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Home My WebLink AboutH2020-0170 - Permits9City of Newport Beach - Building Division MECHANICAL Permit: H2O20-0170 a 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 7 0 Project No: 2306-2019 �, `� Permit Counter Phone (949)644-3288 r'�ti nti�'`' Inspection Requests Phone (949)644-3255 Job Address: 29 EGRET CT BIdg:1 Floor: Suite: Description of Work: MECH REPLACE A/C UNIT @ THE SIDE YARD "TAMPER RESISTANT CAP REQ" (NO WINDOWS ON SIDE OF NEIGHBORING HOUSE) InspectorArea:8 Code Edit: 2019 Legal Description: N TR 12530 LOT 31 Owner: BRUNO STEPHEN Contractor: Address: 29 EGRET CT Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:03/09/2020 Lie Expire: Bus Lie: Processed By: f Lie Exp Date: DYE JONATHAN D Worker's Comp Insurance - 23411 CAMBRIDGE ROAD Carrier: WC EXEMPT ..., YORBA LINDA CA 92686 Policy No: (NO EMPLOYEES) 714-334-4775 Expire 375529 05/31/2021 OBO®9 ' BJECTTOFIELDINSPF.CT�iR'^ BT30065083 RE V J E W AND APfRO,; V" 11/30/2020 . .. HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 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: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $17.40 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4AC16L24P-50A Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $113.90 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.mAo 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. ILDER 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 Hcensure 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 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 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 own %rbf pleeerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 4 I am Exempt f`W 9censure under the Contractors' State License Law for the following reason: ByWgignaturebelow•Iacknowledge 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 U61 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 PiafVssfgns Code, l; available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. STgna"e of Properly Owner or Authorized Agent Date LjeVNS.ED CONTRACTOR'S DECLARATION I Mereb; 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 P fession ode, and my license is in full force iSad a#act. '. I�. �/�' Ljpp9r4% lass ' • • • License No AVte 4 Contractor 9/hature C WORKERS' COMPENSATION DECLARATION `11� • Rr11NG:FAILUREJS Slii&J cE 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 COMPENSAWN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. e.••a• I hereby affirm undargJenalty of perjury one of the following declarations: ❑ I have and ;M MAntain 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 thl iperformance 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' compensatior urance carrier and policy number are: mer Policy Number Expiration Date me of Aaant Phone # Ocertify that, ' in the perform nce of the 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 agrel if I should become subjec�to the wo ers ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tthhoo provisions. nature ofA nt Q. � .� 7� Date CLARATIOf GARDING CONSTRUCTION LENDING AGENCY �reby 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). lder'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 applklation and the information I have provided is correct. I agree to comply with all applicable city and county o dinances an state laws relating to building construction. 1 authorize represent of this city or county to ant r the above " ntified property for inspection purposes. /j mature of Property r or Authorized Agent Print Property Owner's or Authorized Ag� Name iy,+ ��iC Jate 3 ct-20 ACTION DATE BY DECLARATION OF COMPLIANCEWITN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART fif OF TI77 E40AND AQM➢RULE 1403. PERMITEXPIRED ❑ T SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NONFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL p CER17RCATE OF SIGNATURE: OCCUPANCYISSUED