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HomeMy WebLinkAboutH2020-0553 - Permitsy�wnr City of Newport Beach - Building Division III'nllllllllllllllllllllllllllllllllllll MECHANICAL Permit: H2020-0553 100 Civic Center Drive,Newport Beach, CA 92660 H 2 0 2 0 0 5 5 3 Project No H ''t Permit Counter Phone (949)644-3288 INSPECTOR NSPECT®R Inspection Requests Phone (949)644-3255 Job Address: 20282 SPRUCE AVE BIdg:1 Floor: Suite: Description of Work: MECH (2) A/C UNITS CHANGE OUTS & (2) FURNACE C/O'S *TAMPER PROOF CAP. REQ* Inspector Area:3 Code Edit: 2019 Legal Description: N TR 1506 LOT 23 Owner: STEVENSON HUGH Contractor: MC MASTER AIR & HEAT Worker's Comp Insurance - : • • •:. Address: 20282 SPRUCE AVE Address: 2 MCLAREN #C Carrier: SENTINEL INS CO LTD •• NEWPORT BEACH, CA 92660 IRVINE CA 92618 Policy No: 72WECZU8136 Phone: Phone: 949-481-7995 Expire :02/0212021 Con State Lic: 726607 ° o Issued Date:09/29/2020 Lic Expire: 12/31/2021 .... % ,. Bus Lic: BT30041972 ° Processed By: �(N \_ Lic Exp Date: 01/31/2021 • . o .. .. 00 . C0rCC: 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. HVAC Items FEES FurnacesBoilers & Compressors Ventilation Othe °, Up to 100K BTU/hr: 2 $42.00 Up to 3HP: 2 $42.00 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: $73.08 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24ACB7I24APB6 Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zonirg PC: $46.25 TOTAL: $240.33 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $240.33 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 offircl under. penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) Indicated below by the eheckm2rk(s)1 have placed next to the applicable Hems) (Section 7031.5, Husiness and Professions Code: Any city or county that mquiree a permit to construct, alter, improve, demolish, or repair any structure, prior to He issuance, also requires the applicant for the permit to file :I signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod -) or that he or she is exempt from ficensure and the basisfor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a OW penalty of not morethan fry hundred dollars ($600). ❑ 1, as owner othe 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 safe (Section 7064, Business and PR fessions Code: The Contractors' State License taw doesnot apply to an owner of property who, through employees' or personal effort, builds or improves the prop", provided that the improvements or : 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 rm roved for the ,urpose of sale). LJ I, as owner o. 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 owne of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 13I am exempt rom licensure under the .COntractors' State License Law for the following reason: By Itly�ryature-� elow Iacknowledge that, except my personal residence in which Imust have resided for at least. one year prior to completion of the. improvements covered by this permit, I Cannot legalh sella structure th d 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 7D44 of the Business and • Profts4sjpgs. Cod: is available upon request when this application is submitted or at the following Web site:http:/Aw .leglMo.m.gov/calaw.hbnl. •••••' SWatureoil Prop sdyOwner orAuthorized Agent Date 10 1147/91) • • LICERSED CO ITRACTOR'S DECLARATION • , • , 1 hereby affirm un ler penalty of perjury that I am licensed under provisions of Ch per 9 ((commencing with Sectio 0) of 2vis on 3 of the Business and. Pro ions Co , and ,y Mae is In fug force • • • and effect. dicer se Class. L 2 O License N, � L L R Dat f Contractor Signature • • Oli1C Vd' CC MPENSATION DECLARATION • , • ARMNG: FAILURE 1 iI SEC AM WORKERS' PROVIDED FOR COVERAGE IOFTHEMLAWFUL,LABOR AND E,$HALLINT REST.SUBJECTAND EMPLOYER TO CWMINAL PENALTIES AND CML FlNES W TO ONE HUMORED THOUSAND DOLLARS ($100.000), N ADp110N TD THE COS'SOFj'A PPrr9t, BION, DAMAGES AS PROVIDED FORAM SECTION pr060FTHE L/IeORCODE, wrFAEST, AND ATTORNEY'S FEES. "' • • . I herouydfgtm un or penalty of perjury one of the following declarations: ..•.. I rbaleman and th maintain roa certificate of consent to self y No.e for workers' compensalien, issued by the Director of Industrial Relations as provided for by Section 3700 of the labor Code, for th � • ; " ; dortaance of th :work for which this permk is issued. Policy No. • • , I hafeand'will maintain workers' compensation insurance, as required by Section 3700 of the tabor Coda, for the performance of the work for which this permit is issued. MY workers' compensatiol • • • • • n ran" owner. nd policy number are: • • • • • CarridF - ql F: EL INSVtAIUCE UWAMY Policy Number h .•i WE Gyi S j 3 g Expiration Date WON e>7 a7f Name of Agent_ THOMAS COLLINS Phone# 10114] 4061 N G I certify that, in he performance of the work for which this permit is issued, I shag not employ any person in any manner so as to become subject to the workers' Compensation laws of Callfumis, and agree that, If I should be :oro s Iect to the workers' . mpansa=tl4on p�rovviisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. Signature ofAppti ante �u-,--G-�.� DateX_ 10 1 12126 DECLARATION P cGA D G CONSTRUCTION LENDING AGENCY I hereby affirm ung er penaltyofperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature b sow. I certify to eachof the following: 1 am the props dy owner or authorized to act on the property owners behalf. 1 have read thl s application and the information I have provided is Correct I agree to con. Dly with all applicable city and County ordinances and state laws relating to building Construction.1 authorize rep asentatives-of this city or COU enter �-above-d nWied property for inspection purposes. Signature of Props Owner orAuthorized enPrint Property Owners or Author-rzedAgent's Name. .5 ( I1r5 ACTION DATE 8Y ECLARATIONOFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USEONLY RFaUTATIONS PART 61 OF TITLE 40AND AQMD RULE PERMfTfNAL CER rCA�EOF,.- 6 (� (b-� �I 2011m SEO DEMMTIO ,— IS NOTAPPUCABLE TO , �111—