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HomeMy WebLinkAboutH2017-0005 - Permits�VIP Q�r City of Newport Beach - Building Division Illlllilllllllllllllllllllllllllllllllllllllllllll MECHANICAL Permit: H2O17-0005 0 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 0 0 5 project NO Permit Counter Phone (949)644-3288 V nas Inspection Requests Phone (949)644-3255 r, Job Address: 2907 CATALPA ST BIdgA Floor: Suite: "TAMPER Description of Work: MECH/NEW CONDENSER, FAU C/O & DUCTING RESISTANT CAP REQ" Inspector Area:B Code Edit: 2016 Legal Description: N TR 5018 LOT 57 • e co ° Owner: CANTOS MA Contractor: B E C ELECTRIC INC ease Worker's Comp Insurance - ° omos e a Address: 2907 CA PAS Address: 252 GEMINI AVE Carrier : EMPLOYEE SERVICE GRP • • ° oee• NEWP RT BEACH CA 92660 BREA CA 92821 Policy No: W061141027 • •.. ° ° 0000 •eeoo Phone: Phone: 714-890-1602 e Expire:0710112017 °°••°° Con State Lic: 871067 ...... ° m Issued Date: /04/2017 Lic Expire: 01/31/2018 ...... Processed By: Bus Lic: BT30054817 Lic Exp Date: 04/30/2017 om• o m o • °°°° oc SL)BJECT TO FIELD INSPECTOR'S --T- REVIEW AND APPROVAL HVAC Items FEES FurnacesBoilers & Co pressors Ventilation Other Up to 100K BTU/hr: 1 $18.00 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 $33.00 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 1OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $28.71 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 1 $18.00 Model: GSX14-0481K Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $130.71 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $130.71 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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 ltem(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 'rofessions 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 ar¢noi 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 th8 ppryp9e of sale). �•I•asowner 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 Ipply Loan owrfef Ef drDperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3•1 a%exempt from licensure under the Contractors' State License Law for the following reason: ly rcq signature aglpV 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 all 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 WIsssions Cods *is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. j1pp4t4ire of Prd{fetQi Owner or Authorized Agent Date ,I•C;ENISED CONTRACTOR'S DECLARATION 7ejgbbyy� 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 �r� ssions Co e, y y licen e I in full force Ind.ef%ct. \\ D 'icense•Class�'V"2!L> �3C7 � 1 License No <� � ?'�(� _Date Contractor Signature VdAkjRS' OOMPDNSATION DECLARATION IARNING: FAILURaiO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA DOLLARS ($100,000), IN ADDI N THE :DST OF COMPENSATION, DAMAGES 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: 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 IN r ce 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' compensation Isura a carrier and policy number are: (� Qs�C1TWolicy Number w it r� r) Expiration Date lame of Agent Phone # certify that, in the performance of the work r w this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, t, if I should become 'Athes' ompen tion pr o e n3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica Daa� — LA " CLARATION R ARDINION LEN AGENweby affirm under penaltyhere is a construction lending age fo the performance of the work for which this permit is issued (Section 3097, Civil Code). Jder'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 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 state laws relating to building construction. I authorize representatives of this city or co nt nter th9 �bgN entifierty for inspection purposes. �r< nature of Property Owner or Authorized Age .•4� 7\� Print Property Owner's or Authorized Agent's NaNe: JJ �c-��t tX�c`•ZN e ACTION DATE BY D C TION OF COMPLIANCE WITH CODE OF FOR OFFICEUSE ONLY FE RALREGULATIONSPART61OFTIILE40AND AQMDRULE 1403. PERMIT EXPIRED ❑ I SUBJLf1TTEDASBESTOS NOHFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTEN➢ED ❑ ASBESTOS NO71FICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PER OfT FINAL / 2 CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED