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Home My WebLink AboutH2019-0002 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII o 100 Civic Center Drive, Newport Beach, CA 92660 ` H 2 0 1 9 0 0 0 2 €. Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O19-0002 Project No: 2872-2017 Inspection Requests Phone (949)644-3255 Job Address: 128 VIA YELLA BIdg:O Floor: Suite: Description of Work: MECH/INSTALL AC/ UNIT 48.5dB (LENNOX; NH4A448AKA-48) FurnacesBoilers & Compressors Ventilation Inspector Area:JMS Code Edit: 2016 ' Legal Description: N TR 907 LOT 399 Up to 1 OOK BTU/hr. 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Owner: BROYLES JAMES P & PAT Contractor: GOLDEN EDGE CONSTRUCTION INC Worker's Comp Insurance - E Address: 4170 WEBSTER RANCH RD Address: 15581 PRODUCT LN, C-14 Carrier: STATE COMP Gas Line: CORONA CA 92681 HUNTINGTON BEACH CA 92649 Policy No: 9083411 0 Phone: 949-675-6157 Phone: 714-897-0971 Expire :01/01/2020 0 $0.00 Metal Fireplace: Con State Lic: 800077 Heat Pumps & Package Issued Date:01 /03/2019 Lic Expire: 10/3112019 Down -Draft Fan: e • = •n Record Mgt Fee: Bus Lic: BT30062718 Up to 1OOK BTU/hr: Processed By: 7:�Y'!T Lic Exp Date: 04/30/2019 0 $0.00 Residential Hood: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1 OOK BTU/hr. 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1OOK 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 1OOK 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: $16.53 Up to 1MBTU/hr: 0 $0.00 up to IOK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over IOK 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: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53 PERMITS EXPICtE-'180 DAYS AA€ER 7SSUA/S0 C OAST VALID INSPECTION Construction Hours: Moeda};- Fridgy A06 a®m. to 6:30 /S.m,ahV Saturday from 8:00 a.m. to 6:00 p.m. d � o o Un G JW4 4i 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 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 legall) 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.govicalaw.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 Business and Professions Code nd my license is in full force and effect. f License Class License No Date 3 f Contractor Signature WORKERS' 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 DOLLA ($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. - I hereby affirm under penalty of perjury one of the following declarations: 111 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 th ,peerf�ormance of the work for which this permit is issued. Policy No. LII have and wilm ' tain 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' compensatioi insurance carrier 8M f�licy numbeep : t Date Tie of Agent r111C TM certify that, mihe4arrorZnce of the work for which t ' permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should become su ct to the workers' compens ion provis' ns of Section 3700 of the Labor Code, I shall forthwith comply with those prow I 1s. nature of Applicant i l C Date CLARATION REG D NG CONSTRUCTI N LE G CY Ireby affirm under Ifenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code). Ider's Name Lender's Address 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 at re laws relating to building construction. - I authorize representatives of this city or county enter the ab ov id ified p op y for inspection purposes. / nature of Prooertv Owner or Authorized Agent �C C- Print Property Owner's or Authorized Agent's Name �� 6� �� G'k ACTION DATE BY ( ucr.cs+rwrrrnr vr FED5941.1&GUEA WONS+PART65?7FTfV 40AND AQlQQ.Rn 1403.; • : . . • . PERMITEXPIRED 103. 9ttBAVIT€'D43BEIRIS &0T1r1C&1dN TO: G.f EPA ❑ AQMD PERMITCANCELLED P£RMlTEXTENDED ❑ ASBESTOS U077FICAIIONIS NOT APPLICABLE TO PROPGSE9I9EMOfITION,• PERMITFINAL CERTIRCATE OF SIGNATURE: OCCUPANCYISSUED -_ __� ..• •.• •.•