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Home My WebLink AboutH2019-0129 - PermitsCity of Newport Beach -Building Division IIII�III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 O 1 9- 0 1 2 9 Permit Counter Phone (949)644-3288 Ww . Job Address: 621 NARCISSUS AVE BIdg:1 Floor: Suite: Description of Work: MECH A/C UNITS (2) ON ROOF DECK *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit: 2016 Legal Description: CORONA DEL MAR BILK 640 LOT 21 Owner: LONGO LORENZO Contractor: NIX PLUM HEAT AND A/C Address: 621 NARCISSUS AVE Address: 1351 WARDMAN DR CORONA DEL MAR, CA 92625 Ventilation BREA CA 92821 Phone: 949-241-4899 Phone: 714-527-1311 Con State Lie: 542033 Issued Date:03/06/2019 Lie Expire: 09/30/2020 Up to 3HP: Bus Lie: BT30053916 Processed By: JI o0 _ ` Lie Exp Date: 02/28/2020 MECHANICAL Permit: H2O19-0129 Project No: 2519-2016 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : OAK RIVER Policy No: DAWC014264 Expire :01/01/2020 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr. 0 $0.00 > 3 HP to 15 HP: 1 $35.00 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: $46.98 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: YCS30B21S/TCHE Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $175.98 Plan Check Fee: $0.00 Fee Due at Permit Issuance; $175.98 PERMITS EXPIRE 980 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. rNER-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) ction 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 tllrapplicant for 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 fessions 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 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, iness 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 rovements 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 roved 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 ly to an own el•dfploperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I aryl exemptffH licensure under the Contractors' State License Law for the following reason: my signature belowl 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 a structure tba-W. ave 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 feegjons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. talure of ProlJg Y Owner or Authorized Agent Date :ENSED OONIRACTOR'S DECLARATION re6y affirm and erpenalty of perjury that I am licensed under provisions of Chapter 9 (commenc50YERTO Section 7000) of Division 3 of the Business a rofe sions de 'cense is in full force gffect. , InseClass• •• License No G Contractor Signatu if?jC) RS' COtAP''Eyy�NSATION DECLARATION NINC: FAILURE•fQ FFAJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EM CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS (5700,000), IN ADDITION TO THE T OF COMPENSATION, SAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. AV.affirm under penalty of perjury one of the following declarations: .. . . . I have and vJllf 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( ormance 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' fence carrier and policy number are: ier Policy Number Expiration Date is of Agent certify that, in the pr , if I should become Iature of Applicant J is issued, I shall not employ any person in any manner so as to become subject to Oe workers' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns. areby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is tder'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 ed is correct I agree to comply with all applicable city and count rdinanc sands e I authorize representatives of this city or county to to thea o e fiec nature of Prooertv Owner or Authorized ADent ACTION PERA41TEXPIRED PERANT FINAL CER77FICATEOF OCCOPANCYISSLIED DATE A BY building construction. nspection purposes. PART &1 OFTTILE40AND AQM13ROLE1403. / ❑ t SUBMfTTEOASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTUTCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: 3097, Civil Code). P laws of California, and