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Home My WebLink AboutH2020-0287 - PermitsQ City of Newport Beach - Building Division III 11111111p111111111111111111pn111p1111111p MECHANICAL Permit: H2O20-0287 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 8 7Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 509 HARBOR WOODS PL Bldg:1 Floor: Suite: Description of Work: MECH - NEW A/C CONDENSOR, C/O FAU, DUCTWORK. 'TAMPER -RESISTANT CAP & TIMER REQUIRED' O Inspector Area:4 Code Edit : 2019 Legal Description: TR 11935 LOT 2 UNIT 509 OF PROJECT LOCATED ON AP 458-311-08 ; TOGETHER Owner: POPEJOY WILLIAM J Contractor: NEXGEN A/C INC Worker's Comp Insurance - Address: 209 HARBOR WOODS PL Address: 700 N VALLEY ST STE K Carrier: OLD REPUBLIC GEN INS CO NEWPORT BEACH, CA 92660 ANAHIEM CA 92801 Policy No: AlCWA0001401 ' Phone: Phone: 657-208-1987 Expire :01/29/2021 Con State Lic: 1011173 Issued Date:0610412020 Lic Expire: 02/2812022 Bus Lic: BT30055503 Processed By: Lic Exp Date: 06/30/2020 HVAC Items FEES FurnacesBoilers & Compressors Ventilation 0 $0.00 Other $0.00 Up to 100K BTU/hr: 1 $20.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 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 : $17.14 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $34.80 $35.00 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: GXS160361F^Issuance: Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $168.44 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $168.44 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. IWNER-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 ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 of more than five hundred dollars ($500). 1, 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, lusiness 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 nprovements 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 nproved 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 11• my s;mature bPlrnal 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 lega11, ell a structure that I hava 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 'rC.'ess:ans Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. �:gnat'i,e of Property Owner or Authorized Agent Date .ICENSED CONi W'TOR'S DECLARATION hereby affirm unoer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S Lion 000 of Division 3 of the Busin7HUNDRED ssiem la a_r_ nd m� license is in full force nd effect. icense Class License No Date Contractor Signa VORKERS' COMPENSATION DECLARATION I..RN.NG:.'AILURE TO SEC'JZE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOTHOUSAND DOLLARS ($100,000), IN ADDITION TO THE UST OF COMPENSATION, DwMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under oenalty of perjury one of the following declarations: I have and wi!' rFWain 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 grformance of the work for which this permit is issued. Policy No. ve 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 ns nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performan of the work or which this permit is issued, I shall not employ any person in any manner so as to become subject to the w rkers' compensation laws of California, and agre that, if I should become subjec o the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGAR ION LENDING AGENCY I hereby affirm under penal of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. (S coon 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 behalf. I have read this application and the information I have prove is correct. I agree to comply with all applicable city and county finances nd state laws relating to building construction. I authorize representatives of this city or county to e y for inspection purposes. Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name Date ACHON DATE f BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITL.E40AND AQMO RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITFED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NODFICA170N1S NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL—l'3.,2 ( I6, CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: