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HomeMy WebLinkAboutH2019-0606 - PermitsCity of Newport Beach - Building Division 64, 1 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2029 Description of Work: Inspector Area:1 Legal Description: III 11111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O19-0606 H 2 0 1 9 e 6 e 6 Project No: 2399-2018 OCEAN BLVD Bldg:1 Floor: Suite: MECH - A/C CONDENSOR FOR NEW SFR. TAMPER-RESISTANT CAP & TIMER REQ'D Code Edit: 2016 NTR518BILK DLOT 24 Owner: DEVONE Contractor: Address: 6 ST TROPEZ Address: LAGUNA NIGUEL CA 92677 949-310-9380i� 0 1055619 NO 00N'r14U t I Phone: 949-637-5463 Phone: Con State Lie: Issued Date:10/0312019 Lie Expire: FurnacesBoilers & Compressors Bus Lie: Processed By: Lie Exp Date: Inspection Requests Phone (949)644-3255 Nb q -t-, T56 t t,�r\ (;v JMR HEATING & A/C Worker's Comp Insurance - 27324 CAMINO CAPISTRANO #147 Carrier: STATE FUND LAGUNA NIGUEL CA 92677 Policy No: 9256326 949-310-9380i� 0 1055619 NO 00N'r14U t I FEES 07/31/2021 BT30069149 10/31/2020 FurnacesBoilers & Compressors ONTHE WEEKENDi��SjpC�� HVAC Items FEES x FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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: 1 $36.00 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 �V B 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: $31.32 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A41ssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: HEIL Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $143.82 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $143.82 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Frie&3VIO-a.m.ta 6:39 p.m.and Saturday from 8:00 a.m. to 6:00 p.m x G 4 V.'•� • V V C6 V V d V Gf. 4. V �V B VGG p p VVY G1 INER-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) ction 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 fessions 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, Iiness 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 pot 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). 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 thi, 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and ofes ' ode, n nd effect. J / icense Class License No Date C �C d Contractor Signal YORKERS' COMPENSATION DECLARATION and is in full force 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE KINDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 have 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 eroFm—d"e of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performanc of o for which i 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 agree t, if I should become subject th r s' s n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prr'ovisions. nature of Applicant N CLARATION REGARDING C UC IOLENDING AGENCY V I !reby affirm under penalty of rjury 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 havifflaz d i correct. I agree to comply with all applicable city and county state laws relating to building construction. 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