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Home My WebLink AboutH2020-0414 - Permits�� g61"(t�,� 0 m emm m m o m e o m e• e e e s • e o m e m m m e m m e City of Newport Beach - Building Division III�IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII 10001vic Pan% Drige, Ne'drvr✓pon:3e�ch, CA 92660 H 2 0 2 0 0 4 1 4 Permit Counter Pii o ee 949)644 4206 e oee eee e mee :.- e • • • e • e s Job Address: 2006 mPORT CHELSEA PL -Bldg 1 Floor: Suite: Description of Work: MECH -INSTALL NEW A/C MIN -SPLIT. TAMPER-RESISTANT CAP REQUIRED Inspector Area:4 Code Edit: 2019 Legal Description: N TR 6624 LOT 90 FEES Owner: BURNHAM THOMAS J Contractor: C W HEATING & A/C Address: 2000 PORT CHELSEA PL Address: 3221 W BALL ROAD NEWPORT BEACH, CA 92660 ANAHEIM CA 92804 Phone: Phone: 714-530-6312 Other Con State Lic: 820838 Issued Date:07/22/202 Lic Expire: 06/30/2021 1 $20.00 Bus Lic: BT30062561 Processed By: Lic Exp Date: 03/31/2021 MECHANICAL Permit: H2O20-0414 Project No: 1703-2019 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire : HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 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: $17.40 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NAXMMX20Al22AA 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: $41.50 TOTAL: $113.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $113.90 PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. )WNER-BUILDER DECLARATION - .. ... . . .. .. ... 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkraarrr(s) Ieiav°e placed next4d the',applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, brior to ill k4u$nc,P, alsq regfrires the applicant for le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing Ivith Bectioh 7000) of [iivisieR 0 of the Business and Irofessions 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 got more than five hundred dollars ($500). 1, 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 le not Trltended os offered forae% ($80on 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal e$orr, bLVds & h%prov s the'Jrollbjtyeprovided 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%!! hg lerthe bVtVVn 2f proving that K was not built or nproved 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 pply 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). 7 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 legalh 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.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Prgfqssions Code, d my licgnse is in full force nd effect. is L e Class License No Dat 7 ` 22' 10 Contractor Sign VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H DRIED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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. 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' rance carrier and policy number are: Policy Number of Agent Date ihe dify that, in the performance of the work for w ' h 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 t, f 1 should become subject tto�the ' wpkers' m nsatio orn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proviisil s. i� nature of Applicant \/ I" Date .X �" 20 CLARATION REGARDING CEINSTRUCTION LENDING AGENCY !reby affirm under 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 I have provided is correct. I agree to comply with all applicable city and coun ordinances and at I s relating to building construction. I authorize representatives of this city or coun r the abov n d property for inspection purposes. \/ nature of Prooertv Owner or Authorized Acent t" f ,// - Print Prooertv Owner's or Authorized AGent's Name Vic ✓r^ I S }�` S Date 77- Z�-�: ACTION DATE BY OLCLARA IJUN OF CUMPLIANCL WII NCTDUL OF \ FOR OFFICE USEONLY FEDERAL REGULATIONS PART fit OFTITLE40AND AQMORULE 1403. PERMITEXPIREO 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED PROPOSED DEMOLION. RDUNIS NDT APPLiCAt31.E TO PERMIT FINAL ` CERTfFICAT€OF OCCUPANCY/SSUED SIGNATURE: