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Home My WebLink AboutH2019-0233 - PermitsCity of Newport Beach - Building Division H2O19-0233 MECHANICAL Permit: H2O19-0233 64 s o- 100 Civic Center Drive, Newport Beach, CA 92660 Project No: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 262 MORNING CANYON RD BIdg:1 Floor: Suite: Description of Work: MECH/ A/C W/HEAT PUMP "TAMPER RESISTANT CAP REQ" r r Inspector Area:5 Code Edit: 2016 H V -,.- "W e Legal Description: N TR 1116 LOT 85 Owner: BROOKS Contractor: URBAN MECHANICAL Worker's Comp Insurance - ° •,' Address: 262ING CANYON RD Address: 10621 BLOOMFIELD #25 Carrier: WESCO INS CO ONA EL MAR, CA 92625 LOS ALAMITOS CA 90720 Policy N0: W WC3371433 . • m o ° Phone: Phone: 714-614-2446 Expire :0910912019 •• ° Con State Lic: 594181 m •+ Issued D te:04/24/2019 Lic Expire: 05/31/2020 Bus LIC: BT30005613 .+ :aU15JFi'-'CTO FIEL12'.iJSPF.CT[iJt'�' Processed Lic Exp Date: 08/31/2019 R' VIEW AIJ,Po�h P9ZOVAj,. • s.mou mmmmco o+onoo • ° 0 HVAC Items FEES m ... °'••� FurnacesBoilersBCompressors Ventilation Other 0....° Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 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 100K 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: $16.53 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: MXZ-3C24NAZ Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $110.53 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. 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). ❑ I, 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, 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 im roved 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). ❑ 1 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 legall) sell a structure $he$ Fhave 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 Ctifti6 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Siggn��a��tere of PIC gp.egy Owner or Authorized Agent Date CIL` ASED COrrp.ACTOR'S DECLARATION Veraby affirm ander penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Vision 3 of the Business and P se I ofessions o r I n full force antl,mct. License Class License License No Date 2 Contractor Signatur POWERS' CUMPENSATION DECLARATION NAA111MG: FAILUIfl:•1'SSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP YER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE $$''ii66F�COMPENSAIII®R, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTO y EY'S FEES. r Adr-My affirm unser penalty of perjury one of the following declarations: 0.... 4 have and,vQiu Mntain 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 "hdarmance of the woM for which this permit is issued. Policy No. 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' carrier•afif) } olicy number are: Policy Number Date ne of Agent rnone n, certify that, in the performance of the wor It tis is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if 1 should become subject to the wor p r�islons of Section 3700 of the Labor Code, I shall forthwith comply with those provi s. nature of Applican Dat /� CLARATION REG RDIN NSTRUCTION LENDING AGENCY :reby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's 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 st s at� to building construction. I authorize representatives of this city or cou ty to ter the above -i a f' D rty for inspection purposes. �/'�%�'�� ' /fie/ nature of Prooertv Owner or Authorized Aaent� Print Property Owner's or Authorized Agent's Name 1�-�t�(il ✓/l/' <l f 1 _Date t / ACTION DATE BY IJCLL Ia Iou" car wwNruNrx�c vr. r.. FEDERAL REGULATIONS PART Of OF TITLE 40AND AQMD RULE 1403. PERMtTEXPIRED ❑ I SUBMITTED ASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NORRCARONIS NOTAPPLfCABL.E TO PROPOSED DEMOLITION. SIGNATURE: PERMITRNAL CERTIFtCATEOF OCCUPANCYfSSUED