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HomeMy WebLinkAboutH2019-0340 - PermitsyVr1 City of Newport Beach - Building,Division III�IIIIII�IIIIIIIIIIII��IIIIIIIIIIIII MECHANICAL Permit: H2O19-0340 cr't 100 Civic Center Drive, Newport Beach, CA 92660 H 2 1 9 3 4 e Project No : 2602-2018. 'q Permit Counter Phone (949)644-3288: FEES Inspection Requests Phone (949)644-3255 Job Address: 3130 CLAY ST BIdg:1 Floor: Suite: •••• • ° Description of Work: MECH DUCTING TO DIRECT VENT HEATER (INTERIOR) •°°° °®°0°° InspectorArea:2 Code Edit: 2016 lt3 h °• °°° i<• Legal Description FIRST ADD TO NEWPORT HEIGHTS BLK 30 LOT 1 •,�, Up to 100K BTU/hr: 0 Owner: MCHUGH BRIAN Contractor: CATALYST BUILDERS Worker's Comp Insurance - ue �• • ,;r ky`° Address: 3130 CLAY ST Address: 17712 LEWIS LN Carrier: EXEMPT •° • `` ,•yP° NEWPORT BEACH, CA 92663 HUNTINGTON BEACH CA 92647 Policy No; ° Phone: 310-7094476 Phone: 714-642-2704 e••o °o Expire: • • ° g Con State Lic: 1033336 0 IssuedDate:06/06/2019 Lic Expire: -11/30/2019 °• ° ° Bus Lic: BT30065629 •®•• Processed By: SOAN Lic Exp Date: 01/31/2020 $0.00 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 10oK 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: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 1 $19.00 Model Issuance: $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $10.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $29.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $29.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.mAo 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) 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). 1, 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, 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 rovements ace l%4 %ended 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 rovE4 for the pl tpMe of sale). r, 60Uowner pf`t§C=19rpperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly tg an owner ofpfoperty 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 frdm licensure under the Contractors' State License Law for the following reason: Try.qignature b4av 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 g structure t7et.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. jgavailable upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Wqe of Pnrefty Owner or Authorized Agent Date 'EtMSED CONTRACTOR'S DECLARATION reby-affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with esti 70 ) of Division 3 of the Business an ofess' s C e, full force effect. ...... Irm;Qlass • License No Date Contractor Signature IRdRS' GONWENSATION DECLARATION NTNG: FAILURE 46 WCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 ormance of the work for which this permit is issued. Policy No. 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' compensa rance carrier and policy number are: 'ler P bar Expiration Date ie of AGent /'1 Phone # certify that, in the pe ormanc f th rk f which this p it is issued, I shall play -a manner so as [o become subject to a workers' com ensation laws of California, and agrer t�if I should become ubject the r ' compensati isions on 3700 of the Labor Code, I shall o -ith comply with those provis' ns. nature of Applicant Date CLARATION REG RDI STRUCTION LENDING AGENCY Ireby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3017, 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 t p,rty ow s behal . I have read this application and the information I e rovid Is come I agree to comply with all applicable city and co ty na es and to laws relating to building construction. I authorize representatives of this city or cou to r e Identified property for inspection purposes. AC17ON DATE ( BY EUR UP11LE u3t DIVLY FEDERAL REGULATIONS PART 01 OF TITLE40AND AQMDRULE1403, PERMITEXPIR€D ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: EPA © AQMD PERMITCANCELLED PERMtT€XTENDED ASBESTOS NOT APPLICABLE TO PERMIT FINAL \ 'J PROPOSED DEMOLITION. CERTINCATEOF OCCUPANCYISSUED SIGNATURE: