The URL can be used to link to this page

Home My WebLink AboutH2019-0556 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O19-0556 '. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1. 9 0 5 5 e Project No FEES Permit Counter Phone (949)644-3288 FurnacesBoilers & Compressors Ventilation °wtrrxw�� ' Inspection Requests Phone (949)644-3255 Job Address: 1019 SANTIAGO DR BIdg:1 Floor: Suite: HERS VERIFICATION RE 1 Description of Work: MECH/CHANGE OUT (E) F,A.0 & A/C UNIT 49db (CARRIER: 24AAA536) Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 Inspector Area:3 Code Edit: 2016 $0.00 Over 100K BTU/hr: 0 Legal Description: N TR 3032 LOT 12 > 3 HP to 15 HP: 0 $0.00 UUU Owner: RITCHIE GARY Contractor: GREENSTAR HOME SERVICES Worker's Comp Insurance - LUryry Address: 1019 SANTIAGO DR Address: 1951 N MAIN ST Carrier: LIBERTY INS $0.00 NEWPORT BEACH, CA 92660 ORANGE CA 92865 Policy No: WA763D508631018 LL Phone: Phone: 949-885-0102 Expire :10/01/2019 Con State Lic; 795556 >30 HP to 50 HP 0 $0.00 Issued Date:09/13/2019 Lic Expire: 0212912020 Record Mgt Fee: $0.00 Bus Lic: d��_Lir BT30056111 - Up to 100K BTU/hr: o Processed By: Exp Date: 0813112020 ' 0 $0.00 Residential Hood: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 10OK BTU/hr: 1 $20.00 Up to 3HP: 1 $20.00 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 : $17.40 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 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 Boz: 0 $0.00 Zoning PC: $41.50 TOTAL: $133.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $133.90 PERMITS EXPIRE,180,QAYS A4'Z¢R I$SUAN1r f,OR (.AST VALID INSPECTION Construction Hours: Monday! Ffidai ;7:00 adm.tb V:30 pr.aVSafurday from 8:00 a.m. to 6:00 p.m. . . . . )WNER-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 totfie 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 is 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). 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, 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). 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 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 Secti n 700 ) of Division 3 of the Business and Profes ' 9e-end'lrptieense is in full force nd effect. !cense Class License No Date 3 Contractor Signature VORKERS' 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 HI1 REO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION OTOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 hrformance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, s required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior isurance carrier arArftlicv number are, /1 F I Date of Agent certify that, in the performance of the w Sam. Is issued, II not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agree t, if I should become su ect ers' pensation provisio ection 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Det CLARATION REGA ING CONSTRU .ING AGENCY NN :reby affirm under penalty ofry that ere is a construction 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 information I have provided is correct. I agree to comply with all applicable city and county ordinances an e a Ing to building construction. p/A� I authorize representatives entatives of this city or count y toe -identified property for inspection purposes. 9 nature of Property Owner or Authorized Agent I Print Property Owner's or Authorized A ent's Nam }�(�� ((// WWII[[7744,aL D)te ACTION DATE DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FED"M"JEGULATfONS PART 09 OF T47LE40AND ARVlDRt JE 1402 • : :. PERMITFXPIRED ❑• ICUBMfTREDASBE9T09�.fffTlflg4T(ONTO. - • •(� nA PERMIT CANCELLED AQND PERMITEKTENDED ASBESTOS NO77FICA770NIS NOT APPLICABLE TO PROP"559REMQUTION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATiH2E.i i