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Home My WebLink AboutH2020-0595 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 25 9 Permit Counter Phone (949)644-3288 Job Address: 2501 LIGHTHOUSE LN BIdgA Floor: Suite: Description of Work: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* ice. `, •�:' �:.. MECHANICAL Permit: H2O20-0595 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE COMP. INS Policy No: 9055133 Expire :05/01/2021 Ac Items InspectorArea:� Code Edit: 2019 FEES Legal Description: N TR 6385 LOT 16 •nacesBoilers & Compressors Owner: DUFFY STEPHEN J Contractor: SIRIUS MECHANICAL INC Address: 2501 LIGHTHOUSE LN Address: 16692 MARIPOSA CORONA DEL MAR, CA 92625 0 RIVERSIDE CA 92504 Phone: Phone: 951-640-5097 0 $0.00 Con State Lic: 851512 Issued Date:10/15/2020 Lic Expire: 11/30/2021 0 $0.00 Bus Lic: BT30063205 Processed By: Lic Exp Date: 11/30/2020 ice. `, •�:' �:.. MECHANICAL Permit: H2O20-0595 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE COMP. INS Policy No: 9055133 Expire :05/01/2021 Ac Items FEES •nacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: :r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: to 100K BTU/hr: 1 $21.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee .r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: a 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Other 0 $0.00 0 $0.00 0 $0.00 $0.00 o e oeesme • • e a•ee • e meeeme e o e emm �o m ee m e m e em oomo O m OOOp $0.00 Investigation: Plan Check: SUZKA18NA21ssuance: MITSUBISHI Zoning PC: TOTAL: $122.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $122.52 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. o e ee•aeo b e b b O •• C • • e e me �. eemoo • 0060.: msowo a o r m o mommoo 0 O•m0 $0.00 $0.00 $0.00 $18.27 $37.00 $46.25 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 items) (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 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 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). ❑ I, 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 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 improved for the purpose of sale). ❑ I, as owner of the ptoperty, 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 ownenof"Terty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 1 fr�exempt from Licensure under the Contractors' State License Law for the following reason: dy my signature.beiow Lacknowledge 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 sell a structure Of Mve 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 P,rofB lifts 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 ItICERSED CONMCTOR'S DECLARATION 16hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ,wit Section 7000) of Division 3 of the Business Prof ions Code, and my 'cense is in kull force 2rib'Affbpt.O L•ieet5e Class License No Date (5 ' `O Contractor Signator V C9tKt'RS' CQMPMSATION DECLARATION VIARNING!FAILURLO1ECORE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE QQK Pi GOMPENSA N, AMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IJW4S W*affirm unodgrllWalty 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, fort i performance 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 Name of Agent X1110 ,. I certify that, in the performance o e work for whi this permit is issued„shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should becom u ject tot wo ers' co alio ovision of Section 3700 of the Labor Code, I shall forthwith comply with those pr( islo/r(�J[� ( Signature of Applicant Date / /\ 1 o J DECLARATION REGA DING C NSTRUCTION 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 behalf. I have read this application and the information I have pp Ided is correct. I agree to comply with all applicable city an county fdi nces a tawsmlg t uilding construction. I authorize representatives of this city or co n to the iflr ns eclion purposes. �n y /�� „� 1,0—/3 •..2d Sicnature of Prouertv Owner or Authorized Agen CPS t Properly Owner's or Authorized Agent's Name J a ACTION I DATE I By PERMITEXPIR€D PERMITCANCELLED PERMIT EXTENDED PERMITFINAL 1 —17 —Zo L r,7 OCCUPANCYISSDED OFTITLE40AND ❑ I SUBMITTED ASBESTOS NOTIFICATION TOr ❑ EPA ❑ AQMD ❑ ASBESTOS NO17RCA110NIS NOT APPLICABLE TO PROPOSED DEMOUTION. SIGNATURE: