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HomeMy WebLinkAboutH2019-0555 - PermitsCity Newport port Bea spBuildi pg Division MECHANICAL Permit: H2O19-0555 Center Beach, ,IIII Permit Counter Phone (949)644-3288 PrOjeCf No: Inspection Requests Phone (949)644-3255 Job Address: 1959 PORT LAURENT PL BIdgA Floor: Suite: Description of Work: MECH/CHANGE OUT F.A.0 & INSTALL NEW A/C 58dB* (TRANE; 4TT8048A-1) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN & 7AM macesBoilers & Compressors Inspector Area:4 Code Edit: 2016 Legal Description: N TR 7031 LOT 44 Other Owner: HILLIARD ANNA/DONALD Contractor: ANAHEIM HEATING & A/C L P Worker's Comp Insurance - 1 Address: 108 N KROEGER ST Address: 1418 S CENTRAL PARK AVE Carrier: EVERST NATIONAL INS 0 $0.00 ANAHEIM CA 92805 $0.00 ANAHEIM CA 92802 Policy No: A0127857004 $0.00 Phone: Phone: 714-772-9699 Expire :07/0112020 0 $0.00 Gas Line: Con State Lic: 784141 11/Floor Heaters: IssuedDate:09/13/2019 6rate- Lic Expire: 0913012020 HERSVERIFICATION REQ $0.00 Attic Fan: Bus Lic: BT30051575 0 $0.00 Processed By: Lic Exp Date: 06/30/2020 >30 HP to 50 HP 0 AG Items FEES macesBoilers & Compressors Ventilation Other to 100K BTU/hr: 1 $20.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 ar IOOK 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 11/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 at Pumps& Package Units >30 HP to 50 HP 0 WOO Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTUIhr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $17.40 Investigation: $0.00 ar 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 to 1M BTU/hr: 0 $0.00 up to I OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Feer $0.00 Manufacturer: ar 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $133.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $133.90 a goo o aoo 00 PERMITS EXPIR41kO D A?S AF'YVR IRSEIANC401? LMT VALID INSPECTION Construction Hours; Monday - Fr&,* Z.:Ot) a„fp.to °6x30IIA.argd' aturday from 8:00 a.in. to 6:00 p.m. 000 00V 000 u O 4oU .00 DWNER-BUILDER DECLARATION I hereby affirm under penally 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 far 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 U 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 im 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 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). ❑ I 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 legally 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://wvvw.leginfo.ca.gov/calaw. html. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION®� —fes I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business an �ref9v3'�rrnS 4 e, an my license Is full force and effect. ) 4(3 �4 License Class License No Date Contractor Slgnaturil c WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 the PeUprmance of the work for which this permit is issued. Policy No. have 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 tame carrier an pfi icy number are: ler n �� 4 Policy licy N Expiration Date ie of Agent Phone # certify that, in the p Jyiaen �j rw er— sue tial not employ any person in any manner so as to become subject the workers' compensation laws of California, and agref if I should become su ec Fo a works ' eB en o ov sions of Section 3700 of the Labor Code, I shall forthwith comply with those pro Isions. �^9 lature of Applicant _r� D I3 CLARATION REGAADINQ3DdSiRl7iCTION LENDING AGENCY :reby affirm under penalty of perjury 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. 1 have read this application and the Information I have provided is correct. I agree to comply with all applicable city and count- fwatf an -st s relating to building construction. 1 authorize representatives of this city or cou t o. er a Identified property for inspection purposes. nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE I Ify A,�( 0 RJLE $4fr. • i i • . i PERMIT:EKPIREG [a] ar SUBMIKEDOSBUST06 (JOIF/•CA,�1DN TO. ncnnA1 r ra nlrcr t cn •.T I i77PA �•• s• PERMITFINAL CERTIFICATEOF OCCUPANCyISSUEO 0 AQMD Q ASBESTOS IVOTIFICATION'ISNOT APPLICABLE TO PROPO SrE&DErMOLI T ON. IGMAW)RE!- •. •.