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Home My WebLink AboutH2019-0263 - Permits4,00" City of Newport Beach - Building Division H2O19-0263 0 100 Civic Center Drive, Newport Beach, CA 92660 0. F .'tiIE Permit Counter Phone(949)644-3268 } MECHANICAL Permit: H2O19-0263 Project No : 1011-2018 Inspection Requests Phone (949)644-3255 Job Address: 2501 SIERRA VISTA BIdg:1 Floor: Suite; Description of Work: MECH -NEW HEAT PUMP/MINI SPLIT& DUCTING "TAMPER RESISTANT CAP REQ,, e l Inspector Area:3 Code Edit: 2016 Legal Description: N TR 1801 LOT 4 Owner: D IS DON LD Contractor: ABC HEATING AND A/C Worker's Comp Insurance - Address: 01 SIER VISTA Address: 306 COLLEN PIL Carrier: NORGUARD NEWPORT B ACH, CA 92660 COSTA MESA CA 92627 Policy No: NAWC961991 Phone: 949-254-1322 Phone: 949-756-0064.- Expire:09/24/2019 °••@ Con State Lic; 940181 n Issued ate:05108/2019 tic Expire: 11/30/2019 ° ° ° • °' °' Bus Lic: BT30043258 1 r VIE. N i1vU Processe By: Lic Exp Date: 03/31/2020 ,• HVAC Items FEES Furnaces Boilers & 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 -�� e v $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 $0.9G. «� Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 "� d ° 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. 1 $19.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $16.53 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00. Plan Check: $0.00 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 1 $19.00 Model: 18RLXFZlssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: FUJITSU Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $129.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $129.53 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 from 8:00 a.m. to 6:00 p.m. 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 Busine---7d 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 pen: ;vbf not more than five hundred dollars ($500). i A( J I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra 7 I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least o all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.h ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm ur6ler laenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 effect. . � �- is r icense Class � � � � License No Date w u — ° I CpMef, 1SATION DECLARATION VVIN& FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL jDST 9r, dOMPENSATI1bN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm upa& Il palty of perjury one of the following declarations: Ve and willmaintain a certificate of consent to self -insure for workers' compensation, issued by the Dire nce of M1e"*orla for which this permit is issued. Policy No. and will mintain workers' compensation In nce, as required by Section 3700 of the Labor Code, for s carrier 5nd policy number are: Oarrier • - •' •' i� Policy Number certify that, in{he performan e f work for which this permit is issued, I shall not employ any person in any me I, if 1 should become subje o e rkers' compensation provisions of Section 3700 of the Labor Code, I shall foi nature of Applicant CLARATION REG I CONSTRUCTION LENDING AGENCY :reby affirm ui pe ally of perjury that there is a construction lending agergy for the performance of the work for ider's Name iZ Lender's Address my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the property✓own s behalf. I have read this application and the information I have pr d Is correct. I agree to comply with all applicable city and county o ces and state laws relating to building construction. I authorize representatives of this cityor count to r ove-id a1,nea pLc ertfor inspection purposes. of Property Owner or the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Seclti�90044 of the Business and of Division 3 of the Busi=THOUSAND my license is in full force Contractor Sign ILTIES AND CIVIL FINES UP T($100,000), IN ADDITION TO T' of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' n Date so as to become subject to the workers' compensation laws of California, and h comply with those provisions. �{ - Date io� h this permit is issued (Section 3097, Civil Code). ACTION DA BY DECLARATIONOFCOMPUANCE THCODEOF €ORDERCEUSEDNLY FEDERAL REGULATIONSPART GI OFTITLE40AND AQMD RULE 4403. PERM(T E MIRED ❑ I SUBMtTTEDASBESTOS NO FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED . PERM(TEXTENDED ❑ ASBESTOS NOT7RGi170NISNOT APPLICABLE TO PROPOSEDDEMOUTION. PERMIT FINAL CER77€ICATEO€ SIGNATURE. OCCUPANCYISSUED