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Home My WebLink AboutH2019-0256 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 2 5 6 Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O19-0256 Project No: 0686-2019 Inspection Requests Phone (949)644-3255 ••oe e � � mmoe AC Items Job Acl&oss: 222 30TH ST Bldg:l;Flcor: Suite: Description of Work: MECH A/C UNIT C/O *TAMPER PROOF CAP REQ* FurnacesBoilers & Compressors Ventilation •° ° ° 'I'X..' ° ° ®° ° ° InspectorArea:1 Code�ilit: 20164r,�m� Up to 100K BTU/hr: 0 .o•••' .: °°°°•� Legal Description: LAKE TR BILK 1291OT 10 Bathroom Fan: 0 $0.00 • • o $0.00 Over 100K BTU/hr. ° , , ° e ° > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 •e000 Owner: SALHOTRAAJAY Contractor: OWNER/BLDR Worker'sCompinsurance- Wall/Floor Heaters: 0 Address: PO BOX 19809 Address: DENZER RICHARD W Carrier: Attic Fan: 0 $0.00 YUCCA VALLEY CA 92286 (X2018-0998) Policy No: ...... m -o•0000 Phone: Phone: >30 HP to 50 HP Expire : ° oe «o • °° m Con State Lie: I 0/B ° o 0 o Issued Date:05/06/2019 Lie Expir :i- >50 HP: 0 $0.00 Residential Hood: Bus Lie: Additional Fee : $0.00 Investigation: $0.00 Processed By: v >d Lie Exp Date 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: AC Items FEES FurnacesBoilers & Compressors Ventilation Other 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 iJ to 100K BTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 OVdr 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 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model CSA1BF4M25N036K Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAG 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. 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) ction 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 thp.applicant for 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 fessions 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 more t aittM hundred dollars ($500). I, as owrref 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, Qness and Prdvsions 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 Ibvemerits afenot 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 loved for the purpose of sale). as owner -913 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 iyy�o an dPr✓peeaf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). am exempiffo n licensure under the Contractors' State License aw foZ 'reason: y signat§re`bebw I acknowledge that, except f y p I r cust have resided for at least one year prior to completion of the improvements covere bythis permit, I cannot lege Structure that I have built as an owner -build i t n irety by licensed contractors. I understand that a copy of the applicable law, Sectio 044 of the Business and sysions Code, is available upon request when`t i b tllowing Web site:httpa/www.leginfo.ca.gov/calaw.html. I eA/],f,r �/ /rl �^ Kre of PjQpody-Owner or Authorized Agent J /Dte V��AWL_LASED CONTIfACTOR'S DECLARATI Nby affirm Lh9gr i1nalty of perjury that I am Icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession, and my license is in full force ,rfa,.t .... Class License No COMPENSATION DECLARATION Date Contractor Signature DARNING: FAILURE TO SECURE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under 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 th, erformance of the work for which this permit is issued. Policy No. ]I have 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' compensatiol Isurance carrier and policy number are: ne of Agent _ certify that, in , if I should be iature of ADDIi Policy Number Date t is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agreTE o pen on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proA Ions. Da i C&4WdCTlM LENDING AGENCY Ireby affirm undo( penalty 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 v rpy�ded is correct. I agree to comply with all applicable city and o ty rgsagd stat�Ele2 I authorize representatives of this city or count t r ove lde of Property or Authorized Agent $or Authorized Agent ��o AC77ON DATE ' BY PERMfT CANCELTED PERIV relating to building construction. operty for inspection purposes. Print ProDertv Owner's or FEDERAL REGULATIONS PART61 OF TITLE40.AND AQMD RULE 1403. ❑ ISBMITTEDASBESTOSAIOTTFICATIONTO. ❑ EPA ❑ AQMD El ASBESTOS NOITRCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION S7GNAFURE: QCCUPANGYISSUED I I' M