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Home My WebLink AboutH2019-0288 - Permits1 City of Newport Beach - Building Division MECHANICAL Permit: H2O19-0288 rod 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 2 8 e Project No : 1874-2018 / _ Permit Counter Phone (949)644-3288 FurnacesBoilers & Compressors Ventilation ,v t Inspection Requests Phone (949)644-3255 Job Address: 1501 MARINERS DR BIdg:1 Floor: Suite: Other Description of Work: MECH/INSTALL (2) A/C UNITS 41clB & 38clB (CARRIER: 24AAA5-36-30 &48-30) 0 .. Inspector Area:3 Code Edit: 2016 2 $38.00 Bathroom Fan: Legal Description: N TR 3004 LOT 38 Fire Dampers: 0 $0.00 ;y $0.00 Over 100K BTU/hr: 0 $0.00 Owner: HALL RANDALL Contractor: PRO WEST MECHANICAL INC Worker's Comp Insurance- Exhaust Fan: Address: 1501 MARINERS DR Address: 12962 EVENINGSIDE DR Carrier: EMPOLYEE SERVICE GROUP CC NEWPORT BEACH, CA 92660 SANTA ANA CA 92705 Policy No: C65211099 $0.00 Phone: 949-838-5238 Phone: 714-651-8737 Expire :11/01/2019 Attic Fan: Con State Lie: 974570 0 $0.00 �s Issued Date:05/20/2019r Lic Expire: 30/2020 Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Bus Lie: BT BT30051314 Processed By: -Lie Exp Date: 05/31/2019 $0.00 >50 HP: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 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: $33.06 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: $40.00 TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $146.06 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.so 6:90 p.".and Pblurday front 8:00 a.m. to 6:00 p.m. uem o . s a.ma - � o ¢ e c e e c e •.• •• iP . 1 OBB VD 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 (_) 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). 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 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 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 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 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 anq Profession, o e, dies e is in full force and effect. License Class License No Date S 'W 'W LCI Contractor Signature INORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 IN ,�formance of the work for which this permit is issued. Policy No. t1 have andalntain 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' compensatior nsurance carrier policy nKber are: Number Expiration Date of 1 certify that, in the performance of th work whi rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should becoy ct to the r ensat' visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Or Signature of ApplicanDate '5'? `'' �( 1 DECLARATION REGI NSTRUCTION ENDING AGENCY %� I 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). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordure c s3 d { e laws lacing to building construction. 1 authorize representatives of this city or county a ter a abo I anti€ ro Wy for inspection purposes. - v v S U L Signature of Property Owner or Authorized Agents Print Property Owner's or Authorized Agent's Nam L lNIk1A,v�(„ e ACTION DATE BY DECLARATION OF COMPOANCEMTHCODEOF FOR OFFICE USE ONLY •€E $.4 REGULATIONSPART61OF777LE40AND , D I�EILEUT3. ,•. .❑;SUB4itrrFp*ifSTOSN071FlCATfONTO: •.•j• EPA �j A PERMIT€XPfRED �.• : PERMITCANCEILED s :' PERMITEKTENDED ❑ ASBESTOS U017RCARONIS NOT APPLICABLE TO . PRgPOSE�0O1�M9L1T10N. P€RM1TFiNA[ ?oiu .. ... CERTIFICATE OF ° • •s S`{G171QTUft.• OCCUPANCYISSUED : :