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HomeMy WebLinkAboutH2018-0715 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 7 1 5 Permit Counter Phone (949)644-3288 Job Address: 2448 WINDWARD LN BIdg:1Floor: Suite: Description of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit: 2016 Legal Description: N TR 5178 LOT 18 Owner: KRAUS SCOTT RICHARD Contractor: NEXGEN A/C INC Address: 2448 WINDWARD LN Address: 700 N VALLEY ST STE K NEWPORT BEACH, CA 92660 ANAHIEM CA 92801 Phone: Phone: 657-208-1987 Con State Lic: 1011173 Issued Date:11/09/2018 Lic Expire: Bus Lic: 02/29/2020 BT30055503 Processed Bl Lic Exp Date: 06/30/2019 MECHANICAL Permit: H2018-0715 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : NATIONAL LIABILITY INS Policy No: A9WC985387 Expire :01/2912019 OOfm.^O Om m m O O O •00(1 00 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 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $35.00 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 : $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $30.45 Up to 1 M BTU/hr. 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4TTL6060AIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANS Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $140.45 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $140.45 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 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 applicatt_le items) 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 applica mor he 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 lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 Ipply to an owr,4®6 property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ;•I•%I exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature Jel l 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 Jell 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 3rOfgjsfons Code- is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of ProperIWOwner or Authorized Agent Date 1QEWED CF]NT5ACTOR'S DECLARATION hereby affirm LWOer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with a tion 7 00) gf Division 3 of the Business an a ion ode, a y license is in full force fiB2ffgct. •••jpam• j �/y G C/O loense Class ✓ 7D License No D 0 ( ` l Date ( ` Contractor Signature NMERS' CPMPENSATION DECLARATION VARNIN& FAILUMOn"SEBURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED TH SAN'DOLLARS($100,0001, IN ADDITION TO THE pea pr•COMPENSATION,'bAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4iv"q affirm 010VWnalty of perjury one of the following declarations: . . I 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 the Ierformance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700,ef the Labor Code, for the performance of the work for which this permit is issued. My workers' Policy Date 2 1 1 — / / ne of Agent vnone s certify that, in the pert rma ark for which this permit is issued, I shall not employ any person in any manner so as to become subject to the�uorkers' campeflsation laws of California, and agree I, if I should become bj c to s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision/ Q 7p5/f nature of Applicant Date 6 l CLARATION REG RDING UCTION DING AGENCY Ireby affirm under enalty of a jury that there Is a construction lending agency for the performance of the work for which this permit is issued (Sl4otion 309 , 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 propert owner's behalf. I have read this application and the information I e ovi 's come I agree to comply with all applicable city and coun o i ance nd ate laws relating to building construction. I authorize representatives of this city or count r id if' d property for inspection purposes. nature of Prooertv Owner or Authorized Aaent Print Property Owner's or Authorized Agent's Name Date 11 12 ns ACTION DATE V BY I'—, — —1 FEDERAL REGULAT€ONSPARTOI OFT€TLE40AND AQMDRULE1403. PERMITEXP#RE➢ ❑ I SUBMITTED ASBESTOS NOBF€CATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED P£RMITEXTENDED ❑ ASBESTOS N07IRC4170MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERM€TF€NAl ( /fir,,v0 y . / - CERRFICATEOF SIGNATURE. OCCOPANCYISSOED