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Home My WebLink AboutH2021-0141 - PermitsCity of Newport Beach - Building Division 106 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 "-, Permit Counter Phone (949)644-3288 °�farrrsx ,' 0 1 4 1 MECHANICAL Permit: H2O21-0141 Project No : 2882-2019 Inspection Requests Phone (949)644-3255 Job Address: 317 BAY AVE E BIdg:1 Floor: Suite: Description of Work: MECH/ NEW A/C "TAMPER RESISTANT CAP REQ" I Fj' E C T Inspector Area:1 Code Edit : 2019 Legal Description: Owner: 315 E BAY Contractor: SEPULVEDA BUILDERS INC Worker's Comp Insurance - Address: 9227 DR Address: 790 NEWTON WY Carrier: NO EMPLOYEES H LANDS CH CO 80129 COSTA MESA CA 92627 Policy No: Phone: Phone: 714-222-1150 Expire Con State Lic: 695401 m m <m Issued e:02/12/2021 Lic Expire: 10/3112022 •mm••• Bus Lic: BT30058100 m. m m•.•<< Processed Lic Exp Date: 02/28/2021 e • < o 0 iD JPCP T'O r fFLL'm `!SPRC; r,p m lZSVIf:W NDF ei OVA_Pm o msoome • a HVAC Items FEES 00 0 ov Co FurnacesBoilers&mpress rs Ventilation Other °mm < <•«<m Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 m . •.mo Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $38.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 a, m $0�1)0 m << Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: m « 0 $0.00 m m o Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 o ® ...... < Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation < $0.00 <m Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $33.06 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4TTR406021Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANE Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $154.31 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $154.31 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. NO CON$TRUCTION NOISE i IWNER-BUILDER 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) 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 ie 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, 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, 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). 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 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 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. signature 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 Business a d Professions Code, and my license is in full force nd effect. icense Class ...", License No Date Contractor Signature I{ORKERS' COMPENSATION DECLARATION I1IU ?Gp.'. JAILURE.T8 S%&$E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF COMPENSATYON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. kereby affirm under penalty of perjury one of the following declarations: ��e and eYiQ iryalrQain 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 thi rrdl'm ce of the workYor which this permit is issued. Policy No. 36pave nd wiY ma twin 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' compensatior �Syra carrier ahtl poAcy number are: fir„ ' Policy Number Expiration Date - \. .. . FII 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 t ak, if•Ishould beaoTRe subje t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION RE DING RUCTION LENDING AGENCY I hereby affirm LH p neliy-0 erjury 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: 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. 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 couto above-nty ' ntified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Pro ert Owner's or Authorized Agent's Name Dat ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODE OF - FOR OFNC€USE O WLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ L SUBMITFEDASSESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOSM07IRCAIIONISNOTAPPLICABLETO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL RL CERTIFICATEOF OCCUPANCYISSUED