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Home My WebLink AboutH2019-0550 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O19-0550 �+ 100 Civic Center Drive, Newport Beach, CA 92660 H 2 O 1 9 '. Permit Counter Phone 0 5 5 0 No :1457-2018 FSProject F Fs (949)644-3288 'srrna"s Inspection Requests Phone (949)644-3255 Job Address: 204 EMERALD AVE Bldg:1 Floor: Suite: Description of Work: MECH/A1C UNITS (2) ON ROOF & GROUND "TAMPER RESISANT CAP REQ" I ��®1R w Inspector Area:2 Code Edit : 2016 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 4 LOT 20 Owner: FRJINZI THOMAS Contractor: SKY HEATING AND COOLING Worker's Comp Insurance - Address: 4 EMERALD AV Address: 769 N GLASSELL ST Carrier: NORGUARD INSURANCE BALBOA ISLAND A 92662 ORANGE CA 92867 Policy No: SKWC010873 Phone: Phone: 714-883-0623 Expire :0210112020 Con State Lie: 1045281 Issued Dat 09/11/2019 Lie Expire: 10/31/2020 Bus Lie: ST30065983 Processed By: Lie Exp Date: 02/28/2020 ° REQUIRED ON EQ�1AAENT TIMER TO SHUT OFF BETWEEN 10 P.M.AND 7 A.k. 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 $0.06 Over 100K BTU/hr. 0 $0.00 > 3H to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.06 Wall/Floor Heaters: 0 $0.00>15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 C 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 1 OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigatdak ` $0.06... 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: 126CNA48/124ANS Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT 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. SEEALSO THE CLOUDED R� ON THE REVISED ISIONS SHEET { 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) , lection 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 foir Ie 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 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 Dt more than five hundred dollars ($500). ] I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions 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 not apply to an owner of property 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 improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved 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 pply 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 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legall) Bit a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION 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 Profes ' ns Code ;and my It rise is in full force nd effect. icense Class License No Dat%� Contractor Signature CORKERS' C6mraNSATION DECLARATION ARRIN3. RAILURE T06ECL6IE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 5ST OF GbMPENSAT10r0, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN Y'S FEES. •.ee T9rgbt affirm under penalty of perjury one of the following declarations: •. I have and-wiY, mailitain acertificate 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 ahlo�ce of ttl0 %tM:for which this permifis issued. Policy No.' and will•nishitain 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' carrier anid.Oicy number are: Policy Number Expiration Date so2ily that, in the pdrformance 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 agre I. If j Should q" e'subject a workers' compensate visions of action 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican Date CLARATION REG RDING CONSTRUCTION LENDING AGENCY ereby affirm under Oenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( action 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 owners 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 relatingq to building construction. I authorize representatives of this city or county oto enter th ve-identified pro7p ��, or i/ntsb. action purposes. nature of Prooertv Owner or Authorized Property Owner's or Authorized Agent's Nam�L�.�7 ACTION DATE BY UCL -LAN rIVJV Ur LVINYLfA"LC VVIMl VUCVr FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMO RULE 1403.[J 0 I SUBMITTEDASBESTOS N07IFICATION TO: 0 EPA 0 AQMD PERMIT EXP7RE0 PERMIT CANCELLED P€RMITEX7ENDED D ASBESTOS NODRCAROMIS NOT APPLICABLE TO PERMITFINAL 41111 PROPOSED DEMOLITION. CERTIFICATE OF - J. SIGNATURE: OCCUPANCYISSUED