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Home My WebLink AboutH2019-0271 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 _ Permit Counter Phone (949)644-3288 I MECHANICAL Permit: H2O19-0271 IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Project No : 2538-2018 Inspection Requests Phone (949)644-3255 Job Address: 2201 ALTA VISTA DR BIdg:1 Floor: Suite: Ventilation Description of Work: MECH -ADD 2ND A/C CON DENSOR *TAMPER-RESISTANT CAP REQ'D Inspector Area`.8 Code Edit: 2016 Legal Description: N TR 4705 LOT 79 Other Owner: WEBB CHRIS Contractor: UNITED CONTRACTORS Address: 2201 ALTA VISTA DR Address: 10725 ELLIS AVE #ID NEWPORT BEACH, CA 92660 0 $0.00 FOUNTAIN VALLEY CA 92708 Phone. 858-735-3207 Phone: 801-792-7417 rer 1OOK BTU/hr. 0 Con State Lic: 949005 Issued Date:05/14/2019 Lic Expire: 06/30/2020 0 $0.00 Bus Lic: BT30053869 Processed By: Lic Exp Date: 02/29/2020 FEES Worker's Comp Insurance - Carrier : STATE FUND Policy No: 911946218 Expire :12/06/2019 irnacesBoilers & Compressors Ventilation Other )to IOOK BTU/hr. 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00' rer 1OOK 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 all/Floor Heatert:®moo $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 :OL°P tifgps & Pi�gkacGCa Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 )%'100K BTU/hr: 3 $19.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 ,@r50011 BTU/N.-O °0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $16.53 0i6 °IW BTU/hr: ° 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 38HDRIssuance: $35.00 1161E75M BTU/hG:° oQ $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER ref 4.175M BTU hra c 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 DA YS 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. OWNER -BUILDER DECLARATION 9 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) (Section7031.5, 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 requiresthe 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below (.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 and Professions Code, a license is in full force and effect. License Class License No Date Contractor Signalur WORKERS'COMPENSATION DECLARATION WARNING: 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 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I- ereby affirm under penalty of perjury one of the following declarations: 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 rmance of the work for which this permit is issued. Policy No. I ave 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' compensatiol I u nce carrier and policy number are: Carrier Policy Number Expiration Date ame 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•efCalifornia, and agre tat, if I should become subject to the workers' co ' n provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. : • • •� • • • • ° p ...... ignature of Applical�� Date iECLARATION 11GS RDI G CONSTRUCT NDING AGENCY •,• ° • 0 0 hereby affirm under penaltybf 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 Address ender's Name •: ..... y my signature below, I certify to each of the following: •0 0 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 city and county ordinances and state laws relating to building construction. • • ° I authorize representatives of this city or countXto/(tnterLhe v n I properly for inspection purposes. /� — /• a Innahrre of Prooertv Owner or Authorized Aaent �� Print Property Owner's or Authorized Agent's Narga tHCf zz1 �R�' • • • Date Sf/Y �6,L ACTION DATE 8Y i— L&f LAMAfIUN Uf LUIWVLAIVUc err r n wVv= Vr FEDERAL_ REGULATIOMSPART 61 OFTITLE40.AMD ' F..n ..,,.......,y...... AQMORULE1403. f SUBIWTTED ASBESTOS NOTIFICATION T0:- ❑ EPA El AQMD ❑ ASBESTOS N017RCATIONJS NOT APPLICABLE TO PROPOSED DEMOLITION- SIGNATURE. PERMITEXPLR€Q PERMITCANCELLED P€RMITfXTENQ€Q PERMITFINAL CERTiF1CAT€OF OCCUPANCYISSUED __