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Home My WebLink AboutH2022-0078 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIII MECHANICAL Permit: H2O22-0078 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 7 8 Project No : 2805-2019 a ` ' Permit Counter Phone (949)644-3288 u ` Inspection Requests Phone (949)644-3255 Job Address: 5009 SEASHORE DR BIdg:1 Floor: Suite: Description of Work: MECH - INSTALL 2 HEAT PUMPS ON ROOF DECK. TAMPER -RESISTANT CAPS REQUIREDf '4� InspectorArea: 7 Code Edit: 2019Vr Legal Description: OCEAN FRONT TR BILK 50 LOT 5 Owner: 5009 SEASHORE LLC Contractor: LEGACY CUSTOM HOMES INC Worker's Comp Insurance - Address: 1 CORPORATE PALZA DR #110 Address: 1000 QUAIL ST, STE 220 Carrier: OAK RIVER INSURANCE CO NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 Policy No: LEWC219928 Phone: Phone: 949-887-4750 Expire :12/02/2022 Con State Lic: 986194 Issued Date: Lic Expire: 08/31/2023 Bus Lic: BT36 Processed By:-Lic Exp Date: 10/31/20221/2022 � HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HO: 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: 0 $0.00 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: 2 $78.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $67.86 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 226C18-A & 36-A Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $235.86 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $235.86 PERMITS EXPIRE 180 DAYS AFTER ISSUANCI OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m.to 6:30 p.m.AZfwSaturday rrpin 8:00 a.ma fo 6:00 p.m. ° u °° a N°4' G • 04° G°° G°i 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 :he 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 lot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements 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 mproved 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.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 Section 7000) of Division 3 of the Business and Profess' ode Icense is in full force and effect. !— License Class License No Da t�f Z% `�i2 Contractor Signatu WORKERS' COMPENSATION DECLARATION v WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON RED TH SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES ASPROVIDED 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: 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 th, Wpante of the work for which this permit is issued. Policy No. Ldvave 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 s nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work f 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 work pensation s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 9 Signature of Applicant Date /, DECLARATION REGAR CO R ION L AGE I hereby affirm under penalty of rj at there' 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 ce to each of th following: I am the property owner or authorized to act on the property owners behalf. /t — I have read this application and the information I have provided ef�rrect. I agree to comply with all applicable city and county ordin nd state laws to building construction. I authorize representatives of this city or count ove-ide rty for inspection purposes. �7 ^ �� Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name Date L ACTION DATE OECEARATIONt OF COMPLfANCE IMTH CODE OF FOR OFFICE USE ONLY FFJaF.PAd•RFrI1[ATiDNSPART61 OF T17LE4OAHD PERMITEXPIRED : • -E] /:;U13AJTTEDASBEST0S NOTIFICATION TO: PERMIT CANCEI LED • • • • • • •❑ EPA PERMITEXTENDED • • El AQMD' E ❑ ASBESTOS NOTIFICARONISNOTAPPLICABLETO PERMIT FINAL PR0F`C:3EP DEMOUT1ON. CERTIFICATE OF a ••: e e e OCCUPANCYI55UED oe SQG,Iht7fr