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Home My WebLink AboutH2019-0224 - Permitswry City of Newport Heath - Building Division IIII�IIIII��IUIII��I�III��I�Illlll� !=e Aee b 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 e 0 P o e w 4, Permit Counter Phone (949)644-3288 ! d e� Job Address: 7210 OCEAN FRONT W BIdg:1 Floor: Suite: Description of Work: MECH - (2) A/C MINI -SPLIT SYSTEMS. TAMPER-RESISTANT CAPS REQUIRED InspectorArea:3 Code Edit: 2016 Legal Description: SEASHORE COLONY TR LOT 6 BLK L SWLY 60 FT -INC POROF ST ADJ- Owner: REEVES KYLE & JODI Contractor: Address: 323 CANAL ST Address: NEWPORT BEACH, CA 92663 FEES> Phone: 949-610-3681 Phone: Con State Lic: Issued Date:04/1812019 Lic Expire: Ventilation4 Bus Lic: Processed By: Lic Exp Date: MECHANICAL Permit: H2O19-0224 Project No: 2932-2016 Inspection Requests Phone (949)644-3255 OWNER/BLDR Worker's Comp Insurance - Carrier : Policy No: Expire: O/B 30" WIDE X 36" DEPTH REQUIRED FOR HVAC Items FEES> FurnacesBoilers & Compressors Ventilation4 Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fira Damp . ''$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 eta,GFirplac� 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00cord Mgt Fee: $0.00 Up to 100K BTU/hr: 2 $38.00 >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: $33.06 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: MXZ-4C36NAlssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $146.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $146.06 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LASTVALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8.00 a.m. to 6:00 p.m. ANNER-BUILDER DECLARATION .; ; • ;' I hereby affirm under penalty of perjury that I am exempt from the Contrmctor%Sf3t(1Li;e nse- aw for;the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) >ection 7031.5, Business and Professions Code: Any city or county that reQui$S 8 pefmit taconsOct,f tpr, 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 bajis 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). . . „ •� , , I, as owner of the property, or my employees with wages as their IS cc ensatigA„will Qo L3 aY otor;(Zportions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does nptgpply tb an owner of p}8peg 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 improvemeOi told within one year of completion, the Owner -Builder will have the burden of proving that it was not built or iIn roved for the purpose of sale). , 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 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 exempt from licensure under the Contractors' State License Law for the following reason: y m Ig Slow 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 legalh ell tructure that I have built as an owner -builder if it hai}�t been constructed In itsety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of Business d rofessions Code, is available upon request when th' a (/dation is submitted Dwllt�eb site:http:/lwww.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agen Date C.0 ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. icense Class License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION ARNING: 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 ($700,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: have 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 )rmance 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' rance carrier and policy number are: f Agent ify that, in the pi should become Policy Number Expiration Date the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisic .Wture of Applican Da )ECLARATION REGA INS NSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ender's Name Lender's Address ly 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 p )JJded is correct. I agree to comply with all applicable city and county o ces and state laws relating to building construction. I authorize representatives of this city or county toe r e above -identified property for inspection purposes. 3097, Civil Code). of California, and 11Signature of Property Owner or Authorized Agent / /X/ —Print Property Owner's or Authorized Agent's Name N 1FYL l �) Date 041 1 tl 1 "n1 ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODEOF FOR OFRCE USE ONLY FEDERAL REGULATIONS PART &f OF71TLE40AND AQMDRULE9403. PERMITEXP/RED I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITERTENDED. [3 ASBESTOS N017RCA170MIS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERNf1TF1NAE :' 4020 CEITURCATEOF OCCUPANCYISSOED SIGNATURE: