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Home My WebLink AboutH2021-0093 - Permitsw,rrt. City of Newport Beach - Building Division H2O21-0093 4€ 100 Civic Center Drive, Newport Beach, CA 92660 .+ Permit Counter Phone (949)644-3288 Job Address: 680 NEWPORT CENTER DR Bldg:1 Floor: Description of Work: COMM BOILER CHANGE OUT Inspector Area:7 Code Edit: 2019 Legal Description: P.M. 295-33 PAR 7 AND POR PAR 6 Owner: IRVINE CO Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:0212612021 Lic Expire: Bus Lic: Processed By�-- Lic Exp Date: Suite: SOUTH COAST MECHANICAL INC 800 E ORANGETHORPE AVE ANAHEIM, CA 92801 714-982-9640 857144 0413012021 BT30073043 09130/2021 MECHANICAL Permit: H2O21-0093 Project No : 0319-2021 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: FEDERAL INSURANCE Policy No: 54309689 Expire :05/0112021 HVAC Items FEES Other Furnaces Boilers & Compressors 0 $0.00 Ventilation Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Up to 100K BTU/hr: 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: 1 $53.00 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 $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $81.89 Investigation: $46.11 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $37.00 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Zoning PC: $46.25 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $264.25 Plan Check Fee : $174.25 Fee Due at Permit Issuance: $90.00 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. LV DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 is 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 .ot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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). 1 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 IiLensure under the Contractors' State License Law for the following reason: Iv 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 legall) ei. 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.html. ;Igniture of Properly Owner or Authorized Agent Date :ICENSED CONTRACTOR'S DECLARATION hernby affirm uncle, penalty of perjury that I am licensed under provisions of Chapter 9 (commen g with Section 7000) of Division 3 of t e Business and Profe sions Code, and my license is in full force t.d eficct. GG /�//j/b// irrf.sct.Class C' ZL"1 License No ,�JfJ%)Lip a 7,G�Zl Co rSignature---`'/4'/ _ � PCGKcRS' COMPENSATION DECLARATION ';.F K3. I AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE UST OF CUMPENSPTION by MAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J ' 1 me and v X saa:n:ain 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 thI 7e7yff�o�rrmance of the work for which this permit is issued. Policy No. �Lhi73ve 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 Isu carrier and policy number are: arriersrl,o -rr\ J,e-c1.(Y o [_y Policy NumberExpiration Date J`— `t lZI ame of Agent �" �1�r v-c'f�*n r( ry�7 c_o� Phone# — QOCR ]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 eat, if I should become subjec,t4.-Yvorkers'ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tt}pse provisions. re of hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issuedaction 3097, Civil Code). Ender's Name Lender's Address \\ ly 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 provided is correct. I agree to comply with all appl Is city and county ordinances and state laws relating to building construction. I authorize representatives o Is city or county to n : e above -identified property for inspection purposes. �I signature of Property Owner or horized Agent � ��` Trim -Property Owner's or Authorized /jp,gnt's Name 1 ACTION DATE BY DECLARATION OF COMPLIANCE MTNCODEO FEDERAL REGULATIONS PART 61 OF TIRE 40 AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO'RFICARONIS NOTAPPLICABLETO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL — Z L CERPFICATEOF OCCUPANCYfSSUED