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Home My WebLink AboutH2018-0725 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 0 0 '. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 7 2 5 a. Permit Counter Phone (949)644-3288 Job Address: 350 BUENA VISTA BLVD BIdg:1 Floor: Suite Description of Work: MECH ADD FURNACE (X2018-0418) InspectorArea:1 Code Edit: 2016 Legal Description: EAST NEWPORT BLK A LOT 146 Owner: MCDONOUGH PAUL & CAROLYN Contractor: BREEZY AIR Address: 350 BUENA VISTA BLVD Address: 13582 SISKIYOU ST NEWPORT BEACH, CA 92661 WESTMINSTER CA 92683 Phone: 818-645-5854 Phone: 714-606-0814 Con State Lic: 1025139 Issued Date:11/14/2018 Lic Expire: 03/31/2019 Bus Lic: BT30062167 Processed By: Lic Exp Date: 02/28/2019 MECHANICAL Permit: H2O18-0725 Project No: 0346-2018 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : EXEMPT Policy No: NO EMPLOYEES Expire : 4 N,AN, k- e eeeee• re ''�� jrT . m mc.omm m eeeeoo m o oe o e . e . mmmm e. . HVAC Items FEES ..... FurnacesBoilers & Compressors Ventilation Other m..... m • Up to IOOK BTU/hr: 1 $19.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.60.... 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 ®o o m o ® $O.Ac ... 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 IOOK BTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0' "$0.00 Additional Fee: $0.00 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: $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $10.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $29.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $29.00 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. OWNER -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 the 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 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 not 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 im 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 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: By 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 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 Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED 069WI rCTOR'S DECLARATION 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 Profes ' ns Code, and m i ense is in full force e iihelfrct. License Class • • • • • : License No L'02 ShJ g Date Contractor Signature AGRIGERS' COMPENSATION DECLARATION NAR411AG: 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 (SI OD,000(, IN ADDITION TO THE COST OF COMPENIMA8I111,=IAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm •under penalty of perjury one of the following declarations: ®9•tfaye 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 the pl"Miance of th8 work for which this permit is issued. Policy No. : ave 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' compensatior of.•• •• ande carrier ana policy number are: Prie* * •. Policy Number Expiration Date ne of Agent• • • • • • Phone # certify that, in the performance a work for which this 's issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree I. if I should become su ' c )pens ov' ions of Sec 3700 of the Labor Code, I shall forthwith comply with those provisions. i nature of Applicant Date CLARATION REGAROWIG COIqk1VbeTIOITLErMING AGENCY rreby affirm under penalty 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). ider's Name Lender's Address 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 or c s and state la ling to wilding construction. I authorize representatives of this city or countytg boys-i�rt inspection purposes. / _ ., ACTION DATE &Y DECLARATLONOFCOMPLANCEYYLTN CODEOF FOR OFFICE USEOULY FEDERAL REGULATIONS PART 61 OFTITL.E40AND AQM0 RULE 1403. P£RMITEXPIR€D ❑ ISUDMfTTEDASBESTOSNO7lFICATIONTO. ❑ EPA ❑ AQMD PERMITCANCECLED PERMIT €XTENDED ❑ ASBESTOS NORNCA710NIS NOTAPPLICADL.E TO PROPOSEDDEMOLITION. PERMfTFINAL SL CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED