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Home My WebLink AboutH2020-0688 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O20-0688 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone H 2 0 2 0 0 6 8 8 Project No (949)644-3288 TIMER REQUIRED ON EQUIPMENT Inspection Requests Phone (949)644-3255 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Job Address: 2245 GOLDEN CIR BIdgA Floor: Suite: Description of Work: MECH/CHANGE OUT (E) F.A.U., A/C UNIT 53dB (LENNOX; 16ACX-D36)*TIIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM HERS ERIFI�,d¢'TN REQ InspectorArea:3 Code Edit: 2019 Legal Description: N TR 3068 LOT 35 Owner: CHEN JUNG Contractor: - GREENSTAR HOME SERVICES Worker's Comp Insurance - Address: 2245 GOLDEN CIR Address: 965 RIDGE LAKE BLVD #201 Carrier: LIBERTY INS NEWPORT BEACH CA 92660 MEMPHIS TN 38120 Policy No: WA763D508631010 Phone: Phone: 949-885-0102 Expire :10/01/2021 p� Con State Lic: 795556 i, 1 Issued Date:11/24/2020 Lic Expire: 02/28/2022 Bus Lic: BT30056111 Processed By: Lic Exp Date: 08/31/2021 0�y ..hJ HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 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: $18.27 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: $37.00 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: $46.25 TOTAL: $143.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $143.52 PERMITS EXPI07&f 8Q PEt YS 4FSER /SSUAP(qE OR LAST VALID INSPECTION - Construction Hours: Monday- FridOy 7:0Oa.m. om6:30p.m.snd Saturday from 8:00 a.m. to 6:00 p.m. opo ... .. OWNER -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) 1 have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires apermit 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 basisforthe 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). .. 1 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portms 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). 7044, Business and Professions Code: The Contractors' State License Law does not 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 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' Slate License Law). ❑ [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 legal) 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:http://www.leginfo.ca.gov/calaw.htmi. 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 000) of Division 3 of the Business and Pro Ens Code, and ense is in full force and effect. License Class License No Date L?_V Contractor Signatlf�_ WORKERS' COMPENSATION DECLARATION WARNING: 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 ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 preutided for by Section 3700 of the Labor Code, for th pe ance of the work for which this permit is issued. Policy No. h ve 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' compensatio sura a carrier anSy number are: � Expiration Date Carrier Policy Name of Agent - Phone # the c this is issued, I shall not employ any person in any manner so as to become subject to thi workers' compensation laws of California, and agre I certify that, in the performance of work permit that, if I should become subject to the wor compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions; p Dat / Signature of Applicant - DECLARATION REG UCTION LENDING AGENCY I hereby 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). Lender's Name Lender's Address By my signature below, I certify to each of the following: - I am the property owner or authorized to act on the property owner's beha 1 have read this application and the information I have prov' is Ct. P I agree to comply with all applicable city and county Ina and state laws relating to building construction. _ I authorize representatives of this city or county t an a above -identified property for inspection purposes.11 l O Si nature of Property Owner or Authorized Agent- Print PropertyOwner's or Authorized Agent's NaM Date AC77ON DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOROFFICEUSEONLY FEgqEEgqAANlI4p��GULATi0N5'P4RT B7�KlF Aj'LE40 AND AQd40 UL 1403.:.. PERMITEXPIREO �v� ❑:1$U$MIFTED?$SM$TQS 1' OWCAVQN TO: PERMIT CANCELLED El CPA ❑ AQMO ❑ ASBESTOS NOBRCATIONIS NOT APDL/CABLE TO PFRMITFXTENOEO PERMITFINAL Z PRO{'O�EB9}=1k(UL(TfQNr, CERTIFICATEOF • • .: i i �• �• i SfGNLQ•U(2E.: OCCUPANCYISSUED : : .•. ��. ��