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Home My WebLink AboutH2020-0151 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2020-0151 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 5 1 Project No Permit Counter Phone (949)644-3288 Inspection Requests Phan - a (949)644-3255 Job Address: 330 ST ANDREWS RD BIdg:1 Floor: Suite: TOR Description of Work: MECHIFAU C/O PEC Inspector Area:7 Legal Description: TR1220LOT C1' SLY '36FT(ANDNLY26.25FTLOT 41 If applicable: ate' -efund Owner: BRAXON DAVID rac or: TRANSFORM SIR HOME IMP ergirtiw@ 4 Address: 330 ST ANDREWS RD Address: 9 TIONAL UNION FIREee BC 52 B NEWPORT BEACH, CA 663 Q;N G FC7 2 Policy No: 014649106 Ohon.6, 51, tcE Phone: on C mmco EL lssuedDate:O (26120:20 is Expire: 06130/2021 Bus Lie: BT3006 711 Processed By: c Ex HVAC Items FEES FurnacesBollers & Compressors, Ventilation • 01 r U It 11 $0.00 p to 1 OOK BTU1hr: 1 $20.00-, Up 0 n: o EAQ 0 j5.,ppard)p1an 0 a r 0 Over 100K BTU)'hr'. 0 $o 00 3 P to 5 � # r1�tC111t;1n: 0 0 $0.00 $0.00 Q 0 (rav&Pkiastarteal) so-oo Wall/Floor Heaters: 0 $0.00 1 0 AP' "D' $ 0 A Attic Fan: 0 $0.00 Heat Pumps & Package Units 30 HIP to 50 HP,%,- f0o-te e '�'01,R",ed)wn-Draft Fan: 0 $0.00 ecord Mgt Fee: $0.00 Up to 100K BTU/hr: 0 $0.00 510 HIP: $6. 00 Residential Hood: 0 $0.00 Additional Fee $0.00 Inve tigation: $0.00 Over 500K BTU/1r: 0 10,00 it Handling Units Comm, Hood: 0 $0,00 Pla Check: $0.00 Up to 1 M BTU1hr: 0 $0.00 ------- RepaWAlterhArd 0 Model: 5.00 Up to 1.75M BTU/hr. 0 $0.00 ver OK CFM: 0 $0.00 Supplemental Fee: $0.00 ManufactIOGIO. initlig Over 1.75M BTU/hr: 0 $0.00 AV Box: 0 $0.00 g PC: $0.00 TOTAL: $55.00 Plan Check Fee $0.00 Fee Due at Permit Issuance : $55.00 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. 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) :tion 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 Divisitn 3 efihe Business and 'essions Code) or that he or she is exempt from Iicensure 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). 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, iness 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 ly 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). I am exempt i;rwitensure under the Contractors' State License Law for the following reason: ny sgnature 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 Iegalll a structure that I. %e built as an owner -builder if it has not been constructed in its entirely by licensed contractors..I understand that a copy of the applicable law, Section 7044 of the Business and 'esilions Cody is ahilable upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. ta�u tP of Property Owner or Authorized Agent Date ENSED CONTRACTOR'S DECLARATION reb•.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 Professions Code, and my license is in full force et _..F�-*w 3� ma lass • • V ac License No Date Contractor Signature 'RKERS' COMPENSATION DECLARATION PMt9FAILURE TO SEFURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE r OF COMPENSATION, RAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. laby.affirm under penalty of perjury one of the following declarations: ?,Ave and Wjl:gV?htain 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 )�mahyce of the work for which this permit is issued. Policy No. ry 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' compensatiol ice carrier and policy number are: —Z �r YVCAi� G( �. rIPn \TI'T Policy Number 0�( �v�—`��p Expiration Date of Agent Phone # ❑I certify that, in the performance of the 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 that, if I should become subject to the workers' compensation section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of ApplicantX.i .! SIG Date\��`��'/�(i DECLARATION REG RDING CO TION LENDING AGENCY I hereby affirm under enalty 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: 1 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 to�r the ab n for inspection purposes. Signature of Property Owner or Authorized Agent bi. /\ Print PropertOwner's or Authorized Agent's Name Vi i1 z'Ut�t"1 ate �?/ ACTION DATE I BY DECLARATION OF COMPLIANCEINITN CODEOF FEDERAL REGULATIONSPART 61 OFTITLE40AND MD RULE 1403, ❑ f SUBMITTED ASBESTOS NOIIFICARON TO: ❑ EPA ❑ AOMD OASBED EMO TON.ESTOS DONSNOTAPPLICABLETO SIGNATURE: FOR OFFICE USE ONLY PERMfTEXPtRED 0- ZZ-Z i SL �� C/n PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERRFICATEOF OCCUPANCYISSUED