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Home My WebLink AboutH2020-0208 - PermitsCity of Newport Beach - Building Division H2O20-0208 MECHANICAL Permit: H2O20-0208 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)644-3288 y TIMER REQUIRED ON EQUIPMENT Inspection Requests Phone (949)644-3255 TO SHUT OFF BETWEEN 10 P.M. ANn 7 e nn Job Address: 29 SOUTHAMPTON CT BIdg:1 Floor: Suite Description of Work: MECH A/C UNIT & FURNACE CHANGE OUT *TAMPER PROOF CAP REQ* Inspector Area:8 Code Edit: 2019 Legal Description: TR 10987 LOT 2 UNIT 137 OF PROJECT LOCATED ON AP 442-351-08 TOGETHER co Owner: LADONES LYNN Contractor: WE CARE Worker's Comp Insurance - Address: 29 SOUTHAMPTON CT Address: 41085 GOLDEN GATE CIR Carrier: SERVICE GROUP NEWPORT BEACH, CA 92660 MURRIETA CA 92562 Policy No: WC080374549 Phone: 951-315-3855 Phone: 951-600-0700 Expire :07/01/2020 Con State Lic: 779604 Issued Date:04/23/2020 Lic Expire: 06/30/2020 ^ Bus Lic: BT30038344 ® Processed By: C�1I/./WV\` - Lic Exp Date: 02/28/2021 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $20.00 Up to 3HP: 1 $20.00 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 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: XC21.0601ssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX 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. JYYIVCR-6UILUGR YLYa.nlv„,v,� 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 it ;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 ofthe 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 U 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 1 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, f 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 Cade, is available upon request when this application is submitted or at the following Web site:http:thvww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION �----� 1 hereby Or= under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Ath tion 77000) of Division 3 of the Busine d P ote( ss'o11§ Code, and my license is in full force and effect Date /� Contractor Signature -- License Class License No WORKERS' COMPENSATION DECLARATION -""^ NARNW O: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO T CRIMINAL PENALTIES AND CML FINES uP TO ON HUN RED THOUSAND DOLLARS t$166,0661, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES "PROVIDED FORIN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 in pe rmance 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' compensatio ins nce carrier and policy number are: y __ Policy Number Date m of Agent certify that, in the perform nce of the rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to t Ie workers' Compel sation laws of California, and agre if I should become ubj t to the wo IS' co e n 3700 of the Labor Code, I shall forthwith comply with those pro si s. 7/ lature of Applicant_ _ - _ Oata 0 • ��- 1 :LARATION-RE"AR N LENDING AGENCY reby affirm under pe I of perjury that there is a consbuction lending agency for the performance of the work for which this permit is issued (s n 3097, Civil Code). der's Name Lender's Address ny 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 pr7o i d is correct. I agree to comply with all applicable city an u- ordinan - - " " uildingconstruction. I authorize representatives of this cigrm cmtg II , antP.cth nhfied property for inspection purposes. ACTION I DATE ❑ f SUBMf7TEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICAROMIS NOTAPPLICABLE TO PROPOSED DEMOLITION, CERTlFMATEOFI I I J I SIGNATURE: OCCUPANCY:SSUED