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Home My WebLink AboutH2020-0520 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 vY _. 1.00 CM, Ceitter,Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 2 0 ti Permit Counter Phone (949)644-3288 ae E:AgFullP�tr. Job Address: 158 WOODBURNE BIdgA Floor: Suite: Description of Work: MECH A/C UNIT 'TAMPER PROOF CAP REQ' Inspector Area:4 Code Edit: 2019 Legal Description: TR 11604 LOT 2 UNIT 92 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER Owner: HEGENER JOE Address: 158 WOODBURNE NEWPORT BEACH, CA 92660 Phone: /(��/�� Issued Date:09/15/2020 s ' ��(�\ " Processed Bv: Contractor: GREENSTAR HOME SERVICES Address: 965 RIDGE LAKE BLVD #201 MEMPHIS TN 38120 Phone: 949-885-0102 Con State Lie: 795556 Lie Expire: 02/2812022 Bus Lie: BT30056111 Lie Exp Date: 08/31/2021 MECHANICAL Permit : H2O20-0520 Project No: Inspection Requests Phone (9 9)644-3255 4`IV C Worker's Comp Insurance - Carrier: LIBERTY INS Policy No: WA763D508631019 Expire :10101/2020 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Othf r Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0 00 $0.00_ Over BTUIhr: 0 $0. > 3 P 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: $0.00 Inver tigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $18.27 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AAA524AO30011 Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER 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 : $122.1i2 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 DE•::LARATIUN by the checkmark(s) I have placed next to the applicable item(s) hereby affirm under :enalty of perjury that I am exempt from the Contractors' State License Law forthe reason(s) indicated below (Section 703t.5, Businese 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 tatement 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 is or she is exempt from licensurs 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 hundme dollars ($500). ❑ 1, as owner of the prof arty, 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 -;ode: The Contractors' State License Law does not apply to anowner of property who, through employees' or personal effort, builds or Improves the property, provided that the improvements are not inte �ded 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 i f sale). 111, as owner of the prof arty, 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 prope :y 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 lice sure underthe Contractors' State License Law for the following reason: By my signature helow I a- knowledge 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 pennR, I cannot lega11 sell a stru&J-c laat I.have wilt 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 (--ode, is avail able upon request when this application is submitted or at the following Web site:http:/Av .leginfo.ca.govlcalaw.htmf. C�,kg te Ci.Inature of Pwiaudy Owr ar or Authorized Agent \ I�LICENSED CONTRAC -OR'S DECLARATION I hereby affirm under pent ty of perjury that I amp licensed under provisions of Chapter 9 (commencing do 7000} f Division 3 of the BusinessXdofessi e, and my lic -in-full force 4�,d effectLicense Class License NoDate �� Contractor SignaturE1:)RKERS'CO-.WPEN, ATION DECLARATIONIna .NING: FAIT URE 7L: SECUR. WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLO T CRIMINALPENALTIES AND CML FINES UP TO ONID THOUSAND COL ARS Ist W,000j, IN ADIX ION TO THE 'cam OF COMPENSATION, DAI: iGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY 5 FEES. kCamier by affirm under pen= y of perjury one of the following declarations: ave ar,d will maint: ;n 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 IN mance of the work fc r which this permit is issued. Policy No. ave and will m9intai�. 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' compensatoor nce carrier and polic f number are:_ Policy Number Expiration Date ne or Agent - certifythat, in the pen rmQQQ ce of a forwhich this permit is issued, I shall not employ any person in any manner so as to become subjectto t e wo �rs' comp? S,a, Ilion laws of California, and agree 4 ff I should becomes:. >jgGt tot worke �icgm ens-fion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro st S. I(6 I2y / Date CLARATION REGARC+-U]N�J�uL:I RUn �ervvuva+nvuw+ :retry affirm under pear/k A/,of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (e n 3097, Civil Code) iders Name Lender's Address my signature below. I c atify to each of the following: I am the property ownr or authorized to act on the prop owners behalf. I have read this applic:ion and the information I hav r de is correct. n 1 agree to comply with all applicable city an ceu ran and state Taws relating to building construction. I authorize represents :res of this city or co r the a ove-ide fie property for inspection purposes. nature of PmDerty Owr :r or Authorized ^gent — —� Print Property Owners or Authorized Agent's Name ACTION —T DATE n , BY ❑fSUBMITTEDASSESTOSNO71FfCAT7ONTO: ❑ EPA ❑ AQMD ❑ ASBESTOSN077RCA710MISNOTAPPU(-ABLETO PROPOSED DEMOLITION. O CUPANCYISSUED I �___.___ -II SIGNATURE: �J