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Home My WebLink AboutH2019-0744 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O19-0744 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 4 4 Project No: 0891-2019 ~Permit Counter Phone (949)644-3288 'azzx�s.. Inspection Requests Phone (949)644-3255 Job Address: 2138 PORT DURNESS PL BIdg:1 Floor: Suite: Description of Work: MECH INSTIL (2) A/C UNITS @ THE SIDE YARD "NOISE AGREEMENT,TIMER & TAMPER RESISTANT CAP REQ", REPLACE DI�CjS Inspector Area:4 Code Edit: 2019 Legal Description: N TR 7845 LOT 11 ° e e ° weonr' Owner: KAWAGUCHI KEN Contractor: G C HEATING & COOLING Worker's Comp Insurance - Address: 2138 PORT DURNESS PL Address: 9672 ALONDRA BLVD Carrier: FALLS LAKE FIRE & CASUALTY ° NEWPORT BEACH, CA 92660'° Phone: Phone: Con State Lic: Issued Date:11121 2019 Lic Expire: Bus Lic: Processed By: We Exp Date: •nacesBoilers & Compressors to 100K BTU/hr: 2 $40.00 :r 100K BTU/hr: 0 $0.00 II/Floor Heaters: 0 $0.00 at Pumps & Package Units to 100K BTU/hr. 0 $0.00 ar 500K BTU/hr: 0 $0.00 to 1 M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 sr 1.75M BTU/hr: 0 $0.00 BELLFLOWER CA 92625 Policy No: FLA012044 562-867-4123 Expire :07/31/2020 C Bf R 794228 04/30/2021 I) wf' `T 1'O BT30069895 11/30/2020 HERS VERIFICATION RECD R VIEW NDAPPROVAL mo smoomo m c e°0000 mm c c o m m mono TOTAL: $231.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $231.30 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. Other FEES 0 $0.00 Ventilation 0 $0.00 $0.00 0 $0.00 Up to 3HP: 2$40.00- Bathroom Fan: --0--$0.00- Fire Dampers: > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: Air Handling Units Comm. Hood: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 2 $40.00 Model: Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: VAV Box: 0 $0.00 TOTAL: $231.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $231.30 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. Other 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 $34.80 Investigation: $0.00 Plan Check: $0.00 A47L60418A/36A Issuance: $35.00 AMERICAN STANDA Zoning PC: $41.50 TOTAL: $231.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $231.30 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. 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). ❑ 1, 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 exerragtJ": licensure under the Contractors' State License Law for the following reason: By my�signature belotu 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 sella structure8hat 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 Professions Co'd`ed available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sgn341re of Property Owner or Authorized Agent Date LIEENSED CQNIPCTOR'S DECLARATION I` �enby affirm; nderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code, and my license is in full force and siiffect - Ltceose Class: _ _ _= License No Z�Z)te n actor Signature z��—ar — N@RkERS' COMOENSATION DECLARATION NAIINING: 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 COMPENSAT1OhS , DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE ereby affirm underyenalty of perjury one of the following declarations: :3.I.11ave and 'wiy 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 thr )pVnnance oMFi8Ivork 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' rance carrier and policy number are: Policy Number Date ne of Agent Phone # certify that, in the performance 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 agree f I sh e e subject to a ork rpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provislo s. Wf natur of Applica %� CLARA REGARDING CONSTRUCTION LENDING 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 on 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 relating to building construction. I authorize representatives of this city or county to enter the = ntified property for inspection purposes. nature of Prooertv Owner orAuttwr4ed Aoent/'i Print Prooertv Owner's or Authorized AGent's,Plame ACTIO DATE BY UCLLAr FIVJr Url UIwrL AIVr C rvlrn w C Ur run UPPILe U�t evy Lr ------ FEDERAL REGULAT/ONSPART69 OFTHL O0 N AQMD.RILE9403. PERMITEXPIRED ❑ I SUBMfTFEDASRESTOS NOTIFICATION TO: ❑ EPA " ❑ AQMD[3 PERMIT CANCELLED PERMITEXTENDED ASBESTOS P OPOSEO EMOLITON.RONIS NOT APPLfCABLE TO PERMITFINAL -iN- o o CERTIFICATEOF OCCUP.ANCYISSUED SIGNATURE: