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Home My WebLink AboutH2019-0473 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O19-0473 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 4 7 3 a Permit Counter Phone (949)644-3288 Project No: a Inspection Requests Phone (949)644-3255 NO CONSTRUCTION NOISE Job Address: 1402 BALBOA BLVD E BIdgA Floor: Suite: � � �5 l i+S��C�� Description of Work: INSTIL A/C @ THE SIDE YARD BESIDE (1) EXTG UNIT "TAMPER RESISTANT CAP REQ" V f InspectorArea:1 Code Edit: 2016 ON THE WEEKEND Legal Description: BALBOA TR EAST SIDE ADD BILK 23 LOT 12 Owner: SIMMONS JOHN & KRISTINE Contractor: DYNAMIC AIR SERVICES INC Worker's Comp Insurance - Address: PO BOX 4320 Address: 21088 BAKE PKWY #104 Carrier: OAK RIVER INS NEWPORT BEACH CA 92661 LAKE FOREST CA 92630 Policy No: DYWC912320 .... Phone: Phone: 949-340-3917 Expire :03/01/2020 ° Con State Lic: 753286 SUBJECT TO FIELD YIVS'PF.CTOVS Issued Date:08/05/2019 Lic Expire: 02/28/2021 REVIEW AND A4`I ROVALo Bus Lic: BT30064634 ° Processed By: rA 164 a / Lic Exp Date: 10/31/2019 °,°° °•°° • . • ° .° PERMITS EXPIRE 980 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: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 m ° ®• ° ° $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 °° $0.0d°°° 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: $0.00 Investigation: $0.00 Over 500K BTU/hr. 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $16.53 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A436AKAIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: HEIL Over 1.75M 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 980 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 applicable item(s) .ction 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 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 witp 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 6iness 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 movements 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 moved 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 )ly 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 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 legal) I 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION =.reby affirro LAdEtryenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Of Division 3 of the sin - esalons Code, and my lic rise is in full force I effect _ ... • -/f I1 �(�\ ease Class ...,.. License No Contrac )�kERS' COMPENSATION DECLARATION 2NING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H HOUSAND DOLLA ($100, , IN ADDITION TO THE WOF COMPEN$QTJQN, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 04y affirm yrid" penalty of perjury one of the following declarations: I have and -mill 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 tht r{pormance mf tha work for which this permit is issued. Policy No. I• Fy�fve and wiR maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pertormance of the work for which tplis per �t1is/ilssued. My workers' compensatior lirance carry andfpolicy number are: (�('� \� I1��--(/ LiJ rjigr� .A Policy Number oi� —\ Expiration Date rr29bf Agerij• • • Phone # 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 agrer t, if I should becom b'act to the wor rs' compensation Fovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis!1r, � Inaturd o cant Da SCV 'CLARA17DRREGAR ONSTRUCTtqN LENDING A Y =.reby affirm under re 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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable cit county ordina ces and at a sr ting to building construction. I authorize representatives of thh --or cou Bf t id y for inspection purposes. '� mature of Progertv Owner or Au on d Agent Print Property Owners or Autho7d Agents Name ACTION I DATE I I I FEDERAL REGULATIONS PART61 OFTHLE40AND P€RMITEXT€NDED I I I OCCUPANCYISSUED ❑ I SUBM7TTEDASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD ❑ ASBESTOS M017RCAIJONIS NOT APPLICABLE TO PROPOSED. DEMOLITION. SIGNATURE.