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Home My WebLink AboutH2019-0181 - PermitsCity of Newport Beach - Building Division H2O19--0181 r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u x , Job Address: 9 DARTMOUTH BldgA Floor: Suite: Description of Work: MECHI A/C (2) & FAU (2) "TAMPER RESISTANT CAP REO" Inspector AreaA Code Edit : 2016 Legal Description: N TR 15409 LOT 54 Owner: IE TTI ANTHONY W Contractor: PURE AIR Adores 9 DAR OUTH Address: 12700 PINEHURST CT NEWPCIRT BEACH CA 92660 GARDEN GROVE CA 92840 Pho e: Phone: 714-537-9751 Con State Lic: 792214 Issu Date:03/29/ 19 Lic Expire: 03I3112019 Bus Lic: BT30063168 Processe B Lic Exp Date: 05/31/2019 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Up to 1OOK BTU/hr: 2 $38.00 Up to 3HP: 2 $38.00 Bathroom Fan: 0 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Up to I OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O19-0181 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : WC EXEMPT Policy No: (NO EMPLOYEES) Expire : ,: JJ1I FC1 TO T-tELDIXSPHC"TOI-1f ; 1,h%iLlVAND APP4& JAL Other Fire Dampers: 0 $0.00 -•�' Gas Line: 0 $0.00 Metal Fireplace: 0 $0.00 Record Mgt Fee: $0.00 ' Additional Fee: $33.06 Investigatio.i. Plan Check. Model: 4TTL6048AIssuance: Manufacturer: TRANE Zoning PC: TOTAL: $184.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $184.06 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. $0.30 $0.00 $0.30 $0.00 $35.00 $40.00 DWNER-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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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). ❑ 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 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, ani mvJicense is in full force and effect /� License Class C _ f D — C- 20 License No 7 ZZ� Date .[ r'i Contractor SignatureiLi - ✓✓F�� NORKERS' COMPENSATION DECLARATION N9RNING: °AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS( t ,000). IN ADDITION TO THE COil BP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. hereby affirm u cer 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 formance of the work for which this permit is issued. Policy No. hL% 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 Ir3n�_, c rrieran pd�i ynumber are: � Kn S Vp Policy Number M W (/ D I I -7 O G1 L T ` Q 2—Expiration Date O� T= cf 4gent--VG"TPhone # 4' - f q certify that, ii I 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 i; I s;iould become subject to the workers' ompen tion ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /Ip 1 p nature of Appli:, rt F Dat6� 3/2 / / t 1 CLARATION REGAWANG CONSTRUCTION LENDING 441 / � )reby affirm under pe alty of perjury that there is a constrf i n lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). ider's Name Lenders Address 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 applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cou ty to enter th_e,-rabove-�'den 'fleLd�p�ro�perty for inspection purposes. nature of Property Owner or Authorized Agent n[OLcvnAi�✓t lw^� Print Property Owner's or Authorized Agent's Name AC77ON DATE BY DECLARATION OF COMPLIANCE 141TH CODEOF FOR 6FFICE USE ONLY FEDERAL REGULATIONS PART 61' OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCA'DONISNOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL NIZ31 Iq CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED