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Home My WebLink AboutH2019-0834 - Permits,B,wt�op City of Newport Beach - Building Division MECHANICAL Permit: H2O19-0834 a. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 8 3 4 Project No : 0464-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1713 BAY AVE E BIdg:1 Floor: Suite: Description of Work: MECH -INSTALL (2) NEW UNITS (X2019-0645) "TAMPER RES CAP REQUIRED" (ON ROOF) TIMER REQUIERD ON (1) A/C Inspector Area:1 Code Edit: 2016 Legal Description: BALBOA TR EAST SIDE ADD LOT 7 BILK 26 ALL -INC S1/2ABAN ST ADJ ON INS 55 P c ft 1 �� Owner: B DESCENDANTS Contractor: MOSBY ENTERPRISES INC Worker's Comp Insurance - Address: 1525 ORLANDO RD Address: 39964 VIA CALINA Carrier : / MPT PASADENA CA 91106 TEMECULQls925y2��`� �4) ° Phone: Phone: 951-712-21 °�s�9 Expire: Con State Lic: 883976 m...Rt Issued Date:12/20/2019 Lic Expire: 09/30/2020 ; ir; IF l T(i tP '.17If Si I to 100K BTU/hr: Bus Lic: BT30070330 tL✓t1i fIoARF��H�, omm°io 2 $40.00 �t��pggn "' 0 $0.00 Processed B). Lic Exp Date: 12/31/2020 WEEKEND b A @ O i0 O 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. 00 0 o o mo a c -_m-� AC Items FEES ° •nacesBoilers &Compressors Ventilation Other tom° to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 -r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 w m + _ <° $0:00 ` o II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 ...mio it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 m m ° ° immm to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 sr 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $34.80 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AC161_36P/48P Issuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: A/C PRO -r 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. 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 `) all of or L) 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 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 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 Iacknowledge 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 legal) 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.html. 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 Busin s and Profess' de, and my lic se is 'R-f tl force and effect. / — License Class License No D Z'Z1`%' Contractor S ture WORKERS' CW0*94SATION DECLARATION w4 Nfy &AILURE 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 C%ST OF COMPENSA110:J! D40AGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I heFebyoaffirm under penalty of perjury one of the following declarations: I OHS 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 Erlce of ttk vidrk:or which this permit is issued. Policy No. ve• and will mak4ain 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' compensatio in? Aldla•carrier aqd policy number are: Cgrfisr ' . Policy Number Expiration Date • • /agent • • Phone # lijy chat, in the performance of the work ff r which this permit is issu shall not employ any person in any manner so as to become subject the workers' compensation laws of California, and agre t uld bac oing s;bject to the rs' compen' s ion action 3700 of the Labor Code, I shall forthwith comply with those pro sions. q Signature ofAp&Wnl-- DECLARATIOWFIIEGARDINI§ CONSTRUCTION LENDING I hereby affirm under penalty of perjury that there is a con ction 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 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 county ordinances and state law *10ilding construction.I authorize representatives ofthiscity o countyto he above-Id r77�pection purposes.{�Signature of Property Owner orA ed Agent rint Pro arty Owner's or Authorized Agent's'Namd ACTION DATE BY DECLARATION OFCOMPLIANCEWITNCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T17LE40AND PERMIT€XPIRED AQMD RULE 1403. 1 SUBMITTED ASBESTOS NOTIFICATION TO. PERMITCANCELLED ❑ EPA PERMIT EXTENDED ❑ AQMD ❑ ASBESTOS 1YO17ACA170NIS NOT APPLICABLE TO PERMITFINAI '7_-7--Z,Q PROPOSED DEMOLITION, CERTIF{CATEOF OCCUPANCYISSUED SIGNATURE.