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HomeMy WebLinkAboutH2019-0625 - PermitsCity of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 `g Permit Counter Phone (949)644-3288 0 6 2 6 MECHANICAL Permit: H2O19-0625 Project No: 0673-2017 '. Inspection Requests Phone (949)644-3255 Job Address: 2127 VISTA ENTRADW" BI PE Floor. Suite: Description of Work: MECH/NEA/C "TAMPER RESISTANT CAP REO" WofaECT® InspectorArea:8 Code Edit: 2019 Legal Description: TR 5878 (L.L.84-214031) PAR 25 Owner: MCKENNA INVESTMENTS LLC Contractor: LOFGREN CONSTRUCTION Address: 2127 VIST bA Worker's Comp Insurance - Address: 3095 GINGER AVE #B NEWP T BEAC CA 92660 Carrier: NO EMPLOYEES , COSTA MESA CA 92626 Phone: 949 00-0084 Phone: 949-439-8053 Policy No: Con State Lic: 962889 Expire Issued Date: Oil112019 Lic Expire: 07/31/2021 Bus Lic: BT30060150 ' `° ° ° Processed B Lic Exp Date: 08/31/2020' l 3UBJEc,r-roFIELDIN�fR`i"TYII' RLVIEW AND APPR©VAL HVAC Items FEES FurnacesBoilers&Compressors Ventilation Up to I OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: Over 100K BTU/hr: 0 $0.00 0 $0.00 Fire Dampers: Other 0 $0.00 $0.1 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 0 $0.00 Gas Line: 0 $0.00 $0.00 Attic Fan: Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 0 $0.00 Metal Fireplace: 0 $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: Over 500K BTU/hr: 0 $0.00 Air 0 $0.00 Record Mgt Fee: Additional Fee ; $0.00 ° 0 , $0.00 Investiga�iom' °E $0.00° Handling Units Comm. Hood: Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Re air/Alter/Add: p 0 0 $0.00 $0.00 Model: ° Plan Check: °° $17.40 ° Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer. 01ssuance: $35.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 ARCO ARCOAIRE Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $113.90 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 )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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 he 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved for the purpose of sale). 3 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 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: 3y 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 legal) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION y license is in full force I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess' , a i and effect. DatfERTO l ` Contractor Signature License Class License No WORKERSib(N FENSATION DECLARATION WARNIf1G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOCRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU O RS ($100,0001, IN ADDITION TO THE C�ei OF cOMP�IESAhbili, DAMAGES AS PROVIDED FOR IN SECTION 0T06 OF THE LABOR CODE, INTEREST, AND ATfORNS. I hereby affirm• iEdr penalty of perjury one of the following declarations: 0 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, 11pp��e,rf �rmance gettaa work for which this permit is issued. Policy No. this permit is issued. My workers' compensatiol 6l ave and vyill maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which 6 ipggrance carRarend aolicy number are: Expiration Date jpafrl� Policy Number 06 e A peq Agent m y •Ify thatt n the performance of the work h permit' 1 ad, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree ili,l•should bgGom9 subject to the work ation pro s of Section 3700 of the Labor Code, I shall forthwith comply with those provisio • , Date _z Mature of Al;fie;R CLARATION REG RDING CONS CTION LENDI �l'ctio lending agency for sreby affirm under Shelly of perjury that there is a s(r r the performance of the work for which this permit is issued (Section 3097, Civil Code). / Lender's Address ider's Name my signature below, I certify to each of the follo in 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. Iagree to comply with all applicable city and county ord' es n e laws relating to building construction. I authorize representatives of this city or count a ov -1 ntified property for inspection purposes. e (nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name ACDON DATE Y OECRA LATfONOF COMPLIANCEMOTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 0'f OF TIJLE40AMD AQMDRULE1403. PERMITEXPIRED ❑ 1SUBMfTfEDASBESTOS NOTIFICATION TO. PERMITCANCELtED ❑ EPA ❑ AQMD PERM(TEXTENDED ❑ ASBESTOS NODRCADONIS NOTAPPLICABLE TO .,.,........... A mR A / C ep r-' S PROPOSEDDEMOLITION, CERDFICATEOF I I I I SIGNATURE. OCCUPANCYiS5UE0