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HomeMy WebLinkAboutH2020-0057 - PermitsCity of Newport Beach - Building Division H2O20-0057 MECHANICAL Permit: H2O20-0057 '. 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2593-2018 E, Permit Counter Phone (949)644-3288 u: , `��yoe�a* Inspection Requests Phone (949)644-3255 Job Address: 17 CAMBRIA DR BIdg:1 Floor: Suite: Description of Work: MECH (3) NEW A/C UNITS ON GROUND*TAMPER PROOF CAP REQ* Inspector Area:6 Code Edit: 2016 Legal Description: N TR 7844 LOT 99 Owner: ENGLER GREGORY& MONICA Contractor: COMFORT HEATING & A/C Worker's Comp Insurance - Address: 2275 BLACKHEATH TRCE Address: 21962 COSALA Carrier: WIC EXEMPT ALPHATETTA GA 30005 MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) Phone: Phone: 714-335-7055 Expire Con State Lic: 632774 Issued Date:01/24/2020 Lic Expire: 12/31/2021 .... Bus Lic: BT30005700 Processed By: Lic Exp Date: 08/31/2021 ° 0 C yJ !0 O v PO.%f 9 J093Cf HVAC Items FEES FurnacesBoilers &Compressors Ventilation Other Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 3 $60.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ° $0.0000 P O ' Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: $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 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt F $0.0 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional F $0.00 Investigati $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $52.20 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AULD36W2/Alssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufactur AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zonin $41.50 TOTAL: $188.70 Plan Check Fee : $188.70 Fee Due at Permit 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. •'I hereby affirm under penally 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) action 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 permit to file 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 ifessions 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 (_) 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 Movements 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 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: 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 legal 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 ifessions Code•15 available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.govtcalaw.htmi. nature of Prop rtv (owner or Authorized Agent Dale IENBED CONTRACTOR'S DECLARATION ne6y affirm Mnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force • moi. _. Y• License No Date Contractor Signature ERS' QOMPXNSATION DECLARATION FAILURE Td SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .affirm uRr%s penalty of perjury one of the following declarations: to and wilt 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 the once of tlge werk for which this permit is issued. Policy No. I . • • P and wilt 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' compensatior carriP.r:�VdyDlicy number are: • Policy Number Expiration Dale is of Agent rnone s certify that, in the performance 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 if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,. of Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 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 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 the above -identified property for inspection purposes. nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WTTN CODE OF FOR FEDERAL REGULA TIONS PART 61 OFTTIL€40 AND AQMD ROLE 4403. PERMIT EXPIRED ❑ I SUBMITEDASBESTO5 NO17F/CATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMfTEXTENDED ❑ ASBESTOS NORFICATION15NOT APPLICABLE TO PROPOSEDDEMOUTION. SIGNATURE: PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED