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Home My WebLink AboutH2019-0736 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2628 SAN MIGUEL DR BIdg:1 Floor: Suite: Description of Work: COMM A/C REPLACEMENT, LIKE FOR LIKE InspectorArea:7 Code Edit: 2016 Legal Description: P BK 119 PG 49 PAR 1 Owner: IRVINE CO Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Ventilation Con State Lie: Issued Date:11/20/2019 Lie Expire: Bus Lie: Processed By: -Lie Exp Date: ii iipiiigiiiiii M3 MECHANICAL 600 A WEST TAFT AVENUE ORANGE CA 92865 714-628-1308 786760 1013112020 BT30069612 11/30/2020 MECHANICAL Permit: H2O19-0736 Project No: 2556-2019 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : INS OF THE WEST Policy No: WSA5049358 Expire :07/0112020 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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: $41.50 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $17.40 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 -Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $155.40 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $155.40 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Flours: Monday - Friday 7:0�;AI® 6:30 AntA6d SA*Pddy from 8:00 a.m. to 6:00 p.m. 0 0 0 • o• o 0 0 0 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 improved 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 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 j 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 I 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 a Co, e, a d-my-icense is in full force and effect. License Class License No Date r Contractor Signatur NORKERS' COMPENSATION DECLARATION NARNING: 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 3706 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 th6 ormance 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' compensation ns rance carrier and policy number are: trier Sly' CO' O �Tkt> V JAEsr Policy Number YI"+ �� 1 a Expiration Date Vame of Agent Phone# -3 1C6,— 6Z`, :11 certify that, in the performan e k 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 agree hat, if I should becomes a to the s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date )ECLARATION REG D NG CO STRWRON LENDING AGENCY hereby affirm under penalty of perjury that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coun dinanc and state laws relating to building construction. I authorize representatives of this city or county o enter bove-ide led property for inspection purposes. 31anature of Prooerty Owner or Authorized Aaent i Print Propertv Owner's or Authorized Agent's Namee� a 5 �' 1P, Date ' ACRON DATE k BY [July ur i.umruxlyas tri rn uv cur run urn Lt U�t unt7 ... ..FEDKQ4L REGULAFIONS'P4%RTd1 OFTITLE40AND : AQMI 4/103. . •. PERMITEXPIR€D . • D i SSgB VESZ0J NO71FfCAT1ON TO; PERMITCANCELCED •: �AEBA• ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS NORRCARON IS NOT APPLICABLE TO PERMITFINAL IA( —,Lq PROPOSEDDEMOUI• CERPFICATEOF : • SIGNATVME:0 0 6• * : OCCUPANCYISSUED