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Home My WebLink AboutH2020-0729 - PermitsCity of Newport Beach - Building Division III 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 7 2 9 Permit Counter Phone (949)644-3288 JobAddress: 1815 TOYON LN BIdgA Floor: Suite: Description of Work: FURNACE CHANGE OUT Inspector Area:3 Code Edit: 2019 Legal Description: TR 3763 LOT 79(AND SWLY 7.50 FT LOT 78 Owner: HOWELL HARRY DON Contractor: Address: 1815 TOYON LN Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:12/14/2020 Lic Expire: Bus Lic: Processed By: w _ Lic Exp Date: INSPECTOR NEXGEN A/C INC 700 N VALLEY ST STE K ANAHIEM CA 92801 657-208-1987 1011173 02/28/2022 BT30055503 06/30/2021 MECHANICAL Permit - H2O20-0729 Project No: Inspection Requests Phone (949)644-3255 m Worker's Compinsurance- mmmmmm. Carrier: OLD REPUBLIC GEN INS CO e ° eo a meeeoo Policy No: A1CWA0001401 e em Expire :01/2912021 ° e e e n •o c m oommoe o c mo c 000m o moo°° ..to o o®eco c000co to 0 o c 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 oa°o 0 FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $21.00 Up to 3HP: 0 $0.00 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: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $58.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $58.00 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. )WNER-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) 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 is 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 of more than five hundred dollars ($500). 11, 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, lusiness 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 nprovements 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 n roved 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 Poly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 'rofessions CA, ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignatgfe of Property Owner or Authorized Agent Date ]CEt*ED Cf7N'(RACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w' action 7000) of Division 3 of the Business and Profes ons rodc-pnd my license is in full force *rd Act. iceASe Class License No Date 1 12,11 "112 Contractor Signatur IIGAERS' d6V01INSATION DECLARATION 'ARNING: FAILUREd06ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HU GRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE S"UF- OMPENSA IJNI DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3;I'heLe and will 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 IN erformence ^e.0✓oi c for which this permit is issued. Policy No. and wi* lvrantain 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' carrie'ratld{Jolicy number are: Policy Number of Agent Date ]I certify that, in thence of the work a sued, I hich this shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree iat, if I should be. 'ct to the workers' co pe ' n su provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns. , signature of Applicant Date C )ECLARATION REGAR G CON CTIO ENDING AGENCY hereby affirm under penalty of perjury tha there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097, Civil Code). ender's Name Lenders Address ly 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 hav ided is correct. I agree to comply with all applicable city and nt ordi nces and sea relating to building construction. I authorize representatives of this city or cou t ant the -identifiedd property for inspection purposes. lionature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name i e rte[ ACTION DATE BY utCLAKAIIUN Ur L.UMYUAIVI.c W1 ff 1 UUr Ur fUK UtfILE U3L UmI[ \ FEDERAL REGULATIONSPART 59 OF TI7LE40AND PERMIT EXPIRED AQMD RULE 940.7. ❑ ISUBMITTEDASBESTOSNOTIFICARONTO: PERMIT CANCELLED ❑ EPA PERMfTEXTENDED ❑ AQMO ASBESTOS NOTIRCA71ON IS NOT APPLICABLE TO PERMIT FINAL PROPOSEDDEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: