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Home My WebLink AboutH2020-0016 - Permitswl• � City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O20-0016 't h 100 Civic Center Drive, Newport Beach, CA 92660 '... H 2 0 2 0 0 0 1 6 Project No : 2340-2017 - ' Permit Counter Phone (949)644-3288 E '�pr tiffs: Inspection Requests Phone (949)644-3255 Job Address: 515 TUSTIN AVE Bldg:1 Floor: Suite: TIMER REQUIRED ON EQUIPMENT Description of Work: MECH NEW A/C UNITS (3) ON GROUND *TAMPER PROOF CAP REQ* TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M Inspector Area. I, Code Edit: 2016 Legal Description: FIRST ADD TO NEWPORT HEIGHTS ELK 35 LOT 21 • } 1' PO CL 3JECT'\V Owner: ASHBY CONSTRUCTION CO INC Contractor: ASHBY RICHARD KENT Worker's Com Insurance - P 1 FVfE�V,'�NDAPPROVA AN1_)PTELPPI Address: 515 TUSTIN AVE Address: 5642 RESEARCH DR #A Carrier: WC EXEMPT FurnacesBoilers & Compressors NEWPORT BEACH, CA 92663 HUNTINGTON BEACH CA 92649 Policy No: (NO EMPLOYEES) Phone: Phone: (714)895-5349 Up to 100K BTU/hr: •°°° ° $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: ° ° Fire Dampers: Expire: • ° ®° ° ° $0.(Yo ... ° ° ®•^°°g 0 Con State Lie: 237718 2 $72.00 ®` • • ° ° ° ° ° Issued Date:01/08/2020 Lie Expire: 10/31/2020 ° ... •° ° Wall/Floor Heaters: Bus Lie: BT30050028 >15 HP to 30 HP: • ° Processed By: 5_&&N Lie Exp Date: 02/28/2020 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 •°°°„ 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 8:00 a.m to 6:00 p.m. • HVAC Items FEES °° ° ° • ° ° ° FurnacesBoilers & 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.(Yo ... Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $72.00 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: $80.04 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 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: $41.50 TOTAL: $248.54 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $248.54 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 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 rease.*,�.) indicated below by the checkmark(s) I have placed next to the applicable item(s) lection 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 is 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 'rofessions 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 of more than five hundred dollars ($500). - 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply town owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 nproved for the purpose of sale). 1 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 pply 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: ly 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm unlj% penalty of perjury that I am licensed under provisions of Chapter 9 (commencing /Seon 7000) of Division 3 of the Business and P fe a' s Code, and my license is in full force nd effect. • • icense Class • • • • License No Date' Contractor SignatureVORKLRS'ID&F JSATION DECLARATION ARNINB: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000(, IN ADDITION TO THE ',OST tit COMPENSATIbN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hpreby affirm toai•ppnalty of perjury one of the following declarations: I have and willrmaintain 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 arfocmance of for which this permit is issued. Policy No. •.• 31'tfaVe 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' compensatior iaureRoe carrier and policy number are: arrier : • • • •: Policy Number Expiration Date PblAgent � eitifythat,*i Nest if I should become du re of Applicant_ ianv of the work 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 agref to he worker comp saticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prows nst. pp ..rjr._ ! " Date 3 ONSTRUCTION LEWDING AGENCY ;reby affirm under pEnalty of 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 countyAdn nces and state laws relating to building construction. I authorize representatives of this city or county tofinterthe abovpf0egtfRed property fnr I^spection purposes. or Authorized Agent's Name A" tj/ Dat>d...i AC77ON DATE rBY DECLARATION OF COMPLIANCE MTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART61OFTITLE40AND AQMDRULE 1403. PERMITEXPIRED ❑ I SUBMTTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED P£RMITEXTENDED ❑ ASBESTOS NO77FICA77ONIS NOT APPLICABLE TO PERMITFINAt PROPOSED DEMOLITION. CERTtFICATEOF SIGNATURE: OCCUPANCYISSLIED