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Home My WebLink AboutH2019-0574 - Permitsna, City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 7 4 Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O19-0574 Project No: 0010-2018 Inspection Requests Phone (949)644-3255 TIMER REQUIRED ON EQUIPMENT HUT OFF BETWEEN 10 P.M. AND y Worker's Comp Insurance - Carrier: EXEMPT Policy No: NO EMPLOYEES Expire : FEES AC Items Job Address: 19 SAN MATEO WAY Bldg:1 Floor: Suite: rnacesBoilers & Compressors Description of Work: MECH -A/C CON DENSOR. TAMPER-RESISTANT CAP & TIMER REQ'D Inspector Area;4 Code Edit: 2016 - $0.00 Legal Description: N TR 7844 LOT 23 ar 100K BTU/hr. 0 Owner: IVAN YIH WEN YEE Contractor: N I V CONSTRUCTION Address: 19 SAN MATEO WAY Address: 150 N AVENIDA SEGOVIA CDM CA 92625 Units ANAHEIM CA 92808 Phone: Phone: 949-606-6895 >50 HP: 0 Con State Lici. 929624 - - Issued Date:09/23/2019.... LicExpire: 03/31/2021.. 0 $0.00 Bus Lici BT30044187 Processed By: Lic Exp Date: 07/31/2020 MECHANICAL Permit: H2O19-0574 Project No: 0010-2018 Inspection Requests Phone (949)644-3255 TIMER REQUIRED ON EQUIPMENT HUT OFF BETWEEN 10 P.M. AND y Worker's Comp Insurance - Carrier: EXEMPT Policy No: NO EMPLOYEES Expire : FEES AC Items rnacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 - $0.00 Up to 3HP: ° 1 ar 100K BTU/hr. 0 $0.00 > 3 HP to 15 HP: 0 dl/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 at Pumps & Package Units >30 HP to 50 HP 0 to 100K BTU/hr: 0 $0.00 >50 HP: 0 er 500KBTU/hr: 0 $0.00 Air Handling Units to 1 M BTU/hr. 0 $0.00 up to 10K CFM: 0 to 1.75M BTU/hr. 0 $0.00 Over 1 O CFM: 0 -r 1.75M BTU/hr. 0 $0.00 VAV Box: 0 Additional Feer $0.00 TOTAL: $113.90 MECHANICAL Permit: H2O19-0574 Project No: 0010-2018 Inspection Requests Phone (949)644-3255 TIMER REQUIRED ON EQUIPMENT HUT OFF BETWEEN 10 P.M. AND y Worker's Comp Insurance - Carrier: EXEMPT Policy No: NO EMPLOYEES Expire : 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. FEES Other $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 $0.00 Residential Hood: 0 $0.00 Additional Feer $0.00 Investigation: $0.00 Comm. Hood: 0 $0.00 Plan Check: $17.40 $0.00 Repair/Alter/Add: 0 $0.00 Model: XC210601ssuance: $35.00 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX $0.00 Zoning PC:. $41.50 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $113.90 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. DWNER-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 (_) all of or U 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). : . = ❑ 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I 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 and effect. License Class License No Date 2 C Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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 Code, for th rilormance 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' compensatioi insurance carrier and policy number are: Policy Number Date cert' 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 ogre t'rlf I ouId become subject topthe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. net of Applican fl/ it Date/Z�/� RATION REG ING CON UCTION 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 (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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county ty�,q,�Jter th /above -identified property for inspection purposes. nature of Prooertv Owner or Authorized Agent ✓ \ �4 ,� Print Property Owner's or Authorized Agent's NamA !V�y ✓ a''�1 /(-I ff77/ Date /.�3 ACTION DATE BY DECLARATION OF COMPLIANCEIMTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART Of OF TITLE40AND AOMD RULE 1403. 0 I SUBMITFEDASBESTOS M077FICATION TOr D EPA ❑ ARMD KPIRED ANCELLED K(ENDED D ASBESTOS N017ACA710MIS NOT APPLICABLE TO PROPOSED DEMOLITION. TNAL Z iA OCCUPANCYISSUED I I I I SIGNATURE: