatur NORKERS' COMPENSATION DECLARATION YARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 :mance of the work for which this permit is issued. Policy No. of 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: yCa u ll')c.J C�.� t� Policy Number �VLAIC-Q(qZ� C Expiration Date agent Phone # I certify that, in the performance 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 agre that, if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. �r Signature of Applica Date DECLARATION RE NG CONSTRUCTION LENDING AGENCY I hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se ion 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ownerbehalf. I have read this application and the information I have prov"2" orre T" xf'vK I agree to comply with all applicable city and county ordinan nd; to laws relating to building construction. I authorize representatives of this city or conn to enter tb ov - e Tied property for inspection purposes. U'( 6" 61zpjayw^ Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name Date ACTION DATE RY DECLARATION OF COMPLIANCE WI TN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. P€RMITEXP/RED /SUBMITTED ASBESTOS M077FICATION TO. ❑ EPA ❑ AQMD PERMITCANCELL€D PERIATEXTENDED ❑ ASBESTOS N017RCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PFRNIITFLNAL ,S CERTfFLCATE OF QCCUPANCYISSUED SIGNATURE: