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HomeMy WebLinkAboutH2021-0320 - Permitsrr.,,�� City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O21-0320 i4$` d 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 2 0 m Project No: �,.. _ v Permit Counter Phone (949)644-3288 `"�SiN,�ur�� Inspection Requests Phone (949)644-3255 Job Address: 2653 VISTA ORNADA BIdg:1 Floor: Suite Description of Work: MECH/ A/C & FAU C/O "TAMPER RESISTANT CAP REQ" INSPECTOR InspectorArea:4 Code Edit: 2019 Legal Description: N TR 7082 LOT 39 Owner: ROBINSON ROBERT Contractor: 1ST CHOICE HEATING & A/C Worker's Comp Insurance - Address ORNADA Address: 20371 LAKEFORESTDR STE A-5 Carrier: OHIO SECURITY INS CO. NEWPORT kACH, CA 92660 LAKE FOREST, CA 92630 Policy No: XWS2262377720 Phn�Date Phone: 949-305-5754 Expire :02/15/2022 Con State Lic: 1006824 ° Issu:05/14/2021 Lic Expire: 08/31/2021 O6 ° Bus Lic: BT30064046 °° °°°° $##,l,J.l•CTTO Proy: cessed B Lic Exp Date: 08/31/2021 ° !fit VIk b4;(5y1 Wjj ° ` ° HVAC Items FEES FurnacesBoilers&C pressors Ventilation Other Up to IOOK 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 ;; F $0.0(x' 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 1 OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $18.27 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: XC20.048Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K 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: $143.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $143.52 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VA!`D INSPECTION Construction Hours: Monday . Friday 7:00 a.m.to 6:30 p.m.and Satur y from 8:00 a.m, to 6:00 p.m. 6 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. OWNER -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 the 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 Professions 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 not 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legall) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CQNTRACTOR'S DECLARATION I hereby a4irm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Si 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. • • • •­ C—Z&1WdRKERiS'C`dN1PENSATION (rir•rjnse Cines; License No iOD�� � Date '� �`� Contractor Signature DECLARATION /T • •WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLO R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE • COST OF COMPRNSATISIN, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •••• I h©r�dy affiim under penalty of perjury one of the following declarations: •have afA qlI 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 the • {5 mance ofltl' kork 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' 'Ci6arYll flioolicy number are: 'ry :'FJ'st=C'I�lf 'ice% ?f J!>-cC� CoRi®rc Policy Number 96 W? Expiration Date �` �7 `Zd2'`L certify that, in the performance of the work for which this 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 agre I, if I should becomfalty ' o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio nature of Applicant ----- Dat 'L / s-- I` --Z2C rg CLARATION REG[NOCONS • 13 ION LENDING AGENCY 3reby affirm under pf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tder'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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or c°�nty er the �ove-Iden' ied property for inspection purposes. j� nature of Pronertv Owner or Authorized Men fV Print Pronertv Owner's or Authorized Agent's Na �0/'d:vr k-( C)ti'j�' / Aa J`� r/" -Z% aeTlrN DATE BY Ur 4LpY Aviv Ur LV/Wr"Alv4c YYi!I 11 FEDERAL REGULATIONSPARi69OF PERMITEXPfRED ❑ ;SUBMITTED ASBESTOS NORFICATIONTO., PERMIT CANCELLED ❑ EPA PERMITEXTEN €SED' AQMD NO PERMIT FINAL 3 PPROPOSEDTOS DEMOLITION.TION'dS N{3T AFPLfCA E TO CERTIFICATEOF ,` I v SIGNATURE., OCCUPARCY"