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Home My WebLink AboutH2019-0758 - Permits4,w't'r,1,pr City of Newport Beach - Building Division a : 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 5 s Permit Counter Phone (949)644-3288 s1 r'dxn* MECHANICAL Permit: H2O19-0758 Project No: 0898-2019 Inspection Requests Phone (949)644-3255 Job Address: 312 COLTON ST BIdg:1 Floor: Suite: a F FEES Description of Work: MECH NEW (2) A/C UNITS *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit: 2016 FurnacesBoilers & Compressors Ventilation Legal Description: TR 772 LOT 17 BLK 14 ALL (EX NELY 12 FT) AND NELY 16 FT LOT ®•• ° 18BLK14 Other • • •••••• • • Owner: ZWERNEMANN Contractor: PRO WEST MECHANICAL INC Worker's Comp Insurance - • • n •••• Address: 11595 GRAND SUMMIT BLVD Address: 12962 EVENINGSIDE DR Carrier: EMPOLYEE SERVICE GROUP om • 0 $0.00 DRIPPING SPRINGS TX 78620 SANTA ANA CA 92705 Policy No: C66371955 • to <• Phone: Phone: 714-651-6737 Expire :71/07/2020 � � � ••®�< Con State Lie: 974570 Gas Line: oc n ••e�� Issued Date:17 /2 612 01 9 Lie Expire: 06/30/2020 Wall/Floor Heaters: 0 $0.00 Bus Lie: BT30051314 0 $0.00 0 ��• 0 • n a < Processed By: sa�Lie Exp Date: 05/31/2020 0 $0.00 Heat Pumps & Package Units e en 0 0 o 0 v ecao Down -Draft Fan: 0 $0.00 omc $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 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: $34.80 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 25HBC518-30lssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K 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: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $151.30 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. 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 U 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, 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 owne{ of prpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). . . 13I am exemptTrom..I`acensure under the Contractors' State License Law for the following reason: Py My,,Jgnature ¢elowj 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 Bell a stfucturel" 4 hive 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 Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. $ig'hlil of Property Owner or Authorized Agent Date LICEaSED Cj7N;R%CTOR'S DECLARATION :herg¢yaffirm urtder pCnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SEC' n 7000) of Division 3 of the Business pfid Professions Cod nd my license is in full force and effect. .... - MMA.Class: �..� License No Date t 7,b IlAn Contractor Sign re 11iCSigkERS' COMPENSATION DECLARATION .....Y HAfRNING. FAILURE i0 SEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANb SHALL SUBJECT AN EMPLOY RTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'100,066), IN ADDITION TO THE BOST OFCOMPENS"(",, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR C(:DE, INTEREST, AND ATTORNEY'S FEES. :Wee"ffirm urlder pgnalty of perjury one of the following declarations: 31nave and evilL'evintain 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( performance of the work 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' compensatior fiance carrier and policy number are: Tier Policy Number Expiration Date ne of Agent Phone # certify that, in theAperfo4oferk 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 agre( t, if I should becors' c e tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionature of ApplicanDate t) I'ii b 1 U I e) CLARATION REGTION L DING AGENCYIreby affirm underhere is a construction lending agency for the performance of the work for which this permit is issue (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 half. I have read this application and the information I have provided' correct. I agree to comply with all applicable city and coun rdirlanc and Mate I w eja' to uilding construction. I authorize representatives of this city or county t o -identifi prope y to in peCtion purposes. �- nature of Property Owner or Authorized Agent _ rilit-Rroperty Owner's or Authorized Agent's Name ACTION DATE Ry - 11 DECLARATION OF COMPIIANCEtMTN CODE OF- FOR OFFICE USE ONLY PERMITEXPIRED — AQMD RULE 9403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA PERMIT CANCELLED ❑ AQMD PERMITEXTENDED ❑ ASBESTOS N077RCA710NIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERMITRNAL CERTPRCATEOF - SIGNATURE: OCCUPANCYISSUED