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Home My WebLink AboutH2019-0542 - Permits (2)1 ` City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllll ` 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 a 2 Permit Counter Phone (949)644-3288 n^Ir Arns��`s _ Job Address: 1034 BALBOA BLVD W Bldg:1 Floor: Suite: Description of Work: MECH/ NEW A/C MINI -SPLIT (4) "TAMPER RESISTANT CAP REQ" Inspector Area:1 Code Edit: 2016 Legal Description: N TR 234 ELK 110 LOT 9 Owner: 1034e0A LLC Address: 4 W BAL A BLVD NEWPORT BEACH CA 92661 Issued Date:09/04/2019 Processed urnacesBoilers & Compressors p to 100K BTU/hr: 0 $0.00 ver 100K BTU/hr: 0 $0.00 /all/Floor Heaters: 0 $0.00 eat Pumps & Package Units p to 100K BTU/hr: 0 $0.00 ver 500K BTU/hr: 0 $0.00 p to 1 M BTU/hr: 0 $0.00 p to 1.75M BTU/hr: 0 $0.00 ver 1.75M BTU/hr: 0 $0.00 Contractor: LUNA CONSTRUCTION Address: 3857 BIRCH STREET #100 Ventilation NEWPORT BEACH, CA 92660 Phone: 949-933-0597 Con State Lic: 1043183 Lic Expire: 08/31/2020 Bus Lic BT30067883 Lic Exp Date: 06/30/2020 MECHANICAL Permit: H2O19-0542 Project No : 0173-2018 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : KINSALE INS CO Policy No: 0100073169 Expire :05/03/2020 b 0 S1JB.1FCP TO FIELD iIv �P ftCT�l?' lFV1EW ANDAPVROVAh. ° II FEES Fire Dampers: Ventilation $0.00 Gas Line: 0 $0.00 Up to 3HP: 4 $60.00 Bathroom Fan: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 >15 HP to 30 HP: 0 , $0.00 Attic Fan: 0 $0.00 >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Air Handling Units Zoning PC: $41.50 Comm. Hood: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O19-0542 Project No : 0173-2018 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : KINSALE INS CO Policy No: 0100073169 Expire :05/03/2020 b 0 S1JB.1FCP TO FIELD iIv �P ftCT�l?' lFV1EW ANDAPVROVAh. ° II Other Fire Dampers: 0 $0.00 $0.00 Gas Line: 0 $0.00 .ao Metal Fireplace: 0 $0.00 Record Mgt Fee: $0.00 .... ° Additional Fee: $0.00 Investiggtion:g $0.0%E,,; Plan Ch6lk:.. ® $691M... Model MXZ-8C48NAlssuance: $35.00 Manufacturer: MITSUBISHI Zoning PC: $41.50 TOTAL: $226.10 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $226.10 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 reason (a) 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). v ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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 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:hftp://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 and Professions Code and my license is in full force and effect. License Class License No Date g Contractor Signature WORKERS' goMPENSATION DECLARATION WARNING: FAILQR�JQ$tCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUH NO DOLLARS ($100,0001, IN ADDITION TO THE COST qF COMPEfITTSSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. MIRLIAI y affirm urSder penalty of perjury one of the following declarations: I.have and 411 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 ce of the work for which this permit is issued. Policy No. Ina a and WjII. ringintain 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 nce came; aqd policy number are: Gaflier • Policy Number Expiration Date Agent Ccerify that, in t heorformance of the t, if (Should Uecoma subject to the we •••• �� natulre of ADolicanM.� 5,70 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 conn a ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provlsl Do s. )WARATION MFG110WCONSTRUCTION LENDING AGENCY 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). ender's Name Lender's Address ly 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 laws relating to building construction. I authorize representatives of this city or county /to-�enter he o ntified property for inspection purposes. tinnafure of Pronertv Owner or Authorized Aoerrt—F� No!!V Print Property Owner's or Authorized Agent's Na ACTION I DATE I I BY 0 I SUBMITTEDASSESTOS NO7IFICATION T0: 0 EPA 0 AQMD 0 ASBESTOS NOTIRCAIIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED I 1 11 SIGNATURE: