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Home My WebLink AboutH2020-0670 - PermitsCity of Newport Beach - Building Division mob- 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 6 7 0 Permit Counter Phone (949)644-3288 spa, LiaoY� - MECHANICAL Permit: H2O20-0670 Project No Inspection Requests Phone(949)644-3255 Job Address: 2421 16TH ST BIdg:1 Floor: Suite: Description of Work: MECH A/C UNIT CHANGE OUT *TAMPER PROOF CAP REQ*, DUCT WORK & FAU C/O 1PEz C7'®n HVAC Items InspectorArea:3 Code Edit: 2019 Legal Description: PARCEL MAP 251-16 PAR. 1 OF PROJECT LOCATED ON AP 425-103-32 ° • • • ° ° ° Owner: MARTIN RENEE TR FAMILY TR Contractor: ALPS A/C & HEATING INC Worker's Comp Insurance - Address: 2421 E 16TH ST #10 Address: 1695 S SANTA CRUZ ST Carrier: PREFERRED PROFESSIONAL • NEWPORT BEACH, CA 92660 ANAHEIM, CA 92805 Policy No: ON0915602 • ° °° Phone: Phone: 714-633-6892 Expire :10/19/2021 • Con State Lie: 667953 1 ° ° ° Issued Date:11/16/2020 Lie Expire: 04/30/2021 ° 0 $0.00 /�7�� /� Bus Lie: BT30047611 • e E ®• o Processed By: SI l 1 �� \ Lie Exp Date: 06130/2021 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 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 Other Up to 10oK BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 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 >16 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: $54.81 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 1 $21.00 Model: EL16XC1.0421ssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $201.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $201.06 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. IINER-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) 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 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 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). 1, 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, ainess 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 )rovements 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 exegipt from licensure under the Contractors' State License Law for the following reason: my signatareNRrpw 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 4 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 fossions,CWook; available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Properl r Owner or Authorized Agent Date $NSED CONTRACTOR'S DECLARATION Iteby affirm.- � d g;penalty of perjury that I am licensed under provisions of Chapter 9 (commencing&P Sectio 7000) f Division 3 of the Business an 'Pr as-Cede-and�rrylicense-isilrfulFferse--. Ieffect. • 1 P apse Class ,, .. License No Date I [&, Contractor Signature. DRQ ERS:CQMPENSATION DECLARATION "NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRIED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 11.09 COMPENSATIOVbDAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rebQ affirm.under penalty of perjury one of the following declarations: I.have and brWdvaintain 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 W.Since of-thq yapfk for which this permit is issued. Policy No. *we and will 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 urance carrier and policy number are: Tier Policy Number Expiration Date ne of Agent Phone # certify that, in the performance work for which this permit is issued, I shall not employ any person in any manner so as to become subject to he workers' compensation laws of California, and agree I, if I should become ject tot workers' c rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro v' i ns. nature of Applicant Date 'r REGAqPINGZg_KSXFWCTION LENDING AGENCY Ireby affirm under pellialty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec n 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 provielkd is correct. I agree to comply with all applicable city and c unty ordinanc s and state laws relating to building construction. c�,t I authorize representatives of this city or cour4 to enW-tk ve-I entified property for inspection purposes. �) A�/ Z 141 ACTION DATE ' I BY I PERMITEXPIRED I I I I PERMIT CANCELLED I I I PERMIT HNAL CERPFICATEOF OCCUPANCYISSUED AQMDRULE 1463 ❑ ISUBMITTEDASBESTOSNORFICATIONTO.. ❑ EPA ❑ AQMO ❑ ASBESTOS NORRCARONISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: