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HomeMy WebLinkAboutH2019-0031 - Permits�r1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0031 t ' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 0 3 1 Project No: Permit Counter Phone (949)644-3288 � `n ^ o "K fe � P;q C Inspection Requests Phone (949)644-3255 Job Address: 73 MONTEREY PINE BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT F.A.0 & A/C UNIT 40.5dB (LENNOX; ML14XC1-048-230) Other InspectorArea:6 Code Edit: 2016* Up to 1OOK BTU/hr: 1 Legal Description: 14103 LOT 13 OF PROJECT 935-90 LOCATED ON AP 473-021-65, Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 4 Owner: RIELLY THOMAS JContractor: SERVICE CHAMPIONS HTG Worker's Comp Insurance - . Address: 73 MONTEREY PINE Address: 3150 E BIRCH Carrier: PACIFIC COMP $0.00 NEWPORT COAST, CA 92657 BREA CA 92821 Policy No: WA000607 Exhaust Fan: Phone: Phone: 714-7774777 Expire :03/22/2019 0 $0.00 Con State Lie: 799170 $0.00 Wall/Floor Heaters: Issued Date:01/14/2019 Lie Expire: 09/30/2019 us Lie: BT01 REQ � Processed By: Laic Exp Date: 07/31020195 HERS VERIFIGAT ION 0 $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 1 $19.00 Up to 3HP: 1 $19.00 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 1OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $16.53 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: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $129.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $129.53 PERMITS EXP1R4Fa 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Mtln iayn- Frida}r i:00 m.to 46:31)p.m.and Saturday from 8:00 a.m. to 6:00 p.m. c o 44 4p c pe p p 4 4 e S 8 i G 4 pE• 00 G` GG p � 404 p4 pp p p pp ppm 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 is 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 'rofessions 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). 1 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, Iusiness 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). 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 only 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 legall) 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.htmi. 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 Secti 700 ) of Division 3 of the Business �reFesele license is in full force nd effect. icense Class License No Date Contractor Signature YORKERS' COMPENSATION DECLARATION 'ARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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 th eIT ormance of the work for which this permit is issued. Policy No. have and wil eh 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' compensatiol isu ce carrier A dYYYolicy number re: arrier I 1. P cy Number Expiration Date ame of Anent a _ _ 6- ( Phone # ]I certify that, in the performanc t work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, Iat, if I should become s ject to the orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith. comply with those prov tons. ignature of Applicant Dat. ECLARATION REG CONSTR ON LENDING AGENCY hereby affirm u erialty of ^ ' that there LENDING construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ander'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's behalf. I have read this application and the information I have provided' L . I agree to comply with all applicable city, and co as and state laws relating to building construction. I authorize representatives of this city o ante e -above -identified property for inspection purposes. innature of Prooertv Owner or Authorized Ao Print Prooertv Owner's or Authorized Agent's Name Date ACTION DATE BY UZa LAr IJVR Ur w1nrur1Vr Cr.11n �wcvr FEDERAL REGLI"►IONSFART-M-OF TIOE-40AID PERMiTEXP/RED AQMDRULf,1403.: ••• : : ❑ f susMfraED�a�SeEs�©.� ND7�reArr��r �. PERMITCANCELL€D ❑ t•Rd P€RMITEXT€ND€D ❑ AQMD ❑ ASBESTOS N07IRCA710MIS NOT APPLICABLE TO PERMITFINAL A. PROPOSEDDEMO13FION.• CERTIFICATE OF : : : SIGNATURE. • • • • ` OCCOPANCYiSSDED • • • • • • •