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HomeMy WebLinkAboutH2021-0539 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 _ 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 3 9 Permit Counter Phone (949)644-3288 U � z'a �trin4Ht� Job Address: 507 ORANGE AVE BIdgA Floor: Suite: Description of Work: MECH - INSTL NEW CONDENSER. R/R FAU. TAMPER -RESISTANT CAP REQUIRED Inspector Area:3 Code Edit: 2019 Legal Description: 293-49 PAR. 1 OF PROJECT 937-35 LOCATED ON AP 425-291-11 Owner: DE BRYE JENNIFER Contractor: K N R BUILDERS Address: 507 ORANGE AVE Address: 1300 QUAIL ST STE#102 NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92660 Phone: Phone: 714.259-1700 Con State Lic: 7733B7 Issued Date:09/17/2021 Lic Expire: 01/31/2022 Bus Lic: ST3001301 Processed By: Lic Exp Date: 09/30/2021 MECHANICAL Permit: H2O21-0539 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE COMP INS FUND Policy No: 1972863 Expire :11101/2021 HVAC Items FEES FurnacesSoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $22.00 Up to 3HP: 1 $22.00 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 t00K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $19.14 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 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $153.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $153.14 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friduy 7:06 a.m.to 6:39 p.m.nnd Saturday from 8:00 a.m. to 6:00 p.m. DWNER-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 Drofessions 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 U all of or (_) 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 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 Iicensure 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. 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 7000) of Division 3 of the Business and Professio A d my license is in full force and effect. License Class License No Date )� Contractor '1,4 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 ($100,000), IN ADDITION TO THE 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 thl pe rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date Name of Agent rnone s Ell certify that, in the performance of the work ermit 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 that, if I should become subject to the rs' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Signature of Applicant DteeY�.! DECLARATION REGARGING CONSIRUCTION LENDING AGENCY I hereby affirm under penalty of perjulry 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 provided is correct. I agree to comply with all applicable city and county ordinances a5nd_<etTTa­w`7)rltating to building construction. I authorize representatives of this city or county to enter the e-identified o r ins ses. Qr Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NameWag Date t ACTION DATE SY DECLARATION OF COMPLIANCE LYI TH CODE OF FOR OFFICE USE ONLY ,FEQERAL RFGI ILLATIONS PART CI CF TITLE40AND AQMDSRULE 1403. PERA?7T EXPtftED �] 1?UEMIT:EDA3BEUTOS,40TI=1CATIONTO: rJ EPA. ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PPOPOSED DE.',IOLI T.''ON. PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL O4- CERTfRCATEOE SIGNATURE:OCCUPANCYISSUED CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 DATE: SUBCONTRACTOR AGREEMENT PROJECT ADDRESS Subcontractors may provide services to Contractor. In addition to the terms and conditions negotiated by the parties for particular projects, the terms and conditions of the Subcontractor subject property. Contractor and Subcontractor hereby agree that Agreement (the "Agreement') shall apply to the GENERAL CONTRACTOR SUBCONTRACTOR Name. _ggj,jF Name: ` Address: QtL$Z`-O. K G, 1 Address: Phone #:---��7 Z�Y-LZ�O — I Phone #_--�y- �3i ' --------- ................---..-........ License#: 773 $ 7 License#: SCOPE OF WORK: The subcontractor has been hired by KN I, - to furnish all of the material, and perform all of the work for the above project as described on the plans and permits in accordance with the scope described herein and the terms of the Contract Agreement. DESCRIPTION OF WORK GENERAL CONTRACTOR Si nat I Date:: ^ T Z27 FoonslSubcontradorAgmement 9-2016