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Home My WebLink AboutH2021-0399 - Permits0City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllll MECHANICAL Permit: H2O21-0399 3�' A 100 Civic Center Drive, Newport Beach! CA 92660 H 2 0 2 1 0 3 9 9 � x� Project No = �, Permit Counter Phone(949)644-3288 HERS VERIFICATION REQ rr�y�%�,�.* Inspection Requests Phone (949)644-3255 Job Address: 27 COVENTRY BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT F.A.U. & A/C UNIT 48dB (AMANA; ASXC16.0601 B) z Inspector Area:6 Code Edit : 2019 FurnacesBoilers & Compressors Ventilation Legal Description: TR 9588 LOT 1 UNIT 17 OF PROJECT LOCATED ON AP 461-081.08 TOGETHER Other Up to 100K BTU/hr: 1 $22.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Owner: KULP CHUNG PUN Contractor: GOETTL A/C PLUMBING Worker's Comp Insurance - Over 100K BTU/hr: Address: 27 COVENTRY Address: 532 MALLOY CT Carrier: FEDERAL INSURANCE Exhaust Fan: NEWPORT BEACH, CA 92660 Gas Line: CORONA CA 92880 Policy No: 54309856 0 Phone: Phone: 714-336-6159 Expire :12/01/2021 0 $0.00 Attic Fan: Con State Lic: 1047781 0 $0.00 Issued Date:07/01/20z\`6\ Lic Expire: 31/2022 >30 HP to 50 HP 0 $0.00 Down -Draft Fan: Bus Lic: BT BT30062269 $0.00 Processed By: Lic Exp Date: 02/28/2022 $0.00 >50 HP: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $22.00 Up to 3HP: 1 $22.00 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 : $19.14 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: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $153.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $153.14 PERMITS EXPIRE 980 -BAYS AFTER -ISSUANCE OR LASTYVALID INSPECTION Construction Hours: Monday - Fridai 7:09 a.m.to. 6:J0 p.m.andSbttfrday from 8:00 a.m. to 6:00 p.m. < 6 J O 4 P O O a o V N V Y Y Y Y9• YO• S i 4Y OY FYf IWNER-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) lection 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 le 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 of more than five hundred dollars ($500). 7 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, usiness 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 nprovements 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 nproved 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 pply 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: y 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 Iegall 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 the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature 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 7 0) f f Division 3 of the Business and Professions ode, and my license isinfull force nd effect. - y icense Class License No Dat / Contractor Signature IORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 erfArmance of the work forwhich this permit is issued. Policy No. i �- I ha ev and will in in 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' compensation surance carrier an pol y number , arrier ' P m Expiration Date ameofAgent - ---- - Phone# ]I certify that, in the performance of the wor which th�pe is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpengation laws of California, and agree forthwith those lot, if I should become sub'ect to the wo rs' compensation provisions of Section 3700 of the Labor Code, shall comply with provisions. ignature of Applicant iECLARATION REG DIMG CR�&T UC NDING AGENCY hereby affirm under nalty alipi there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner'sbeffalf. I have read this application and the information I have providaQ Correct. l'"`- I agree to comply with all applicable city and county ordinanCd/es and sta a rew�'� lacing to building construction. I authorize representatives of this city or county to nter the - entified property for inspection purposes. c ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's lilare 2 Date ACTION DATE BY DECLARATIONOF COMPLIANCE tMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART B! OF T1 TLE 40 AND +AQQMDRULE44".-- +•' ••• PERMIT EXPIRED S7: I SUBMZT&DASBESTL?5 NOAFICA770N TO: ` 'Q • EPA-. •13 AOMD + • ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMIT CANCELLED PERMfITEXTENDED t PERMITFINAL PROPOSED DEMOUTION. CERTIFICATEOF .+• ••+ ••• :+• ••• SfGAI�4TURti+. OCCUPANCYISSUED �* �+