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HomeMy WebLinkAboutH2019-0409 - Permitsw, City of Newport Beach - Building Division IIII�IIIIIIIIIIIII�IIIIIII�IIIIIIIIIIIII 100 Civic Center Drive, Newport Beech, CA 92660 H 2 0 1 9 0 4 0 9 Permit Counter Phone (949)644-3288 Job Address: 112 OCEAN FRONT E BIdgA Floor: Suite: Description of Work: MECH REPLACE A/C UNIT "TAMPER RESSISTANT CAP REQ", REPLACE FURNACE InspectorArea:1 Code Edit: 2016 Legal Description: EAST NEWPORT BILK 11 LOT 19 Owner: CLOSE RICHARD & SALLY Contractor: Address: 1299 OCEAN AVE #900 Address: SANTA MONICA, CA 90401 Phone: Phone: FurnacesBoilers&Compressors Con State Lic: Issued Date:07/101 Lic Eire: ic: Processed By: Lc Exp Date: EVEN FLOW HEATING & AIR INC 1700 CENTERY AVE RIVERSIDE CA 92506 954-684-4979 917275 06/30/2020 BT30068042 07131/2020 MECHANICAL Permit: H2O19-0409 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: NORGUARD INS Policy No: EVWC956689 Expire :06/20/3899 rT�q °... MTPCT TO MELD INSPF,CTOR TREVJEWANDAPPRO� o° HVAC Items FEES FurnacesBoilers&Compressors Ventilation Other ...° Up to 100K BTU/hr: 1 $19.00 Up=tb 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00°... o ® $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 $O.QQ ... Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 0 ° 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: $16.53 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 "Plan Check: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: YXT48B218Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $129.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $129.53 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 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 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 IS, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chanter 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 penally of of more than five hundred dollars ($500). 1 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, lusiness 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 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 n roved 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 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 exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall} ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm yryDlg% penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Prof ns Code, d y license is in full force nd effect.• • • • d• 1 ,n T � /^ icense Class l License No /k/ "� Contra to ignature MAERS' COMPENSATION DECLARATION ARNRIG: 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 OST 911COMPENSA'hON, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm JlrrJer.+nalty of perjury one of the following declarations: I.have and will •i7jaintain 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 ance oftile work for which this permit is issued. Policy No. .... e and will jrlaintain 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' compensatiol leuraaaec rler ndp licl numb ra"re::,,�'��� , /��� /� ,�n j /�j airier : � ylpyyr� Policy Number f Y✓ Ci6 q�I o Expiration Date ame of Agent Phone #. li'mIfy that, IN*@ performan e f the work f hich 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 tat, if I should ecome subjeo he worke pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with os provisions. »' ignature of Applic t Date �ECLARATIOARDING CONSTRUCTION LENDI -AGENCY hereby affirm underpenalty 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 y 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 It nces and laws relating to building construction. /� I authorize representatives of this city or county to antgjrie abgye tified property for inspection purposes. J I Y/_ AC17ON PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY I SUBIWITEDASBESTOS NOTIFfCATION TO: Q EPA Q AQMD Q ASBESTOS N077FICA770MIS NOT APPLICABLE TO PROPOSEDDEMOIIFION SIGNATURE: FOR CIRCE