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HomeMy WebLinkAboutH2020-0558 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2o2o-0558 o 100 Civi-. CCenter Drive, Newport CA 92660 H 2 0 2 0 0 5 5 6 Project No : 2096-2019 Permit ounter Phone (949)644-32883288 ro1 is Inspection Requests Phone (949)644-3255 Job Address: 1731 CENTELLA PL BIdg:1 Floor: Suite: 6 Description of Work: MECH A/C UNIT & FURNACE C/O *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit : 2019 Legal Description: TR 6176 LOT 5 AND LOT B 9 p Owner: ENGLISH JEFFREY Contractor: AC COOL INC Worker's Comp Insurance- Address: 1731 CENTELLA PL Address: P O BOX6868 Carrier: SIRIUS AMERICA INS ° NEWPORT BcACH, CA 92660 ORANGE CA 92863 Policy No: WC46234 Phone: 949-378-3582 Phone: 714-720-3938 Expire :06/0112021 Con State Lic: 804056 Issued Date:09/30/2020 Lic Expire: 01/31/2022 Bus Lic: BT30042073 Processed By: Lic Exp Date: 01/31/2021 °°°°°p p°app° s O O - - -- pppp0 Boilers &Compressors Ventilation FEES BTU/hr: 1 $21.00 Up to 3HP: 1 710OKBTU/hr: $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Other $0.00 BTU/h r. 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 ps & Package Units >30 HP to 50 HP 0 $0:00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 BTU/hr: 0 $0.00 >50 HP: 0 Over 500K BTU/hr: 0 $0.00 Air $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Handling Units Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 Comm. Hood: $0.00 Repair/Alter/Add: 0 $0.00 0 $0.00 Model: Plan Check: $36.54 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $6.00 Supplemental Fee: $0.00 24AP86.42-30lssuance: Manufacturer: $37.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 CARRIER Zoning PC: $46.25 TOTAL: $161.79 Plan Check Fee : $161.79 Fee Due at Permit issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT/ON 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. OWNER=B UILDER'DECLARATION I herebyafflrm•unGer penalty ofpequry that I am exemptWom the Contractors' State Ucense'Law for the reasons)' ndlested below by the checkmark(s) 1 havo placed'nexftD 4 sapplicable Unn(s) (Section-703t5,:Business and Professldns�Code: Any city or county that requires a permit to construct, alter, Iniprove;;demolish, or repair onystructure, priorto its issuance, also re Tuiret the applicant for the permiCto flle'a signadstatementithathe or she 16 licensed gursuantto the provisions of ha'Contmctors' State License Law (Chapter 9 (commencing with Section 7000)-of:Divisl .+ 3 of the Business end- Professions Code) orthat he or shefa exempt from licensure and 'the basis for the allaged exemption. Any violation of Section 7631.6 by applicant for a permit subjects: the app' :ant3o,a civil penalty:of not mare than five hundred dollars ($900). ❑ I, es�owner of the'property, or my employees with wages estheirsole compensation; (,,,) w it do,all ofor U`portions:of tha,vyark,; and the structure is not:tntendtdwrroffered for's e,(Section 7044, Business. and: Professions Cade:. The Cohbactors'State License Law does not applyto,an owner of prdperty wvho; through'emplgyees, orpers`onal effort liuilds•.or improves tfle'pwl �ity, provided that the improvements are notintended or offered for sate. If, however, the building of:impravementits sold.wlfhln+one year'ofcompietion, the Owner-Buiiderwill havethe,burden of proving latitwas not bullt:or improved fat the purpdse of sale). LJ 1,as owner of the property, am exclusively contracting with iiceneddCogtractors to construct the 5rojeoF(Seetfon'70+4-; Businessand Professibre Obde: The=Codtractors' State icense'Law does not. apply to an ownerof