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Home My WebLink AboutH2019-0741 - Permits0w r City of Newport Beach - Building Division 11111111111111111 IIII IIIIIIIIIIIIIIIIIIII 111 MECHANICAL Permit: H2O19-0741 u 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 4 1 a Project No H Permit Counter Phone (949)644-3288 �ymaxw.. Inspection Requests Phone (949)644-3255 Job Address: 1515 SEACREST DR BIdg:1 Floor: Suite: Description of Work: MECH REPLACE DUCTING ' I V S1 E7V' ^7F® R Inspector Area:4 Code Edit: 2016 Legal Description: N TR 6152 LOT 111 Owner: CARTER DANIEL E Contractor: SERVICE CHAMPIONS HTG Worker's Comp Insurance - 00000 Address: 1515 SEACREST DR Address: 3150 E BIRCH Carrier: EVEREST NATIONAL INS CO CORONA DEL MAR, CA 92625 BREA CA 92821 Policy No: RM8WC00044191 o c ceooc oo•eoe o Phone: Phone: 714-777-7777 Expire :05/29/2020 Con State Lic: 799170 c e e V0 ° Issued Date:11/21/ 019 Lic Expire: 10/31/2021 ee . Bus Lic. BT01080105 Processed By: Lic Exp Date: 07/31/2020HERS @IrlfIllb'Y REQ 8000°0 OOe° 0 OCCC(: O 000EC<. HVAC Items FEES ° 000eoo oe o 0 FurnacesBoilers &Compressors Ventilation Others Up to I OOK 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: 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: 2 $40.00 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 Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $75.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $75.00 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7'.00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. INER-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) fiction 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 ifessions 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 (_) 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 )rovements 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 theprope"rTy, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fly 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 legally a structure that I have built as an owner-bui[der 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 ifessions Codep is available upon request when this application is submitted or at the following Web site:http://www.ieginfo.ca.gov/calaw.htm]. nature of PrWrt�(5amer or Authorized Agent Date ;PMD COIJTWTOR'S DECLARATION )reby 9ffirm uACer"fkpalty of perjury that I am licensed under provisions of Chapter 9 (commencing �Servo000) �f Division 3 of the Business an ions Code, and my license is in full force I effect.'lassLicense No�iC Cont a ure •• DRKERS' COMPENSATION DECLARATION ININ(k 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 ($100,000), IN ADDITION TO THE i i0.F. OMPEN,9gJgrJ @I:MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. gl�y�Affirm under peftalty of perjury one of the following declarations: d.heve and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl KaCce of t4or which this permit is issued. Policy No. hat;$typda-and will "aintgin 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' compensatior hence carrier andpolicy number are: •••. Tier Policy Number Expiration Date ne of Agent Friona s certify that, in the pert o e ork for which this permit i employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should bac subject to orkers' co provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p visions. nature plicant at CLARATION REGA ING CO TION LENDING AGENCY Ireby affirm under pen y o perjury that there 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 and state laws relatin to b ' onstruction. I authorize representatives of this cit a roperty for inspection purposes. - , , %� a �f . rrf. 1 ii nature of Property Owner or Auth Print Property Owner's or Authorized s Na ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMIT€XPIR€D ❑ I SUBMITTED ASBESTOS NOTIFICATION TO., ❑ EPA ❑ AQMD PERMITCANC€LLED PERMIT EXTENDED [3ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSEODEMOLITION. PERMIT FINAL C5 7 CERTIFfCATEOF SIGNATURE: OCCUPANCYtSSUED