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Home My WebLink AboutH2018-0617 - PermitsCity of Newport Beach - Building Division III INIIIIIIIIIIIII11IIIIIIIIIIIIINIIIIIIIIIIIIII 100 Civic Center Drive, Newport Bench, CA 92660 H 2. 0 1 6 0 6 1 7 . ,Permit Counter Phone (949)644-3288 14 . 'A$}Phlb� Job Address: 2407 BUCKEYE ST BIdg:1 Floor: Suite: Description of Work: MECH A/C UNITS (2) *TAMPER PROOF CAP REQ* InspectorArea:8 Code Edit: 2016 ..m• Legal Description: N TR 4893 LOT 101 ° Owner: ZEHNER RICHARD/BARBARA Contractor: URBAN MECHANICAL Address: 2407 BUCKEYE ST Address: 10621 BLOOMFIELD #25 NEWPORT BEACH, CA 92660 • O LOS ALAMITOS CA 90720 Phone: Phone: 714-614-2446 FEES Con State Lic: 594181 Issued Date:10/02/2018 Lic Expire: 05/31/2020 ✓��(� � Bus Lic: BT30005613 Processed By:� Lic Exp Date: 08/31/2019 MECHANICAL Permit: H2O18-0617 Project No : 2483-2017 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance Carrier: WESCO INS CO Policy No: WWC3371433 Expire :09/09/2019 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. ..m• ° • ° ° •mmomc • ° 5;. "moem • o c eo e tfoa F".�m • O ..r w FEES �� •moot •wwr:+� •omooc m ° °mmmm• Ventilation 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. -••°° 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 IOOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $70.00 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 1OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $60.90 Up to 1 M BTU/hr: 0 $0.00 up to I OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: PUMY-P60NKMU1 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $205.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $205.90 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. ✓NER-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 applicz> 0 items) action 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 applicanvor 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 fessions 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 more than five hundred dollars ($500). I, 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, siness 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 )rovements 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 )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 fly 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: my signatuie belpw 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 a structu?&th&?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 ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. i"ure of B%eriy Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION ;reby affirm uTder penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwit so' n 70 ) of Division 3 of the Business and P Tessio lic I orce I effect. .... G Asa Class .... • License No Dat E , Zo O Contractor Signature 5§KERS' 90MPENSATION DECLARATION iNING: FAILURERO SPCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O HUNDRED THOUSAND DOLLARS 13100,0001, IN ADDITION TO THE rPOF COMPENS@TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rreby affirm lInder penalty of perjury one of the following declarations: wllf 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 IN n jh%Work for which this permit is issued. Policy No. will trl6intain 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 is of Agent certify that, in the pertGlmance of , if I should become sybject to thg lature of Applicant _ Date I not employ any person in any manner so as to become subject to the workers' yffmpen7on laws of California, and 3700 of the Labor Code, I shall forthwith comply with those proviS/ions. / hereby affirm under malty of perjury that there is a construction lending agency for the performance of the work for which this permit is Ender's Name // Lender's Address ly 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 co I agree to comply with all applicable city and cou y ordinances d r f tWon,purposes. onstruction. I authorize representatives of this city or county ,yp('tenter the ov ' ' d lionature of Prooerty Owner or Authorized ADent / erty Owner's or Authorized Agenl ACTION DATE BY ucr..f-sUu+r rtiry ur wmrura+va.c vn r+r a.vu�..+ FEDERAL REGULATIONS PART 61 OFTULE40AND AQMD RULE 1403. ❑ i SUBMITTEDASBESTOS NOTIFICATfON T0: ❑ EPA ❑ AQMD PERMIT EXPIRED PERMITCA.NCELLED PERMITEXTEIVDED ❑ ASBESTOS NORRCA710N'IS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERMITFINAL CERTIFICATEOF SIGNATURE. OCCOPANCYISSUED (Section 3097, Civil