propertywho builds or improvas thereon, and who contracts far the projects with a licensed Contradtbr pursuantto the Contractors' State License Law).. ❑ I am'exampffrom licensum-under the Contractors' Btate License Law for'th6: fnlioWing reason: By, my si9nature belowfscknowledge that, except-for my pereonal-residence9n which i muathave resided<ferat leastone`year prior tocompletion.of'the,improvementscovered by,I is,permit I cannot legal sa structurethat I have built as an owner-builder if it has,not been constructed in its entiretyby licensed,c'ohtractorsJl understandthat a copy oflths appilcable law, Section.7044 . tne:Bustness:and ell Professlons Code, is available upon request when WE application is submitted or at the followlhg Webslta:httpalwww.leginfo:ae.govtoalaw.ntritl. Signature. of Props _.-: Date; . LICENSED CONTRACTOR'S DECLARATION I herebyaffirm under penalty of perjury that I amflcensed underprovislons.of'Chapter g (commencing' th S hon 7 00) of Dlvlsion:3,of the Business d P ofesst' Code; ` ,'' s i I orce and effect License.Class License No Date �' iDZYJ Contractor Signature � ORKERS' COMPENSATION DECLARATION '- WARNING: FAILURE-TO MOURE WORKERS'; OOMPENSATIONVOVERAGE'IS: UNLAWFUL, AND SHALCSUBJECT AN EMPLO ERT CRIMINAL PENALTIES ANO CMLFINE9 NP-TO`ON NUN A®THOUSAND adLLARS(+ari3OD)j, IN ADDITION TD.7HE COaTOF COMPENSAT10Nj DAMAGESAS'PROVIDED FORrN SECTION 3708 OF THE LABOR cODE,.INTEREST" ND:ATTORNErS FEES: I herebywifirm underpenalty of perjury one of theYdlldwing declarations:; ❑ f!hava and wlflr:maintaln a certificate of consenLto self-insure forworkers' `compensation, Issued bythe Directorbf Industrial' Relations' as', provided for by Section 3700 r 'the Labor Code, for th e On ce of the work for which this pemnit:is'itssued. Policy^No, - 1 havenand will maintain markers' compensation insurance; las required by Section 3700 of the Labor Code, 'for itharperfonnance ofthe work for whiolf this permit is-Issued. n y workers' compensatlo !ns nceeartlerandp L1 numberare! Carrier 'SiRr�s {rf _,e Policy Number u%�''t �2 `-j Expiratiahbate fes• a • Za Z- T _ Name of Agent - Phone #: 1 certify that, inthe perform nceefthew which this per 's issued, I li not employ any person in any mannersoasao.tiecome'subject tort a markers"compensaffon la S'of Califomta,,and::agre Chat, if I should become aubj tta the er ' o e tto pC I ' s S "3700 ofthe LabaFCo'de,'1 shall forthwith complywitlrthasepro,; sl s. Signature:ofAppllcant ,. .: S Date , _O 7;+v Z-0 DECLARATION REGAR G CO STRUCTION.LENDING:AGENNCY ' l hereby affirm under pe.. I `of perjury that there is a construction lending agency for the perfomtancedithe,work for which this permit is issued ( e' n 3097 Civil Code):. Lendees;Name, - lender's Address: --- -- - - By mysignatura beloch w, I cartlfyto eaof the following: I am the propertyowner or authorized to act on the property: owner's behalf. I have read this appilcadon and the infarmetlan (Nerovi' is correot.. I agree to comply with all applioable city an cop t relaflng tb buiiding.oan0rurticn. 1 authorize representatives of this cityor cou y° a ve•i f rrrpertyfor inspediofi'puryoses. �bu "'-' " �` "� 5i natarevof PropertyOwaer orAuthorized: ent Print Prope Owners'driALthbrized'Agent's Namel : L c 0 Date - ACTION DATE` '. '�' DECLA PUANCE WITH CODEOF fOROPHCE US=ONLY-: .FEDERAL REGULATIONSPAR7610P.R7LE90AHD' PERMITEXPIRED ... :.:. ._ . AIDMIGRULE1403. ❑ISUBMPTfEDASBEMS1J0DFLC%t'RbNT b: PERIv7/TCANCEL ED E "PERPAITEXTENDED` - ❑ AQMD FO' P6RNIfT,F1NAi .. �. Z:PROPOSEDDEMO i!BESS ©lSr."�ONdS,-N[57'APpI1C4BL.ff CERTIFICA7E0'F,SIGNATURE', OCCUPANCYlSSUFD M