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HomeMy WebLinkAboutH2019-0552 - Permitsw City of Newport Beach Building Division III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 5 2 Permit Counter Phone (949)644-3288 i MECHANICAL Permit: H2O19-0552 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurph e / ; i U I l ! ! .UVVED ' Carrier: EXEMPT Policy No: NO EMPLOYtEE§ �� ie l',` -i `"Du"1 LsCj'1TIONS Expire : HVAC Items Job Address: 21 SEAMIST CIR BIdg:1 Floor: Suite: FEES Description of Work: MECH - C/O FAU. NEW A/C CONDENSOR. TAMPER-RESISTANT CAP & TIMER REQ'D Inspector Area:3 Code Edit: 2016 Legal Description: 7989 LOT 1 UNIT 27 P-27 G-27 CP -27 OF PROJECT LOCATED ON AP Owner: CAINE GREGGORY JR Contractor: VETERAN AIR Address: 21 SEAMIST CIR Address: 1340 N DYNAMICS ST STE A NEWPORT BEACH, CA 92663 h ANAHEIM CA 92806 Phone: Phone: 714-206-3493 Up to 3HP: Con State Lic: 949515 Issued Date:09/12/2019 Lid Expire: 06/30/2020 Bus Lic BT30068474 Processed By: Lic Exp Date: 08/31/2020 i MECHANICAL Permit: H2O19-0552 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurph e / ; i U I l ! ! .UVVED ' Carrier: EXEMPT Policy No: NO EMPLOYtEE§ �� ie l',` -i `"Du"1 LsCj'1TIONS Expire : HVAC Items FEES FurnacesBoilers & Compressors Ventilation 0 h Up to 100K 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 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: M3AC4024A1000AA Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMERISTAR Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $133.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $133.90 PERMITS EXPIRE 480 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - FriddjP 7r00aa.m.tg 6;3 0 p.m.and Saturday from 6;00 a.m. to 6:00 p.m. m° ' •® eoo ° ° mo °° o • m oo °p• o 000 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 L) all of or L) 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 rim roved for the purpose of sale). LI 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 legal) 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.html. 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 Sectiop 7000 of Division 3 of the Business fes y (cense is in full force and effect. / License Class License No D e Contractor Signa9t l WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm. under penalty of perjury one of the following declarations: I 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 th performance of the work for which this permit is issued. Policy No. I have 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' compensatio insurance carrier and policy number are: fg�Nier Policy Number Expiration Date Naph f Agent Phone # ify that, in the performance Is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe sation laws of California, and ogre hat, I should become subject o compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions Signature of Applicant Date Z DECLARATION REGXRbkG CONSTR N LENDING AGENCY I hereby affirm under penalty o hat there is a construction lending agency for the performance of the work for which this permit is issued ( action 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 owner's behalf. I have read this application and the information I have p ' ed is correct. I agree to comply with all applicable city and county gin ces tate laws relating to building construction. I authorize representatives of this city or county to e e o - y for inspection purposes.rZ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na a Date f ACT10f+i BATE BY DECLARATION OF CQMPifA GE T ODEQF FOR OFFICE USE ONLY FEDERAL REGULATIONS PARI 67 QFT1TLE40AND PERMlTEXPIR€D AQMDRULEI$63. ... •• - •❑ •t tlBMif2t6.�i5P€STQ1 NQ7•}F'jCATiQN TO. PERMtTLANLELLED � � FFB. • • • • � PERMITEXTENOED : � •©' AMP • •� • • LI Af58E5TOS NO7fFfCA7fONf5 NOTAPPLICABLE TO FERhIiTRNAt � PROPOSED OEiLIOtJTfOf4. CERTIFICATEOF • • ... . • CfCCOFANCYiSSDEO • � • � � ; • . �