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HomeMy WebLinkAboutH2020-0552 - PermitsCity of Newport Beach - Building Division H2O20-0552 o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ` MECHANICAL Permit: H2O20-0552 Project No : 2225-2019 Inspection Requests Phone (949)644.3255 Jab Address: 4701 HAMPDEN RD Bldg:1 Floor: Suite: Description of Work: MF-PH INSTALL (3) A/C UNITS @ THE FRONT & SIDE YARDS "TAMPER RESISTANT CAPS REQUIRED" Inspector Area:5 Code Edit: 2019 Legal Description: N TR 3357 LOT 25 Oobner: CHUNG YOON & SHINHYE Contractor: AIR MAX Address: 4701 HAMPDEN RD Address: 27260 LOS ALTOS CORONA DEL MAR, CA 92625 MISSION VIEJO CA 92691 Phone: 949-975-0123 Phone: 626-255-2299 Con State Lie: 1015725 Issued Date:09/2812020 Lie Expire: 07i31i2022 Bus Lie: ST30065145 Processed By: 1' _Lie Exp Date: 01/31/2021 Worker's Comp Insurance - Carrier: STATE COMP.INS Policy No: 9170882 Expire :1210812020 STTBJECT TO FIELD INSPECTOR'S REVIEW AND APPROVAL . .I HVAC Items FEES ° FurnacesBoilers & Compressors Ventilation Other. ° Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 3 $63.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° WOO ° ° Over 1 OOK BTU/hr:. 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 a r ¢. $0-VO° ° 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: $0.00 Investigatipg: $0.100 ` Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan ChflGk; 0 $54Wl ° Up to 1M BTU/hr. 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: RXTQ36TAVJ9 Issuance:,, $37.%' Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAIKEN o ° Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoninjl Ptd:°° $4'6.25 ` TOTAL: $201.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: aoou $201.06 o m 9 0 ° PERMITS EXPIRE180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ConstrucfJpn Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m, to 6:00 p.m. IWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, orvapair any structure, pdorto 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 professions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appfoant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do ( j all of or (_J portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusiness 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 n 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 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), 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally all 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 r f the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/fwww.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 7000) of Division 3 of the Bus' ass and Professions Code, and my license is in full force and effect. [ /��� .icense Class License No 1015725 / e 09/28/2020 Contractor Si Sure /`1 ✓-/ - VORKERS' COMPENSATION DECLARATION IARNING: 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 (1100,000), IN A00mON TO THE ;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: have and.41L graintain a Certificate of consent to selfinsure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 or the Labor Code, rmance of the work for which this permit Is issued. Policy No. •cr• ;'lve and ;� majptain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Iviy workers' camps since carlfrr avid policy number are: ar Policy Number Expiration Date for E® ify thal, jglhebarformance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to becomsubj ct to the workers' compensation lays of California, and agre ,Nf i should b ecom subject to the workers' compensation provisions of Section 3700 of the Labor Code, I $hail forthwith comply with ihoe se pr vlsions. hills ofAppk' { M...C. .o�-1 a...�L.- D 09/28/2020 ,LARATION AROING CONSTR CTION LENDING AGENCY retry atfirm u er Venally 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). der's Name .'. _.. Lender's Address T-i- Am the RrbOd4jowner or authorized to act on the property owner's behalf. 1 have readothisepplication and the information I have provided is correct. I agree to comply with all applicable city and conty ordinances and state laws relating to building construction. I authorize representatives of this city or oqu* to enter the above -identified property for inspection purposes. ACTION I DATE ll BY PERMIT Authorized ❑ 15UBIWTrEDASBESTOSN07IFICATfOli TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N077RCAIZONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. OCLUPANCYISSUED I v I I/ �I' II SIGNATURE,