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Home My WebLink AboutH2021-0164 - Permitsw , City of Newport Beach - Building Division H2021-0164 MECHANICAL Permit: H2O21-0164 a 100 Civic Center Drive, Newport Beach. CA 92660 Project No: ', Permit Counter Phone (949)644-3288 9ui< �a � Inspection Requests Phone (949)644-3255 iirnX� Job Address: 53 SEA TERRACE BIdg:1 Floor: Suite: Description of Work: MECH REPLACE FURNACE °-� Inspector Area:6 Code Edit: 2019 FurnacesBoilers & Compressors Ventilation INOSPEUCTOR Legal Description: N TR 14581 LOT 3 Other o Owner: HARRINGTON Contractor: NEXGEN A/C INC Worker's Comp Insurance - ...... Address: 53 SEA TER Address: 700 N VALLEY ST STE K Carrier: OLD REPUBLIC GEN INS CO " NEWPORT BEACH CA 92657 $0.00 ANAHIEM CA 92801 Policy No: All CWA001 1501 $0.00 Phone: Phone: 657-208-1987 Expire :0310112021 ° 0 $0.00 Con State Lie: 1011173° Wall/Floor Heaters: "° ° Issued Dat--.,nvtftt 021 Lie Expire: 02/28/2022 Attic Fan: 0 ° ° °" ° " pPp Bus Lie: BT30055503 Heat Pumps & Package Processed oftobLie Exp Date: 0613012021.. Down -Draft Fan: "°° Record Mgt Fee: $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: HVAC Items FEES °-� °°°°°° FurnacesBoilers & Compressors Ventilation Other o 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 1 M 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 BTUlhr: 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. YNER-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) Iction 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 rfessions 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, 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 Hy 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: 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 legall7 I 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 rfessions Code, V Av4ailable upon request when this application is submitted or at the following Web site:http:ttwww. leginfo.ca.govlcalaw.html. nature of Propoitg owner or Authorized Agent Date !MgED CONTRACTOR'S DECLARATION — areby affirm hiletp&ialty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3<oerBusiriess and Profess[ .ed , n, n m s in full force eneo Class License No t o Slgnatu )IIHIFsRS' CC:Vi0i JSATION DECLARATION iNINO: FAILURE ,''TO•B�E�URE 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 IJ QF• COMPEN.,ry1'I- AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Irg)Jy Tiffirm ufider p@natty of perjury one of the following declarations: and will •mairgtain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relation's as provided for by Section 3700 of the Labor Code, for ce of the wurkrfar which this permit is issued. Policy No. •• and will•maintain workers' compensation insurance, as required by Section 3700 of the carriel•antl•pofcy number are: Policy Number Labor Code, for the performance of the work for which this permit is issued. My workers' tion Date of Agent Phone #= UI certify that, in the performance of th work for which this perm[t is iss shall -not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agre that, if I shout eco. ' subject to the orkers' com saklon ovlslons of Section 3700 of the Labor Code, I shall forthwith comply with those) hose rovi- ons. Signature ofA "nt Dat 2 DECLARATION R GAR ST CTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code). Lender's Name Lender's Address By 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 1 have provided is correct. I agree to comply with all appli a city a county ordinances and state laws relating to building construction. I authorize representatives of this ounty to �nter the above-identifigd property for inspection purposes. •� �'` Signature of Property Owner or Auth Agent Print Property Owner's or Authorized Agent' ame ate Gam' ACTION DATE BY DECLARATION OF COMPLIANCE TH CODE OF FOR OFFICE USED Y FEDERAL REGIJLATIOIYSPART61 OF TITL.E40AND AQMD RULE 9403. PERMtTEXP{RED ❑ ISUSMITTEDASBESTOS NONFICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED. ASBESTOS NO aFICARON IS NOT APPLICABLE TO PROPOSED DEMOLITION,. PERMIT FINAL » f 6 — CERTIRCATEOF SIGNATURE;: OCCUPANCYISSU€O