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HomeMy WebLinkAboutH2019-0044 - Permits (2)City of Newport Beach - Building Division III III IIIIIpIII IIII IIII111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 0 4 4 Permit Counter Phone (949)644-3288 eatrr.M1u�b. MECHANICAL Permit: H2O19-0044 Project No : 0739-2018 Inspection Requests Phone (949)644-3255 Job Address: 1837 PORT STIRLING PL BIdg:1 Floor: Suite: Description of Work: MECH/(2) A/C, UNITS 48.5dB & 51.5dB (BRYANT; 124ANS;60-A) "TIMER REUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM -REVISED 11/06/2019 Inspector Area:4 Code Edit: 2016 Legal Description: N TR 7027 LOT 7 Owner: MAYO FAMILY TRUST Contractor: Address: 1007 EMERALD BAY Address: LAGUNA BEACH CA 92651 Phone: Phone: Con State Lic: Issued Date:01/23/2019 Lic Expire: FEES Bus Lic: Processed By: 26�Lic Exp Date: RANCHO VIEJO A/C & HEATING Worker's Comp Insurance - 22596 COTTONWOOD CIR Carrier: NORGUARD INSURANCE LAKE FOREST CA 92630 Policy No: LAWC000721 949-212-4870 Expire :01/0112020 745018 01/31/2020 BT30031040 TIMER REQUIRED ON EQUIPMENT BT0310 03/31/2020 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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: 2 $70.00 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: $60.90 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 60-Alssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $205.90 Plan Check Fee : $205.90 Fee Due at Permit Issuance : $0.00 PERMITS ,EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hoursr Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. OC• c® X04. OB G •G f•O f G • • C( 4 fi F • O C < G4 •O O O•• 01 O t Y Y• • • O 4C4 C00 m0 b• O6 L O O• C VGu [l .. b4 CIu (.00 OOm ✓NER-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) ction 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, >iness 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 Irovements 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 (roved 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 illy 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: 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 legal'. 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date LENSED CONTRACTOR'S DECLARATION :reby,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 rrofessigl ode, and my license is in full force License No COMPENSATION DECLARATION Date %AMM, Contractor s IARNING: 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 ($100,000), IN ADDITION TO THE ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: � have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI Irmance of the work for which this permit is issued. Policy No. have and wuli$Iaintain 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' Date of I certify that, in the performance oAtho 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 agrethat, if I should become bject to thmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 Signature of Applicant Date DECLARATION REG DING CONST UCTION LENDING AGENCY I hereby affirm under enally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 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 ownebehalf. I have read this application and the information I have provided 's rrect. I agree to comply with all applicable city and county ordinanc state laws relating to building construction. I authorize representatives of this city or county o nter the o entified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION DATE RY DECLARATION OF COMPLIANCE IMTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIRE40 AND AQMD RULE 1403. PERMITEXPIRED ja 4,il.BMITT.FDAS,j3ESTO$.NP 3FJGATIONTO: �• EP4 PERMITCANCELLED • AQMD • e PERMIT EXTENDED* � Phi Ab 6DE 7401 CA7IOMS NbT APPLICABLE TO PERMIT FINAL / ( CERT(RCATE OF S1QA4TIIRE.• OCCUFANCYISSUED • • • • • • • . • •• ••• • • •• •• •••