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HomeMy WebLinkAboutH2020-0389 - Permits9City of Newport Eleach•- Building Division MECHANICAL Permit: H2O20-0389 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 3 8 9 Project No : 1702-2019 '.E, Permit Counter Phone (949)644-3288 z, & Inspection Requests Phone (949)644-3255 Job Address: 312 MONTERO AVE BIdgA Floor: Suite: Description of Work: MECH CHANGE OUT (2) A/C UNITS ON ROOF*TAMPER PROOF CAP REQ* ' PECT® Inspector Area:1 Code Edit: 2019 Legal Description: EAST NEWPORT BLK A LOT 13 Owner: ,---!-ASSETS INC . Contractor: OWNER/BLDR nsurance - Worker's Comp Insurance- Addr 347 CALLEFORTUNA 0 Address: Carrier: CAPIS RANO BEACH CA 92624 Policy No: ne: Po©°°° Phone: Expire Con State Lic: O/B ° Iss d Date:07/10/20 0 Lic Expire: Bus Lic: Processed By: Lic Exp Date: SUBJECT TO FIELD IN$PF.t'°TOR'S ° RF.VIEWANDAPPRtWAc, HVAC Items FEES o°° ° ° °°°° FurnacesBoiler Compressors Ventilation Other Up to 100K BTU r: 0 $0.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $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 Investigalio°n° $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $34.80 to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: N4A6.30GKC/36GK Issuance: $35.00 1Up Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY & NIGHT Over1.75M 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 0:00 a.m. to 6:00 p.m. ER -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) 1 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 r)ed for the purpose of sale), 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 ply 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' Stale 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 not bee oyr mc. n its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busi as and Professions Code, is available upon request whe his applicatio is sll jtte or at the following Web site:http://www.leginto.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date /�' Zo2 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice sed under ovi ons o hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ...0 License Class- • License No Date Contractor Signature MIJIERS' FOUFENSATION DECLARATION NARNINS: FAILUSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE SSTQF COMPE SATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hergp9 affirm under Penalty of perjury one of the following declarations: I have andMitt Montai0 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 thi }erfgfalance of the work for which this permit is issued. Policy No. a]l•ItdVV, and A: alalniain 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' compensatior B;Rwtce carrier a9d policy number are: t:M Policy Number Expiration Date lame oP gent'. ' Phone# Vce that, in-tR0P%rformanc h 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 i2tp Pshould tiecame subjec o the w pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions. signature of Applicant 1 Date D n7 /oJ2�2 a )ECLARATION REGA D CON TR CTI N LENDING AGENCY hereby affirm under p rally ry that t ere is a construction lending agency for the performance of the work for which this permit is issue, Section 3097, Civil Code). ender's Name Lender's Address ly my signature belo , 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 to enter t ov ntified property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name -)'ZIP ACRON DATE Y;. DECLARATION OF COMPUANCEtMTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART ST OF TITLE40AND AQMD ROLE 1403. PERMIT EXPIRED ❑ I SUBMITTEDASB€STOS NORFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXT€NDED ❑ ASBESTOS NORRCATION/S NOT APPLICABLE TO PROPOSED DEMOLI1-1ON. PERMITFINAt--/7-Z6 7S /L. CERTfFICAT€ OF OCCUPANCYISSUED SIGNATURE., ` ECE 00 EEp Q O ECO OG EC E E E O C E E E^ C ECO E E C � C O CEO GO O c L a) N O C a) 'm0 O N d C O m co m _ m Cz m o=p Tta ®mew® ®ee�e. 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