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Home My WebLink AboutH2019-0070 - PermitsCity of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 I� �2I�II0I90�III0�III7 0 Job Address: 1533 MIRAMAR DR BIdg:1 Floor: Suite: 949-916-6747 Description of Work: MECH/ NEW AIC (2) ON ROOF & FAU C/O "TAMPER RESISTANT CAP REQ" InspectorArea:1 Code Edit: 2016 Lic Expire: Legal Description: N TR 518 BLK I LOT 38 Bus Lic: Owner: PENCE PEGGY Contractor: TERRA BELLA DEVELOP INC Address: 1533 MAR DR Address: 27001 LA PAZ RD #354 N PORT ACH, CA 92661 MISSION VIEJO CA 92691 Phone: 05-405-1567 Phone: 949-916-6747 Up to 3HP: Con State Lic: 807405 Issued Dat :02/06/2019 Lic Expire: 04/30/2020 er 100K BTU/hr; Bus Lic: BT30061388 Processed By: Lic Exp Date: 11/30/2019 rnacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 Bathroom Fan: 0 $0.00 er 100K BTU/hr; 2 $70.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 ill/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 at Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 er 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr. 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 sr 1.75M BTU/hr; 0 $0.00 VAV Box: 0 $0.00 TOTAL: $216.06 Plan Check Fee: $0.00 MECHANICAL Permit: H2O19-0070 Project No: 1234-2017 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance- ••.° o ' ° Carrier: NO EMPLOYEES •• °'°° Policy No: _.- ___-.e-2eO• o n e c Expire : • • 4 ° •o' c os- o ammo 6IJBiE,C'1' 0F(ELD�k« T4�'OR"amo�° EEVIEWANDAHrRFIVAL mememm a o 0 0 om m r m m Other •°°° Fire Dampers: 0 $0.00 $0.00 Gas Line: 0 $0.00 $0.00 11 Metal Fireplace: 0 $0.00 Record Mgt Fee: $0.00 Additional Fee: $33.06 Investigation: $0.00 Plan Check: $0.00 Model: CSA1BE-36Klesuance: $35.00 Manufacturer: MAYTAG Zoning PC: $40.00 Fee Due at Permit Issuance : $216.06 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. 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 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 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: Bymy 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 legal) sell a structure "? Pl%ve 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 CodO,Aa available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. SigaatA of PropertyAwner or Authorized Agent Date LICENSED Cb -TRACTOR'S DECLARATION VaireBy,affirm unor penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force And Effect. •... License Class . . License No Date i Contractor Signature OPtKERS' CQ*K0l *ENSATION DECLARATION 140A1I11�. FAILURE TO SEOURE WORKERS' COMPENSATION COVERAGE IS 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 GOST.Q�COMPEtAATIOA,, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. berp" affirm under penalty of perjury one of the following declarations: 01 have and•ksille-aaintain 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 th artoralance of the wofk for which this permit is issued. Policy No. flAve and PvUl.. �r�l intain 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' compensatio insurance carrier aTPpolicy number are: r' r Policy Number Expiration Date Name f Agent Phone # c ify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre h f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date -� DECLARATION REGA NG CO STRUCTION LENDING AGENCY 11 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 issued (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 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 county toe er the Slo entifie property for inspection purposes. Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name ��/��CP2� Date "/ec ACTION DATE BY DECLARATION OF CO PUANCEWIT CODEOF FOR OFRCE USE ONLY FEDERAL REGULATIONS PART 61OFTITLE40AND AQMD RULE -1403, ❑ 1 SUBMFTTEDASBESTOS NOTIFICATION TO: PERMfTEXPIRED PERMITCANCELLED ❑ EPA ❑ AQMD ASBESTOS NOIIRCA170MIS NOT APPLtCABL.E TO PER 41TEXTENDED PERMITFINAL PROPOSED DEMOLITION CERTIFICATE OFfl SIGNATURE: OCCUPANCYISSUED