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Home My WebLink AboutH2020-0105 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111111111111 111 MECHANICAL Permit: H2O20-0105 ff. qty 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 0 5 Project No: Permit Counter Phone (949)644-3288 �NexFzxw Inspection Requests Phone (949)644-3255 &V O CONSTRL)ff 1()N N(316rb. Job Address: 601 LIDO PARK DR BIdg:1 Floor: Suite: Description of Work: MFR REPLACE *LIKE FOR LIKE* (2) BOILERSArea:1 Code f� LegalcDe Description: TR 7695 LOT I UNITdit7E G-01128 OF PROJ LOCTD ON AP 47-021-29 ON SATURDAYS Owner: LITWIN MICHELLE Contractor: KAARMA PACIFIC Worker's Comp Insurance- ••°° m ° Address: 601 LIDO PARK DR Address: 1440 S STATE COLLEGE BLVD #4H Carrier: MID CENTURY INS Gm ° NEWPORT BEACH, CA 92663 ANAHEIM CA 92806 Policy No: A09491963 me a meeeeo Phone: Phone: 714-999-1177 Expire :09/0112020 o m Con State Lic: 936846 ° me ° Issued Date:02/0512020 Lic Expire: 08/31/2021 Bus Lic: BT30070913 / v \ / P G0°m O e o GO O Processed By: Lic Exp Date: 02/28/2021 Ec '"P�� •0.. `I f�oJ o 0 •TYs mmeoo m000c° 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. OG O O HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other ® Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 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 10oK 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: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $75.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $75.00 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. 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, prior to 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 L) all of or U 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 im 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 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). 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 legalh II 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 3fessions CodeF, ts2vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. lnature of Properly Owner or Authorized Agent Date C6149ED CONTRACTOR'S DECLARATION ereby affirm Ir W@fp*alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 7000) of Division 3 of the Busines an o ass' n Cod , a my license is in full force t1°ef V :enec Class License No Date �' S �. Ua 40 Contractor Signatu l Q,RKERS' OCjI�4FPs1SATION DECLARATION RNIN& FAILURFF��''[[0�rS,ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE SJ06 COMPEN14N.'qAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE 'S FEES. a;Hpy°affirm Adel'oenalty of perjury one of the following declarations: title 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 ormance of $Fie work for which this permit is issued. Policy No. I°Ma4$ and wilj,pVjptain 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 *Q. e carrier nd policy number are: mer Policy Number Expiration Date me of Agent / Phone # I certify that, in the perform hce of the work fo hic thi permit is issued, I shall not employ any person in any manner so as to become subject to he workers' compensation laws of California, and ogre t, if I should become ubje t o the o e s' mpen at' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov/e$ ons. mature of Applicant Date/ a s aaaa CLARATION REGARDI G O UCT L GEN Y /! ,-reby affirm under penal of perjury that there is a construction lending agency for the performance of the work for which this permit is issuedt,(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 ro Ided' torr t. I agree to comply with all applicable city a d cou t I(� ces ands a laws relating to building construction. / (� I authorize representatives of this city or c unty t� t�{ jh agGye-j d lAgpertx for inspection purposes. ACTION PERMITFINAL CERT0CATEOF OCCUPANCYISSUED DATE I I BY ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMID ❑ ASBESTOS M077RCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: