HomeMy WebLinkAboutH2019-0431 - PermitsCity of Newport - din Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0431
" 100 Civic Center Drive, New rt Beach, CA 92660 Project NO
Permit Counter Phone (949)6 4-32bate- _
tJ! P(El DON EQUIPMENT
i Requests Phone (949)64 -3255
TO T OFF BETWEEN 10 P M. /��TA.M. If apP11 I
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Job Address: 881 SANDCASTLE DR B g:1 Suite: }
Description of Work: MECH/CHANGE OU (E) F.A.0 &INSTALL NEW AIC UNIT 55d8* U�L,NtL�ira�:*TIMER REQUIRED ON EQIIPMENT TO SHUT
OFF BETWEEN 10PM & 7AM
Inspector Area:4 Code E t: 2 EXPIRED
Legal Description: N TR 6228 LOT 57
Owner: BERGER SUSAN P Contractor: ECONO AIR Worker's Comp Insurance - A�
Address: 881 SANDCASTLE DR dr 555 VANGUARD Carrier: ARCH INS COMPANY
CORONA DEL MAR, CA 9262 E Policy No: ZAWCI-25387-00
Phone: horn -6 ._ iEe I I 1
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Issued Date:07/18/2019 L c Ex NIT t� S�l�gt�dd40 / Y" � � � 0
BusLic: BT30064026 (too wOCi< StaYted)
Processed By: N 9'Lic Exp Date: 08/31/2019
ERIFICATIN RECD
HVAC Items
FurnacesBoilers & Compressors Ventilation -- -- Other
Up to 1OOK BTU/hr: 1 $19.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00
Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $35.00 Exhaust Fan: 0 $0.00 Gas Line: t 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 1OOK BTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $30.45 Investigation: $0.00
Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00
Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 1 $19.00 Model: Issuance: $35.00
Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer:
Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00
TOTAL: $178.45 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $178.45
PERMITS EXPIRE 180 DAYS AFTER4SSUANCP 01141ST VALID II!XPECTION
Construction Hours: Monday - Friday 7:0003. `.%.foo 6:30 LSom.aMd*SStggJayvfrQm 8:00 a.m. to 6:00 p.m.
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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
he 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
wt 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 C_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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
Ipply 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:
3y 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
;ell 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
lrofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.MITISignature of Property Owner or Authorized Agent _ .....-.,.,. -- -- �.�_.. Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter9j�orrlAi�n wit Sc 7000) of Division 3 of the Business �!kd?tWJir.,!J6 a my licenseis in full force
and effect.. u z<•, �. �// // 11.icenseClass License No it �""w'"'•"—"-'� Date ContractorSignatur "`''?"'C'
VORKERS' COMPENSATION DECLARATION
n ,
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNWWFU' SU&IE N PLO Cn� L N IES AND SL
NE HUNDRED THOUaA OLLARS ($100,000), IN ADDITION TO THE
;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0708 OF TFU!=S CODE,I REBT,. DATTORN 8 8 °{I! �•' }rt vJtn ^t -r)•,-_` _.
hereby affirm under penalty of perjury one of the following declarations : ,' }lL I Il.
I have and will maintain a certificate of consent to self -insure for
ormance of the work for which this permit is issued. Policy No. _
have and will pae R ain workers' compensation insurance, as
rance carrier aI policy number a[er,,
is of Agent _-gZ�Z
certify that, in the
, if I should becom
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
— ,..�® ext i
this permit is issued. My workers'
this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply w4tj1•thee§ proaq'gns._ „t,
nature of Applicant
CLARATION RE ING O��' h TION LENDING AGENCY "y
:reby affirm under p natty of pet h there is a construction lending agoo for
Ider's Name I
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 proLabo,
is correct;•.
I agree to comply with all applicable city and county ordinaand - av✓s Te
I authorize representatives of this city or county to Rnfkr th ntified pro
nature of Prooertv Owner or Authorized Aaent �( ----
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of t _ wQrk for which this permit s issue �F1i$3' �tJ$',i j'�ivlE6ail�}.'u 1
building construction.
inspection purposes. _
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