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Home My WebLink AboutH2019-0716 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O19-0716 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 1 6 Project No : FEES Permit Counter Phone (949)644-3288 FurnacesBoilers & Compressors Ventilation TIMER REQUIRED ON EQUIPMENT Inspection Requests Phone (949)644-3255 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. No CONSTRUCTION RUCTIPlw 7NOISE Up to 100K BTU/hr: Job Address: 124 RUBY AVE BIdg:1 Floor: Suite: $0.00 Up to 3HP: 1 $20.00 Description of Work: MECH NEW AIC UNIT ON ROOF *TAMPER PROOF CAP REQ* W/ PLATFORM 0 $0.00 Fire Dampers: 0 $0.00 ON Over 100K BTU/hr: 0 InspectorArea:2 Code Edit: 2016 THE WEEKEND®"®® 0 $0.00 Exhaust Fan: Legal Description: BALBOA ISLAND SEC 2 BLK 2 LOT 18 Gas Line: ° , ; •„° o $0.00 Wall/Floor Heaters: e..m% e ° Owner: MCOWEN JOHN W Contractor: ARCHER'S A / C Worker's Comp Insurance - e , • • ° ° ° Address: 124 RUBY AVE Address: 1927 HARBOR BLVD #258 Carrier: NORGUARD INS COMP m ° • ° NEWPORT BEACH, CA 92662 COSTA MESA CA 92627 Policy No: BRWC971797 o m. a % m • o m e o Phone: Phone: 714-679-8493 Expire :11125/2019 Record Mgt Fee: $0.00 Con State Lic: 841426 mmmm • ° ° ° ° Issued Date:17 /1412019 Lic Expire: 06/30/2020INSIp"Ev^T® >50 HP: ,° Residential Hood: BT30069762 �^ Bus Lic: BT0697 Additional Fee : $0.00 Qeeo°o Processed By: \�� Lic Exp Date: 11/30/2020 Over 500K BTU/hr: ° ° ° ° ° • m ° Air Handling Units momo mom000 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 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 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: $17.40 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CAI6NAlssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $113.90 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. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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,(_) 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-Builderwill 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 ownec of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 13 . .. I am exempt fro.m licensure. under the Contractors' State License Law for the following reason: 4 cW.sjgnature below 4 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 legall ?ell a stfucture IW Pli 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:hltp://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent - Date LICENSED CCkT."CTOR'S DECLARATION Chdihii Paffirm under p8nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Business and rofessions Cod ,and my license is in full force License -Class .:.. License No T �'7 2 Date / �7 �� Contractor Signature �� I"� ,"� ..... RS' COMPENSATION DECLARATION ArAAKR6kG- IOSTOGT FAILURE TO VE AM WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OFCOMPENSAITdM QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :Re'r8b affirm i pgnalty of perjury one of the following declarations: I have and Vaill, 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 3erformance of the work for which this permit is issued. Policy No. Q.] have 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' compensation isLWQnce carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the perform ce 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 agre iat, if I should become st t to the work ' compensation provisions of S ction 3700 of the Labor Code, I shall forthwith comply with those provision . ignature of Applicant Date IECLARATION REGAR NG CO STRUCTION LENDING AGEi hereby affirm under pe Ily of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 4ection 3097, Civil Code). Ender's Name Lender's Address y 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 city and cou ty ordinances apd state laws relating to building construction. I authorize representatives of this city or county Wei t a v identified property for inspection purposes. ,/ I/ Q ignature of Property Owner or Authorized Agent � Print Property Owner's or Authorized Agent's Name /2 Er'/ f Aat // T ACTION DATE BY DECLARATIONOFCOMPLIANCEkWTHCODEOF FOR OFFICE USE O�f Y FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED L PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION/S NOT APPLICABLE TO PROPOSED DEMOLITION. 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