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Home My WebLink AboutH2021-0010 - PermitsJ i r'3tirnu+"a City of Newport Beach - Building Division III III 11111p11111111111111111p111111111111iIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 0 1 0 Permit Counter Phone (949)644-3288 Job Address: 104 HIGHLAND ST BIdg:1 Floor: Suite: Description of Work: MECH NEW HEAT PUMP ON ROOF DECK *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit: 2019 Legal Description: SEASHORE COLONY TR BILK J LOT 7 Owner: BABLOT MARC STEVEN Contractor: 20TH CENTURY AIR INC Address: 104 HIGHLAND ST Address: 4061 E LA PALMA AVE #A NEWPORT BEACH, CA 92663 ANAHEIM HILLS CA 92807 Phone: Phone: 714-514-9426 Con State Lic: 511598 Issued Date:01106 /2021 Lic Expire: 06/30/2021 \\ Bus Lic: BT30054933 Processed By: \-Lic Exp Date: 05/31/2021 MECHANICAL Permit: H2021-0010 Project No : 0754-2019 Inspection Requests Phone (949)644-3255 'TIMERS PROHIBITED ON HEAT PUMPS Workers Comp Insurance - Carrier : INS OF THE WEST Policy No: WSA5038606 Expire :12/18/2021 I1 SPEC-J-TIOR 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 $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: 1 $21.00 >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: $18.27 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4TWL906OA100A Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANE Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $122.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $122.52 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. 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 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 L) all of or L) 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). ❑ 1, 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 `n.m licensure under the Contractors' State License Law for the following reason: By my signature hPlnw I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) bell 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 Co7c, is :) ailable upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. S13nat'1re of Property Owner or Authorized Agent Date _ -.I(.FNSED CONTRACTOR'S DECLARATION I hereby affirm urioe, penalty of perjury that I am licensed under provisions of Chapter 9 (commencin -w' InSection 7000) of Division 3 of the Business and Professions Co e, d my license is in full force License Class License No Date Contractor Signature WORK2RS' COMPENSATION DECLARATION WARNING: FAILURE TIC SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE C;us r Or COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i hereby affirm unde, penalty of perjury one of the following declarations: J 1 ha"e and v: ill ma'ntain 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 Cade, for th p normance of the wont 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' compensatio I Sur c�e c _ner annd policy number are: Carrier —t"`S. 1. L7. fJ- Policy Number Expiration Date Name of Agent Phone # I certify that, in the pe rmance of the work for w ch 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 bF om bject to the workers' c ensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provi@I s. Signature of Applicant Date /� DECLARATION REGA ING C NSTRUCTION FZEN15FNG AGENCY I hereby 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). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's b half. I have read this application and the information I have provided is co act. I agree to comply with all applicable city and Cop n ordinances n tate laws relating to building construction. I authorize representatives of this city or county enter the enti 'ed property for inspection purposes. Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name ACTION OATS BY DECLARATION OF COMPLI ANCE tYITN CODE OF FOR OFFlCE US€ONLY FEDERAL REGULATIONS PART 61 OF TITLE80 AND A(TMD RULE 1403. PERMf7€XPfREQ ❑ ISUBMITTEDASBESTOS NORFICATfON TO: ❑ EPA ❑ AOMD PERMIT CANCELLED PERMIT IX7ENQEQ ❑ ASBESTOS NORRCARON t5 NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CER77flCATEOF SIGNATURE: OCCUPANCYfSSU€D