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Home My WebLink AboutH2019-0691 - Permitsrwt City of Newport Beach - Building Division IIII�IIIIIIIIIII�IIIIIIIII�IIIIIIIIII MECHANICAL Permit: H2O19-0691 ' a°t 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 6 9 1 't Permit Project No r5 Counter Phone (949)6443288 - FurnacesBoilers & Compressors Ventilation ayk,s Inspection Requests Phone (949)644-3255. INSPECTOR Up to 100K BTU/hr. 2 Job Address: 18 TURNBERRYDR BIdg:1Floor: Suite: Up to 3HP: 2 $40.00 Description of Work: MECH C/O A/C UNITS ( 2) ON GROUND AND FURNACES (2) *TAMPER PROOF CAP REQ* 0 $0.00 Fire Dampers: 0 $0.00 $0.00 1 Over 100K BTU/hr: 0 InspectorArea:8 Code Edit: 2016 > 3 HP to 15 HP: ;°`°°° $0.00 Legal Description: TRACT 15387 LOT 9`POR OF LOT AND POR LOT 8 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 Owner: DUNCAN LAURIE Contractor: KEMNITZAIC & HEATING INC Worker's Comp Insurance- 0 $0.00 Address: 18 TURNBERRY DR Address: 188 TECHNOLOGY SUITE C Carrier: NORGUARD INS Metal Fireplace: 0 $0,00 NEWPORT BEACH, CA 92660 IRVINE CA 92618 Policy No: KEWC038134 Heat Pumps & Package Units Phone: Phone: 949-453-8500 Expire :02/01/2020 $0.00 Down -Draft Fan`. Con State Lic: 695874 Record Mgt Fee: $0.00 Issued Date:11/04/2019 Lic Expire: 09/30/2020 Up to 100K BTU/hr: 0 $0.00 Bus Lic: BT30010693 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: Processed By: Lic Exp Date: 07/31/2020 Over 500K BTU/hr: ` ° $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $69.00 Up to 1 M BTU/hr: ` 0 $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr. 2 $40.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 1 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: $69.00 Up to 1 M BTU/hr: ` 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 , $0.00 Model: 24AHA41ssuance: $35.00 Up to 1.75M BTU/hr; 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer:' CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL :$226.10 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $226.10 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6;30 p.m.and Saturday from 6:00 a.m, to 6:00 p.m. 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 theapplicant 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 DivisiGn 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 aTivil 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 (_).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, buildsor 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). ,• •• , ❑ I am exempt iromlicsnsure under the Contractors' State License Law for the following reason:. Btimysgsiature bglow 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 Iegall sell a structure thbl'1'NaVg built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy. of the applicable law, Section 7044 of the Business and Prrple�SSlons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED COkIMQTOR'S DECLARATION I $erggy,affirm undV Q@nalty of perjury that I am licensed under provisions of Chapter 9 (commencing;ER th S ctl0 /,70 0) of Division 3 of the Business and Proles ions Co d my license is in full force arAVieCt License glass • .... License No Dat— 19 Contractor Signature ••••• N(QUWS' CONFPENSATION DECLARATION WARIANG: FAILURE TO SECLWE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H DRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CSST OF 6NIPENSAACN, BJMAGEs AS PROVIDED FOR IN SECTION 8708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES IQ€r9IT)*'Jffirm uncle; perjalty of perjury one of the following declarations: 0.I9have and will Jaintain 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 ed rmance 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 s ante carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the perfor ante of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject Xthworkers' compensation laws of California, and agrethat, if I should become su lett to r ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi SignatureofApplicant Date( /T f DECLARATION REGAR INC TRUC LENDING AGENCY ryI herebyaffrm under rju theoWre is a construction lending. agency for the performance of the work for which this permit is issued ( ection 3097, Civil Code). Lender's Name Lender's Address By 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 rdinances and state laws relating to building construction.Z11I(414 I authorize representatives of this city or county tte a -I �PTtified pro y for inspection purposes. _ _�..('nti (/(V (tV f 61, ACTION .DAT€ BY,/,� DECLARATION OFCOMPLfANCEWITNCODE Oh / FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TIJLE40AND AQMD RULE 1403. XPIRED ❑ ]SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ANCELLEi] - XTENDED ❑ ASBESTOS N017FICAHONIS NOT APPLICABLE TO 'PROPOSEDDEMOi.tFION. TNA t %T€ O€ . SIGNATURE: vCYISSUEO _