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Home My WebLink AboutH2021-0013 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O21-0013 FEES 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 0 1 3 Project No: 2580-2018 Permit Counter Phone (949)644-3288 V: Other Up to 100K BTU/hr: 0 ayrzrs Up to 3HP: 0 $0.00 Inspection Requests Phone (949)644-3255 Fire Dampers: 0 $0.00 raONSTnr uGTION WORK Over 100K BTU/hr: Job Address: 3309 OCEAN BLVD BIdg:1 Floor: Suite: > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: Description of Work: MECH NEW HEAT PUMP "TAMPER PROOF CAP REQ" Gas Line: �� /C� InspectorArea:5 Code Edit: 2019 $0.00 Wall/Floor Heaters: ON SATURDAYS • • • • e ° ° Legal Description: N TR 1257 LOT 1 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package ° Owner: WRIGHT DAVID Contractor: URBAN MECHANICAL Worker's Comp Insurance - • • ° Address: 3309 OCEAN BLVD Address: 10621 BLOOMFIELD #25 Carrier: WESCO INS CO eeoo • ° CORONA DEL MAR, CA 92625 >50 HP: LOS ALAMITOS CA 90720 Policy No: W WC3486885 •eeo • e o Phone: Phone: 714-614-2446 Expire :0910912021 eeo ° • • ° ° ° 0 Con State Lic: 594181 ° • ° ° ° Issued Date:01 /0712021 Lic Expire: 05/31/2022 Plan Check: ° ®®• ° ° Up to 1M BTU/hr: Bus Lic: BT30005613 up to 1 O CFM: eo ° Processed By: Lic Exp Date: 08/31/2021 AUD60W/A-D(U) °••°° $37.00 Up to 1.75M BTU/hr: 0 $0.00 o•momm ...° e HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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: 1 $21.00 >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: $18.27 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AUD60W/A-D(U) Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $122.52 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $122.52 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. 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) action 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 ifessions 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). F+' - I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 Ay to an own6r pfpsoperty 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: my s6nature tfeldId Cacknowledge 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) @ 9tr1icture 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 fessions Code 1 is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. nature of ProperrV OK'ner or Authorized Agent Date :BNSED CONTTiACTOR'S DECLARATION I&e.ky affirm IQldei'04halty of perjury that I am licensed under provisions of Chapter 9 (commencing wj Sectio 00 Z ) of Division 3 of the Business an /'Proffeysssi/—grfs/�C/pQR' TS/ry/yYydense full force I effect. -rise Class • License No Date Contractor Signatu iRS' COMPENSATION DECLARATION FAILURE 1dsECMRE 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 ,OMPENSAJION, ge.MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm dhUll•pTalty, of perjury one of the following declarations 1d 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 of the work 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' carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance of the work R r yv I his issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref tat, if I should become sub' ct to the works cd sa ' n o ' io Section 3700 of the Labor Code, I shall forthwith comply with those provisiio�lns. �% signature of Applicant Date A ` / — 2- IECLARATION REGARD N RUCTION LENDING AGENC �/ \� hereby affirm under pen Ity 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). Ender's Name Lender's Address ly 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 corre I agree to comply with all applicable city and county or finances and a e Is g t NOing construction. I authorize representatives of this city or county to er the abov e d art titin purposes. ACTION DATE BY OctFARAJIUR ur LUMPUAR1-c W1 R LIJNrUr FEDERAL REGULATIONS PART 61 OFTITLE40AND XPIRED AQMORULE 1403. ❑ I SUBUTfEOASBESTOS MOTIFICATiONTO: ANCELLED ❑ EPA XTENDED ❑ AQMD ASBESTOS NOTIRCAIIONIS NOT APPLICABLE TO PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: