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Home My WebLink AboutH2019-0207 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O19-0201 a 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 2 0 7 Project No: 0652-2018 Permit Counter Phone (949)644-3288 - -�r�4 systt Inspection Requests Phone (949)644-3255 Job Address: 115 29TH ST BIdg:1 Floor: Suite: Description of Work: MECH - (2) A/C CON DENSORS *TAMPER-RESISTANT CAPS AND TIMERS REQUIRED* InspectorArea:1 Code Edit: 2016 - Legal Description: NEWPORT BEACH CITY BILK 29 LOT 28 Owner: 115 29TH STREET LLC Contractor: RC A/C & HEATING Worker's Comp Insurance - Address: 112 30TH ST Address: 169 N MAPLE ST STE D Carrier: STATE COMP NEWPORT BEACH, CA 92663 CORONA CA 82880 Policy No: 1354374 Phone: Phone: 951-735.8046 Expire :07/01/2019 Con State Lie: 657924 Issued Date:04/10/2019 Lie Expire: 06/30/2019 Bus Lie: BT30066849 {1 Processed By: Lie Exp Date: 04/30/2020 ? '.7 HVAC Items.... FEES ` EttsrtacesBoilerb a Compressors Ventilation Other 41p,too1OOK BTU/hro 0 $0.00 Up to 3HP: 2 $38.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over t00K Biy/19P.0 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 VAU/floor Heatgrs: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 qat,Pumps 8y g86kage Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 t GOOK Bzrpjhro ° 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 pves HOOK BTU/hr. e 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $33.06 Op`to.fM BTUMfh ..`°' 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model CSA18FIssuance: $35.00 IJp to d.75M BTUjhr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAG Ory& 1,.$5M BTU(Itr, 0 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 c , TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $146.06 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 )WNER-BUILDER DECLARATION 1 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 is 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 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 U 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 nproved for the purpose of sale). 3. 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 :rot yly 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). , I am exempt from licensure under the Contractors' State License Law for the following reason: 1¢ 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 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.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Professions Cod d my license is in full force nd effect. `, // !cerise Class License No Date Contractor Signature/// .. VORKERS' COMPENSATION DECLARATION 'ARNING: 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 (5100,000), IN ADDITION TO THE OST OF COMPENSATION, 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: I h ve 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 e mance 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 wo R7rsl compensate carrier and policy number are: • .. • ° ° ° Policy Number Date is of Agent Phone # 0 - ° 000 certify that, in the performance of the �AIF� permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of C#lifornia, and ag44 if I should become subje hew orn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , .... ° ... ° ....• 00°° JatureofApp licant, / i Datsv g1110�/9 • °b— :LARATION REGARDIN ONSTRUCTION LENDING AGENCY • •.... reby 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). • • ° °° der's Name Lender's Address _ _ • ° ._1 iy 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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 1 authorize representatives of this city or county, to erger the abo�¢9ntified property for inspection purposes. ACTION DATEI BY I f,ts.fsuxx f fvnr yr UUMV"Anuc WH r n wuc ur FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMO ROLE 1403. ❑ f SUBMITTED ASBESTOS M071FICATION TO: EPA ❑ AQMD ❑ ASBESTOS NOnFICATIONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. CERTI6ICATEOF r^ I I SIGNATURE: •••• .000uu – Date