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HomeMy WebLinkAboutH2020-0111 - Permits� 1,Y.: City of Newport Beach - Building Division 111 1111111111111111111111111111 MECHANICAL Permit: H2020-01 11 o ". 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 1 1 Project No: 1674-2019 �, ' ` 9 .�. Permit Counter Phone (949)644-3288 ca&rr�s�:�u. Inspection Requests Phone (949)644-3255 Job Address: FERNLEAFA BIAFloor: Suite: Wo Description of Work: MECH/NEW AIC/C "T (2) "TAMPER RESISTANT CAP REQ" INSPECTOR InspectorArea:5 Code Edit: 2016 Legal Description: CORONA DEL MAR BLK 433 LOT 10 Owner: 428 FERNLEAF LLC Contractor: COMFORT HEATING &A/C Worker's Comp Insurance- esee Address: 428 FERNF A Address: 21962 COSALA Carrier: WIC EXEMPT •, m,,,, ° COR A DEL MAR A 92625 MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) • oe ° Phone: 88 63-2111 Phone: 714-335-7055 Expire: , ,• ,°° Con State Lic: 632774 ° • ° IssuedDate:O 11/2020 Lic Expire: 1213112021 © ° °°®•°• • ° ° Bus Lic: BT30005700 . O0 ° Processed By: Lic Exp Date: 08/31/2020 • • • • ° • ° • • • • ° ° e ° ° °e -ax • HVAC Items FEES..... .°.° ° FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1 OOK 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: $34.80 Up to 1M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CSA48E036K/NH4A Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAGIHEIL Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $151.30 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. '�_;T'iSJECT TO FILLD 1N � P 1.CTOt': REVIEW NDAP ROVA.t, INER-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) action 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 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 ifessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 Movements 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 )roved for the purpose of sale). 1,. 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 )y 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 legally a structure thatJ hive 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 �fessions Code• ys,pyailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. rill of Property Owner or Authorized Agent Date .ENI)ED COATR)kTOR'S DECLARATION sreby affirm unser 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 y license is in full force i etfeet. ' rnsg Class • • License No Date r Contractor Signature )%Kr=RS' COMPENSATION DECLARATION RWIWQ: FAILURE•T:),VQVE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT OF (1oMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. At; affirm under penalty of perjury one of the following declarations: F haO and )VIII rpOli:tain 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 thl fprmance of the,worlefor which tWpermit is issued. Policy No. and WgrAllifitain wor Js'�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' carrier 2rtQ8olicv nuphber are: Policy Number of Date certify that, in the performance of the work r*hich 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 if I should become subiect.to the worker compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. vn� { IN 1 Dates RU tUC ION LEN Ip! A N %— hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) of 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. �G I agree to comply with all applicable city and county ordinances and state laws relating to building construction. a • I' • �v I authorize representatives of this city or cou y to e rte/ agove-iden ' 'ed property for inspection purposes. I Jnnatore of arnnarty nwner nr Authnrized Aaen%//" t' 1, % �//�A Print Propertv Owner's or Authorized Agent's Name ��6 4 )M� Date AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE1403. PERMITEXPIRED ❑ i SUBMITTED ASBESTOS IV077FICATION TO. ❑ EPA ❑ AQMD PERMITCANC€LLED PERMIT EXTENDED ❑ ASBESTOS NOURCATIONIS NOTAPPLICABLE TO PERMIT ANAL PROPOSED DEMOLITION. CERTIRCATE OF SIGNATURE: OCCUPANCYISSUED