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Home My WebLink AboutH2020-0002 - Permitsw�yaw City of Newpoti Beach Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O20-0002 � �� V( 100 Civic Center Drive, ;Iewpor' Beach, JA 92 OO H 2 0 2 0 0 0 0 2 Project No Permit Counter Phone(319)6A4-3288 m .lylYtlYAty Inspection Requests Phone (949)644-3255 Job Address: 29 CALVADOS Bldg:1 Floor: Suite: Description of Work: MECH - R/R FURNACE & COIL Inspector Area:6 Code Edit: 2019 Legal Description: Owner: KRAFT GENE Contractor: WHITE MECHANICAL INC Worker's Comp Insurance - Address: 29 CALVADOS Address: 23601 RIDGE ROUTE DR #B Carrier: ZURICH AMERICAN INS CO NEWPORT COAST CA 92657 LAGUNA HILLS CA 92653 Policy No: WC796006900 Phone: Phone: 949-456-5328 Expire :10/01/2020 Con State Lic: 822474 Issued Date:01/02/2020 Lic Expire: 0813112021 ,• Bus Lic: BT30056814 W Processed By: Lic Exp Date: 02/28/2020m 11" HVAC Items FEES FurnaceslBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $20.00 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 1oOK 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: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $55.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $55.00 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. )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 oehw by 'he chacbmark!s)', hmaplaced 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, cr repa r:Pry structure, prior to its issuance, also requires the applicant for to 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 of 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 (_) portions of the wom, qnC the structure IF nrt inten(�ed 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 CRrsonal e;Noi , Wilds r+rvimprcves 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 Ow,„br-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). 7 I am exempt from [[censure under the Contractors' State License Law for the following reason: ly my signature below 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) o Division 3 of the Bust d.P ofession ,�� my license is in full force nd effect. e7 icense Class License No Date Contractor Signaturela IIORKERS' COMPENSATION DECLARATION its I 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA IRS ($10 ,000), IN ADDITION TO 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: I 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 the ormance of the work for which this permit is issued. Policy No. ave 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 ce carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the performance of the work 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 agreE tat, if I should jert to th k sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.,1 }/� ignature of Applica Date v �-J/ IECLARATION REGARDIV CONSTRLICT_rDN-J.ENJZNG AGENCY hereby affirm under penalty r'ury that there Is a struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address y my signature below, I certify to each of the fo 0 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 provided is correct. I agree to comply with all applicable city an ordinances and state laws relating to building construction. I authorize representatives of this city or countyjo ed e abov e�ntify 'R for inson purposes. _ \„ r'A Art /n ./N 11 J A< ACTION DATE BY DECL. RATION OF COMPLiANCEWITN CODE OF OR OFFICE USE ONLY ERALREGUL4T/ONSPART6iflFTiILE40AND 4AfD'RULE 1403. PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD PERM! T CANCELLED PERMITEXTENDED El ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL 2-16- 2p PA.- 0=6 . , CERTIFICATE OF OCCUPAA CYlSSUED SIGNATURE: