The URL can be used to link to this page

Home My WebLink AboutH2022-0219 - PermitsCity of Newport Beach - Building Division III 1111111111111�1p11111111111111111111111111111 s 'xd 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 1 9 Permit Counter Phone (949)644-3288 Job Address: 108 HARTFORD OR Bldg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT A/C UNIT 54.5dB (LENNOX; ML14XCI-030) Inspector Area:4 Code Edit: 2019 Legal Description: TR 11604 LOT 3 UNIT 59 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER Owner: MORGAN LORETTA/MORGAN Contractor: SERVICE CHAMPIONS HTG Address: 108 HARTFORD DR #59 Address: 3150 E BIRCH NEWPORT BEACH, CA 92660 BREA CA 92821 Phone: Phone: 714-777-7777 Con State Lic: 799170 Issued Date:04/27/2022 Lic Expire: 10/31/2023 Bus Lic: BT01080105 Processed By: =_ V- � Lic Exp Date: 07/31/2022 MECHANICAL Permit: H2O22-0219 Project No: Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : EVEREST NATIONAL INS CO Policy No: RMBWC00054221 Expire :04/01/2023 W rN 0 Di HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $39.00 Exhaust Fan: 0 $0.00 Gas Line: 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: 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: $33.93 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: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $162.93 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $162.93 PERMITS EXPIRE 180 LAYSeAFTER &SLMCE OR LAST VALID INSPECTION Construction Hours: Monday - Frgdayy V:00 N.m.SB a. -So R.4ar AOturday from 8:00 a.m. to 6:00 p.m. H. J J - P O O O O O O O C J O ' G V p �4JU OVH il 4 G00 •i0 BBV 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 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 legall, 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.htm[. 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 Sect 7000) f Division 3 of the Business and Profession ode, and my license is in full force and effect. �I License Class License No Datesy/ ! '-Contractor Signatur WORKERS' 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 ($100,000(, 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: 111 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 th performance of the work for which this permit is issued. Policy No. ava and will tain 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 surence carrier nd p Iicy number a �t harrier;licv ItldAlber _ Expiration Date of Agent 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 I, If I should become julfiect to thew ' compensation provision or -Code, I shall forthwith comply with those xowsi/ons. /%�7� nature of Applicant DatejK �7/ vC� CLARATION REG D CO LENDING AGENCY / ��!! rreby affirm under p per at 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 providedJ-saqrrect. I agree to comply with all applicable city and coup Droll a' ces an state laws relatin tion. �qlf I authorize representatives of this city or county to r tlteB de or inspection purposes.� F?�/�nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agents Na Z& 4Vt(� .r/fGl Da ACTION DATE BY DECLARATION OF COMPLIANCE tMTH CODE OF FOR DFFICE USE ONLY FEDER RE9j/(ATIONSPARF5"F T1RE40ANO •AQMD LE M03. i • • • • ;EJ I,.SQBUITI ®ASEESf-CI AVWIZ'ATION TO: ••• EPA•• �•+ AQMD ❑ ASBESTOS NOTIFICA71ON IS NOT APPLICABLE TO PRW.QSEQD€MQUTI@N. ••^ •• • PERMITEXPIRED PERMIT CANCELLED PERMITEXTEM1IDED PERMITFINAL CERTIFfCATEOFSfGNAtURE OCCUPANCYISSUED o 0 o e o• - < oeo os