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Home My WebLink AboutH2019-0004 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0004 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 0 0 4 w Permit Counf=r. Phone (949)644-3288 Project No: 2925-2018 u Inspection Requests Phan 4 ft255 Job Address: 1564 OCEAN FRONT E BIdg:1 Floor: Suite: b M Description of Work: MECH -ADD (1) A/C UNIT TAMPER RES CAP REQ X2018-3780 (SCREENING TO MATCH BLDG) (DISCONNECT BY'OTHERS) Inspector Area:1 Code Edit: 2016 Legal Description: N TR 518 ELK B LOT 17 ;PC Owner: KULLY HANNAH & RUSS Contractor: SUNWEST AIR CONDITIONING Worker's Comp Insurance - Address: 1925 LOMBARDY RD Address: 1660 BABCOCK ST N ISURAN Carrier: CE OF THE WEST •�°�° SAN MARINO, CA 91108 COSTA MESA CA 92627 Policy INSURANCE 625100 • ° ° ° Phone: 626-793-8597 Phone: 949-650-5061 Expire :04/01/2019 0°°•_° °°°�°° Con State Lic: 431394 Issued Date:01 /0 312 01 9 Lic Expire: 09/30/2019 o Bus Lic: BT30062959 , • • • ° , Processed By: Lic Exp Date: 04/30/2019 HVACltems FurnacesBoilers & Compressors Ventilation FEES 00K BTU/hr. 0K BTU/hr. 0 0 $0.00 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Other ° °4$0.00 ° ° or Heaters: 0 $0.00 > 3 HP to 15 HP: >15 HP to 30 HP: 0 0 $0.00 $0.00 Exhaust Fan: Attic Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 umps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 0 $0.00 Metal Fireplace: Record Mgt Fee: 0 $0.00 $0.00 00K BTU/hr: 0K BTU/hr: 1 0 $19.00 $0.00 >50 HP: Air Handling Units 0 $0.00 Residential Hood: Comm. 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 LPackage M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Hood: Repair/Alter/Add: 0 $0.00 0 $0.00 Model: Plan Check: $16.53 .75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: PGD430040KIssuance: DAY & NIGHT $35.00 75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL : $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $110.53 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. DWNER-BUILDER DECLARATIONe item(s) 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 `sor toaits ssveneesyalso requiresllthe 'applicant for (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, p the 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 Professions 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). 13I, 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 improved for the purpose of sale). _ ❑sed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not I, as owner of the property, am exclusively contracting with licen 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal' 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 Codg.isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Pmpperiy Owner or Authorized Agent CgftSED COAIRACTOR'S DECLARATION I hereby affirm.40f r.Qenalty of perjury that I am licensed under provisions of Chapter 9 (commencing Sectjo�n 7 00) of Division 3 of the Business and Professio d my license is in full force and effect. • Date EEppl- :� Contractor Signature Lic�aq, 9 Class • License No (r WORKERS'¢(9R7P,ENSATION DECLARATION ARMING: FAILURF rA SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15700,0001, IN ADDITION TO THE �Q i TOF COMP5NSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 hereby affirm° WildN Venalty of perjury one of the following declarations: .I.4ave 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 thI p9rfognance of-the work for which this permit is issued. Policy No. have and will m;intain 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 ince capsr end policy number are: Expiration Date Carrier ... • • Policy Number Phone # Name of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers') mp tion laws of California, and agre that, if I should become subject to orkers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision Signature of Applicant Date T DECLARATION REGAR�71 G CONSTRUCTION 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 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. _ _ r I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ve-identified property for inspection purposes. Ai rDatee` Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USEONLY ACTION DATE 8Y FEDERAL REGULA TIONS PART 61 OF TITLE40 A14D AQMO RULE' 1403. PERMITEYPIRED ❑ I SUBMfTTEDAS13ESTOS M071FICATION TO:- PERMITCANCELLED ❑ EPA PERMIT ED ❑ AOMD ASBESTOSNOTIFICATION ISNOT APPLICABLE TO PERMIT FINAL O-1 _ ( 7t. PROPOSEDDEMOLITION CER70CATEOF SIGNATURE: OCCUPANCYISSUED