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Home My WebLink AboutH2021-0379 - Permits(9) City of Newport Beach - Building DivisionIIII1IIIIIIIIIIIIIIIIIIIulllllllllMECHANICAL Permit: H2O21-0379 100 Civic Center Drive, Newport Beach, CA 92660 H 2 1 2 1 0 3 7 9 Project NoPermit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 298 CHESTERFIELD Bldg:1 Floor: Suite: Description of Work: MECH - R/R FAU & AC CONDENSER. TAMPER -RESISTANT CAP & TIMER REQUIRED Inspector AreaA Code Edit: 2019 Legal Description: TR 11604 LOT 1 UNIT 166 OF PROJECT LOCATED ON AP 442-29140 TOGETHER Owner: HOWARTH ALAN Contractor: GREENSTAR HOME SERVICES Worker's Comp Insurance - Address: 298 CHESTERFIELD #166 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 Issued Date:06/21/2021 Con State Lic: Lic Expire: 795556 02/28/2022 Processed By: Bus Lic: Lic Exp Date: BT30056111 08/31/2021 G� I HVAC Items FEES FurnacesBoilers & Compressors Ventilation ? Other Up to IOOK BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1 OOK 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 IOOK 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 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 16ACX-036Issuance: $37.00 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: $46.25 TOTAL: $143.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $143.52 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 3:OC a.m.. to fi:OO.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 he 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 3rofessions 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 iot 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 mproved 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). ❑ 1 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 legally 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. html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature v' 00 WORKERS' COMPENSATION DECLARATION TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty 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, for the 'ma(rce of the work for which this permit is issued. Policy No. ' as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers and will maintain workers' compensation insurance, carrier and policy number are: Policy Number Date ame of Agent - --- 3 certify that, in the performance of thew or which this Issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and ogre rat, if I should become subject to the ers' c ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ',ignature of Applicant Data _ 3 IECLARATION REGJfiJftMTQWS1RkJMON 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 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 1 have provided is correct. I agree to comply with all applicable city and county ordinances and st50-10 I authorize representatives of this city or county to enter the entifiec of Property Owner or Authorized ACTION PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED rs-I to building construction property for inspection Prn purposProperty Owner's Print Property Owner's or Authorized Agent's Name / �l/ry r /ie' w Date DECLARATION OF COMPLIANCE fMTN CODE OF FOR OFFICE USE ONLY FFnFRat RF(;UI ATIONS PART 630E TIRE 40 AND AQMD RULE 1403. ❑ I SUBUTTEDASBESTOS M077FICATION' TO:. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRCA77ON IS NOT APPLICABLE TO ri' PROPOSED DEMOLITION. SIGNATURE:.