The URL can be used to link to this page

Home My WebLink AboutH2019-0089 - PermitsCity of Newport Beach - Building Division H2O19-0089 MECHANICAL Permit: H2O19-0084 A ' 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 Project No Inspection RequestsPhone (949)644-3255 Job Address: 2160 VISTA ENTRADA BIdg:1 Floor: Suite: ;q a Description of Work: MECH/DUCTING ONLY 11 Ilk t n Inspector Area:8 Code Edit 2016 €' r A Legal Description: TR 5878 (L.L.84-214031) PAR 78 v� Owner: STEWARD WAYNE & NANCY Contractor: GREENSTAR HOME SERVICES Worker's Comp Insurance - Address: I NTRADA Address: 1951NMAIN ST Carrier: LIBERTY INS •••• EWPORT B CH; CA 92660 ORANGE CA 92865 Policy No: WA763D508631018.... ` Phone: 949-6404970 _Phone: 949-885-0102 Expire :10/01/2019 m.. Con State Lic: 795556 ° c ms Issued Date: 20/2019 Lic Expire: 02/29/2020 o Bus Lic: BT30056111 °• ° °" ° ' • . • ° Processed By: Lic Exp Date: 08/31/2019 • • ° god• . ' •0400 HVAC Items FEES ° q° FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr. 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ° $0 00 Over 1 OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 .... $0 0 • •° 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 1O CFM: 0 $0.00 Repair/Alter/Add: 1 ` $19.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K 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: $54.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $54.00 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. IWNER-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) lection 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 penally of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). 3 1, 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 only 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: 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.htm]. signature of PrgW4V Owner or Authorized Agent Date .ICENSED SPATRACTOR'S DECLARATION -- hereby affirm under Venalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine Ions Code ieense-is full force rhfAi/ ct. cense Class " ' License No Date �'GCJ Contractors VORKERS' CdMPENSATION DECLARATION 'VARNIIIG: FAILUF TO.SEBURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CBT OBCOMPENSATION,VAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereoy affirm under-penalty of perjury one of the following declarations: 1*flfve and %U 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 th, ance of the work for which this permit is issued. Policy No. he and A 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 I2 carrier and policy number are: r' ��. : Policy Number Expiration Date ne of Agent - - Phone 0 certify that, in the performs a 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 agre, t, if I should become t to the workers' compensaf ction 3700 of the Labor Code, I shall forthwith comply with those prev� nature of Applicant 1/ CLARATION REGAADINTCON079OCTION LENDING AGENCY veby affirm under pen- erjury 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 cityand county ordinan o buil laws relating tction. nI/ I authorize representatives of this city or Cou� the-Identifie or inspection purposes. ACTION DATE II BY ,IPERMITEXPIRED I I I PEll TCANCELLE1I PE 1141 XTENDEL? ❑ I SURA-ffTTEDASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD ❑ ASBESTOS NO17FICA77ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYtSSUED I I II SIGNATURE: USEONLY