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Home My WebLink AboutH2021-0726 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIpIII11p111p11111111111111111111111 MECHANICAL Permit: H2O21-0726 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 7 2 6 Project No : 0777-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 114 19TH ST BIdg:1 Floor: t&`ty� Description of Work: MECH - *UNIT A* INSTALYEOj (�,AMP,ISTANT CAPS REQUIRED* Inspector Area:1 Code Edit: 2019 Legal Description: NEWPORT BEACH SEC B BILK 1�8y, LLpO`q�T 15 Owner: HYUN CHRIS Co7ttf oT- E W_ ET MANAGEMENT Worker's Comp Insurance - Address: 114 19TH ST Address: 314 IRIS AVE Carrier: NO EMPLOYEES NEWPORT BEACH CA 92663 CORONA DEL MAR, CA 92625 Policy No: Phone: Phone: 949-922-1669 Expire: Con State Lic: 968985 Issued Date:12/23/2021 Lic Expire: 03/31/2023 Bus Lic: BT30076165 Processed By: Lic Exp Date: 08/31/2022 HVAC Items FEES FurnacesBoilers & Compressors Ventilation c `� "`~ Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire`Darnpers:" 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas L1rie: 0 $0.00 $0.00 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: 2 $44.00 >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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4A7A4060LIssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMERICAN STD Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.28 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 troft8:07>a.m. to°6:09 nm. O 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). ❑ 1-,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, Business and Professions Code: The Contractors' State License Law does not apply to awovvffer 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 improved 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 Code, 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 CONTRACTOR'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 Pro sior}rs Cod nd my license is in full force and effe-gP � (� License Class License No / 68 .�Dat 2- I23 2 Contractor SignatureORKERS' COMPENSATION DECLARATION WARNING: 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 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: U I 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 thi performance of the work for which this permit is issued. Policy No. have 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' compensatio rance carrier and policy number are: 'ier Policy Number Expiration Date ie of Agent Phone # lrtify 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 I should become subject to the or r j dmp atio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those prowslo /L �s. ure of Applicant d"� IECLARATION REGARDING ONS N LENDING AGENCY hereby affirm under penalty o ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 statelaws relating to building construction. I authorize representatives of this city or county to en r t �'� '^ -= for inspection purposes. of Print Property Owner's or Authorized L ACRON BY DECLARATION OF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T17L.E40 AND AQMD RULE Taos: PERMITEXPIREO ISUBMITi'EDASBESTOSNOTIFICATIONTO:.PERMITCANCELLED• ❑ EPA AQMD PDA7E • • : PERMITEXTENDED❑ ASBESTOS NO7719CATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFICATEOFOCCUPANCYISSUED SIGNATURE: 0