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HomeMy WebLinkAboutH2019-0770 - Permitsr City of Newport Beach - Building Division MECHANICAL Permit: H2O19-0770 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 7 0 Project No r. Permit Counter Phone (949)644-3288 maz HVAC Items INSPECTOR Inspection Requests Phone (949)644-3255 Job Address: 424 MARIGOLD AVE BIdg:1 Floor: Suite: NO CONSTRUCTION NOISE— Description of Work: MECH FURNACE C/O Ventilation InspectorArea:5 Code Edit: 2016 ON THE WEEKEND Other Legal Description: CORONA DEL MAR BILK 440 LOT 16 Up to 100K BTU/hr: 1 $20.00 Owner: AAB REAL ESTATE LLC Contractor: OCEAN A/C & HEATING CO Worker's Comp Insurance - 0 $0.00 Address: 1966 PORT CHELSEA PL Address: 28052 CAMINO CAPISTRANO #101 Carrier: EVEREST °°° • ° ° $0-00.0.. NEWPORT BEACH, CA 92660 LAGUNA NIGUEL CA 92677 ° Policy No: 7600020119191 > 3 HP to 15 HP: Phone: Phone: 949-582-0700 Expire :0310112020 Gas Line: Con State Lic: 278618 $0.00 Wall/Floor Heaters: Issued Date:72/0212019 Lic Expire: 02/29/2020 Q O m C Bus Lic: BT00003631 Metal Fireplace: 0 $0.00 Processed By: Lic Exp Date: 03/31/2020 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 m° m ® o m oomoo Record Mgt Fee: $0.00 om o Up to 100K BTU/hr: 0 $0.00 comm° 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. dP0 HVAC Items FEES omocc ° FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $20.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 °° c _. � ° $0-00.0.. 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 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: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 1 O 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: $55,00`- Plan Check Fee: $0.00 Fee Due at Permit Issuance: $55.00 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: By 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 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.htmi. Signature of P[4pfyty:Dwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I•hareb affirrrsdnd&f Qenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and rofessi Cod in full force 'and effect •• • / ,Mren%e Class License No Datil Contractor Signatur WdFiKERS' _; iMPENSATION DECLARATION �� ,WARNINe: FAILURF•P0.9ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE O CRIMINAL PENALTIES AND CIVIL FINES UP T HUNDRED T USAND ($100,660(RS IN ADDITION TO THE COST OF COMPEN%ATIOV DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Vdrereby affirm•un8r aerially of perjury one of the following declarations: r Aave 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 Yfrjance of the wojk for which this permit is issued. Policy No. have and will maiAtain 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 Me carrie"nd policy number are: ne r •.:.• Policy Number Expiration Date ie of Agent 69 certify that, in the performance of the p c for which this permit is if I should become su/{�lect to the/;dw/compensation pr Iature of Applicant :reby affirm underp� perjufRFat there is Idler's Name my signature beAvG, I certify to each of thglollowing: I am the property owner or authorized to act on the pn I have read this application and the information I have I agree to comply with all applicable city and county or I authorize representatives of this city or county to an nature of Prooertv Owner or Authorized . _... e,6 ACTION PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED Led, I shall not employ any person in any manner so as to become subject to he workers' compe sation laws of California, and agre of Section 3700 of the Labor Code, I shall forthwith comply with those provofons, R.Ao ncy for the performance of the work for which this permit is issued (Section 97, Civil ode). Lender's Address re§ behalf. s correct. _{ v y�% and state I Ing to building construction. e" roperty for inspection purposes. r / Print Prooertv Owner's or Authorized ADent's Na FEDERAL REGULATIONS PART 61 OF THLEWAND / AQMO RULE 1403. ❑ ISUBOTTEDASBESTOSAtO77FICATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO77FIC47JONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: