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Home My WebLink AboutH2019-0027 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0027 ti mm mm m m Ifr' mm r5 eI00 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 0 2 7 Project No: w { Pe+mit CountereoPho•ne ({440644-3288 s.. e e• o o• e m m G e. e o oom o0 „r Inspection Requests Phone (949)644-3255 rnxe� o ma ea om eo • • c e o • m t c m o m m® c o o n Job Address: 20231 m maRtAD Sim 1306::1 Floor: Suite: Description of Work: MECH - REPLACE FAU Inspector Area:8 Code Edit: 2016 Legal Description: N TR 1500 LOT 14 Owner: BARNES -MILLION KATHRYN L Contractor: JAMISON HEATING & COOLING SVCS Worker's Comp Insurance - Address: 20231 ORCHID ST Address: 2481 SANTA YSABEL AV Carrier: EXTEMPT NEWPORT BEACH CA 92660 FULLERTON CA 92831 Policy No: NO EMPLOYEES Phone: Phone: 714-397-4132 Expire Con State Lic: 1015392 Issued Date:01/11/2019 Lic Expire: 06/30/2020 ( Bus Lic: BT30065676 Processed By: Lic Exp Date: 01/31/2020 n rt HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $19.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1o0K 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: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.06 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. In 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 &a!- placed neid 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 $itis issupnge, $14 requtrea 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 Set6or?7000) 6f Divition 3 of ttfe 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 ($500). 11I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not ir$teRded�a offered for sale (Sectph 7,41, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builsi & im$rov4s the property, provide thot the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have tDt bylppn of giDying Drat it %plimPt$Ltilt or improved 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). ❑ t 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 Iegalh sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 Profess' Code, a my license is in full force and effect. License Class License No Da Contractor Signatures WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 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 Derformance 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 Date I'e of Agent rnone s �I ertify that, in the performance he w 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 tat if I should become subject w 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ions. signature of Applicant Date IECLARATION REG G O CTION LENDING AGENCY hereby affirm under penalt perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectio 097, Ivil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinancesA state laws relating to building construction. I authorize representatives of this city or coun�(}'0 ente e a Identified property for inspection purposes. `'�---� /�y lonahne of Prnnwrty Owner nr Authnrizsd Anent JC ,f Print Prooertv Owner's or Authorized AGent's Name.X IG�-ja� 71T 1CQLiC' Date ACTION DATE/ - BX Ur run UrCIr U�c Ulvr.r / FEDERAL REGULATIONS PART 61 OFTITLE40AND PERMITEXPIRED AQMD RULE 1403. ISUBMITTEDASBESTOSNOTIFICATIONTO: PERMITCANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS NOTfFICATtONIS NOT APPLICABLE TO PERMIT RNAL PROPOSED DEMOLITION CERTIRCATEOF OCCUPANCXISSUED SIGNATURE.,