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Home My WebLink AboutH2019-0603 - PermitsCity of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII ci 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 6 0 3 .Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O19-0603. Project No : 1686-2016 Inspection Requests Phone (949)644-3255 Job Address: 216 AGATE AVE BIdgA Floor: Suite: 0 Description of Work: MECH*CHANGE OF CONTRACTOR* NEW A/C UNIT *TAMPER PROOF CAP REQ* REPLACE H217-0631 FurnacesBoilers & Compressors Inspector Area:2 Code Edit: 2016 V Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 10 LOT 33 UJ Up to 100K BTU/hr. 0 $0.00 0. Owner: HILLMAN KAREN Contractor: MCDONALD CONSTRUCTION Worker's Comp Insurance - Fire Dampers: Address: 20 BRENA Address: 11051 ARROYO AVE Carrier: CALIFORNIA INS CO U) IRVINE CA 92620 > 3 HP to 15 HP: SANTA ANA CA 92705 Policy No: 460091230303 Exhaust Fan: Phone: Phone: 714-323-5251 Expire :06/01/2020 $0.00 Wall/Floor Heaters: Con State Lic: 1024297 >15 HP to 30 HP: 0 Issued Date:10/0212019 Lic Expire: 03/31/2021 Metal Fireplace: 0 $0.00 Bus Lic: BT30060675 Units >30 HP to 50 HP Processed By: � Lic Exp Date: 09/30/2020 0 $0.00 Record Mgt Fee: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr. 0 $0.00 Up to 3HP: 0 $0.00 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 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $35.00 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 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model PSA4BG024KIssuance: $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAG Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $35.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $35.00 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. q a1• P •4 < 3. •q S P Q' •c a o a•P •a• • a• o P•o Pr 'O Fio PGe� 0 4 N G➢[ -v 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, priorto its issuance, also requires the applicant for 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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). 1J I 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. 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 andProfessions Cdd and nse is in full force and effect. License Class License No Date D •Z ^� Contractor Si natu NORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 th( )eyormance of the work for which this permit is issued. Policy No. have 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' rance carnean 1 'policy number are, ('� ler ' V /rte i ri PQ. N rRbed"1 Exoiration Date 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' compensation laws of California, and agre, t, if I should become subject tphp,workers' compen ation�prrovisi(o/A/�-/pf Section 3700 of the Labor Cade, I shall forthwith comply with those provi.s(yims. mature of Applicant � -oz a✓ Dates 1 CLARATION REG DING CONSTRUCTION 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). ider's Name Lender's Address 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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relpqg to building construction. I authorize representatives of this city or countyr[o epte,Ft(ie above-' a ti a propert for inspection purposes. a ., fJ of o.,...ve., rn.,, „r A. aH,.r,—A Ananr \ 1 e Print crn„an„ n,.,nar a nr A,nHnr,7aH Ananra Mom / ✓ w na ACTION I DATE PERMITEXP1RED PERft4IT FINAL C€R77FICAT€OF OCCUPANCYISSUEO BY JA:UL{KAfIUINUr LUMVLJAWLL IWIO..UUCVr FEDERAL REGULATIONS PART 61 OFT/TLE40AND AQMO RULE 1403. `0 `9SUBMPfTCDAS13ESTOS NWJCATION TO. :•• •EPA ❑'ASBESTOS N07tRCA8@NIS El'IT APPLICABLE TO PROPOSEU.DEMOUTION. Sf4•NRPt�RF•.'• • • s