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Home My WebLink AboutH2022-0259 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIII�IIIIIIIIIIIIIIIIII�III�IIIIIIIII MECHANICAL Permit: H2O22-0259 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 5 9 Project No Permit Counter Phone (949)644-3288 ^�q Inspection Requests Phone (949)644-3255 Job Address: 419 BEGONIA AVE Bldg:1 Floor: Suite: _® Description of Work: MECH CHANGE OUT (2) ROOF TOP A/C UNITS & (2) FURNACES *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit: 2019 Legal Description: CORONA DEL MAR BILK 329 LOT 13 Owner: TSO-WU TROY Contractor: Address: 419 BEGONIA AVE Address: NEWPORT BEACH, CA 92625 Phone: Phone: Con State Lic: Issued Date:05/23/2022 Lic Expire: Bus Lic: Processed By: ( JV� Lic Exp Date: 1ST CHOICE HEATING & A/C 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 949-305-5754 1006824 08/31/2023 BT30064046 08/31/2022 ° v M Worker's Comp Insurance P�11 - ° Carrier: SECURITY NATIONAL INSURANCEC:O Policy No: SNP1379655 ° Expire :0211512023 Q OO.:b 4 �60 HVAC Items FEES FumacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 2 $44.00 Up•to 3HP: 2 $44.00 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: $76.56 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 RepairlAlter/Add: 0 $0.00 Model: ELI8XCVlssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $254.56 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $254.56 PERMITS EXPIRE 180 DRYS 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. 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) I have placed next 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 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 thatIlhe 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 hundrer dollars ($500). I, as owner of the property,'or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professionsi 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). 1, 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-c` property who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempffi G l licensure under the Contractors' State License Law for the following reason: 4 j my Fignaturc- Slav 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) yell a srructure�hatj navel 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 F'ofes5lonS Code; is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm1. :Sigrleture of PropertyOwneror!Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION i herI' affirm under penalty of'peoury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code, and my license is in full force and, pffect. Licenser Class �: License No �oi3 (�S Z Date S Z3- ZUZ2 Contractor Sig natur W91�,K,ERS' COi-APENSATION DECLARATION LdARNING� FAILURE 70 sEC. JRE 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 COST OF COMPENSk•T^ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hlrerel y„affirm urger penalty of perjury one of the following declarations: _ " " I I have and vwil maintain alcertificate 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 the II performance of the work for which this permit is issued. Policy No. 61 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' compensation ifisu-ra-nce carrier and policy,number are: Carrier SCc dte41-1 JJ&",u(' Policy Number 9W 1ss Expiration Date of Agent 1 certify that, in the performance'', of the work 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 iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisipo S. ;ignature of Applican=Tr Date IECLARATION REGARDING'GONSTR LENDING AGENCY 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). ender's Name I I Lender's Address iy 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 land the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representa'tives of this city or county o enter the ' ' ed property for inspection purposes. signature of Property Owner or Authorized Agent DL Print Property Owner's or Authorized Agent's Nam J �'.✓ Date s'� �� ON DA c y' DECLARATION OF COMALtANCE l 'TH CODE OF FOR OFRCE USE ONLY .A FEDERAL REGI LATIONS PART 6? OF T17LE40 A IVD A QMD RULE 1401 PEFtMf E PIRED ❑ 1 SUBMITTED ASBESTOS N071FICATION TO: ❑ EPA ❑ AAOLI PEeREfi4111 C0410ELLED PERA=41€T1SDED . ®p�� .ASBESg+Ty€-�sSatp 07�i1p�+-CA7ft"N NOT APPLICABLE TO itTiJPOSE3,4'31E@YiOL[TIO . PE�Ti4t)'IT FINAL S [/� — RFfC+ aril L /'aN y g R Ili YPt llSL >' �CER pOF p T§ OCCUPAPICYfSSSDED