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Home My WebLink AboutH2019-0642 - PermitsCity of Newport Beach - Building Division III�IIIIIIIIIIIIIIIIIIUIIIIIIIIII o� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 6 4 2 Permit Counter Phone (949)644-3288 e Ay {IAISy�'5'. Job Address: 911 KINGS RD BIdg:1 Floor: Suite: Description of Work: MECH NEW A/C UNIT ON BALCONY *TAMPER PROOF CAP REQ* Inspector Area:2 Code Edit: 2016 Legal Description: N TR 1219 BILK E LOT 26 Owner: CHASE RYAN & BROOKE Contractor: SERVICE CHAMPIONS HTG Address: 911 KINGS RD Address: 3150 E BIRCH NEWPORT BEACH, CA 92660 BREA CA 92821 Phone: 949-623-4344 Phone: 714-777-7777 Con State Lic: 799170 Issued Date:10/18/2019 Lic Expire: 10/31/2021 \ Bus Lic: BT01080105 Processed By: <; �{I _Lic Exp Date: 07/31/2020 MECHANICAL Permit: H2O19-0642 Project No : Inspection Requests Phone (949)644-3255 INSPCTeyl Worker's Comp Insurance - Carrier: EVEREST NATIONAL INS CO ' Policy No: RMBWC00044191 Expire :05/29/2020 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other $0.00 Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $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 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: XC16-03BIssuance: $35.00 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: $41.50 TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $113.90 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. IWNER-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) iection 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 ie 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 'rofessions 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 of rrnre than five hundred dollars ($500). 1, 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, Iusiness and Professions Cade: 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 nprovements 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 nproved for the purpose of sale). 7 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). 1 am exempf f,crc,,�icensure under the Contractors' State License Law for the following reason: 'y rmv 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, 1 cannot legalll ell a structure tnat 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 Coue, s available upon request when this application is submitted or at the following Web site:http://www.legirifo.ca.gov/calaw.htmi. 'signature of Property Owner or Authorized Agent Date .ICF.NSED CONTP.ACTOR'S DECLARATION i lereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 30ctiogi700T of Division 3 of the Business and s o e, an my license Is in uu -force nd effect. I icenre Class License No Date (fR � Contractor Signatur VORKERS' COMPENSATION DECLARATION ARNI'IG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST JF COMF9fi^PPON, 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: J 1 have and will ,naintain 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 irformance of the work for which this permit is issued. Policy No. I 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' compensatio m ante carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the pe c he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to th- workers' compensation laws of California, and agre that, if I should be me bje o t ro ' o e Labor Code, I shall forthwith comply with those provisio s. Signature of Applica Date DECLARATION REG R LICTION 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 iss d (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 provided is correct. agree to comply with all applicable city and county ovd' inances and state laws relating to building construction. I authorize representatives of this city or - ---t ion -purposes. Signature Signature of Property Owner or Authorized Ag, Print Property Owner's or Authorized Agent's Nam Date /f)_ 1. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE 03E ONLY FEDERAL REGULATIONS PART 01 OF TITL.E40AND AQMO RULE 1403. PERMIT EXP)RED ❑ I SUBMITTED ASBESTOS NO 17RCATION TO: ❑ EPA PERMITCANCELLED ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS NOTIFICATIONISNOTAPPLICABLETO PROPOSED DEMOLITION, PERMIT FINAL CERTfFICATEQF SIGNATURE: OCCUPANCYISSUED