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HomeMy WebLinkAboutH2020-0541 - PermitsCity of Newport Beach - Building Division III MECHANICAL Permit: H2O20-0541 �4 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 4 1 Project No :2108-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 407 39TH ST BIdg:1 Floor: Suite: Description of Work: MECH/ A/C UNITS ON DECK (2) "TAMPER RESISTANT CAP REQ" InspectorArea:1 Code Edit: 2019 ®�®�C+y��� Legal Description: CANAL SECTION BILK 439 LOT 10 69 ® /01V �/ Owner: MARKOS M ELISSA Contractor: QUALITY AIR Worker's Comp Insurance • ®R� Address: 407 39T T Address: 293 N STATE COLLEGE BL #3008 ® rr er : STATE COMP NEWP RT BEACH, CA 9 663 ORANGE CA 92868-57189/04 366 Phone: Phone: 714-718-2946 Ex ire Con State Lic: 908428 Issued Date:09/23 020 Lic Expire: 1213112021 Bus Lic: BT30026429 Processed By: xp Date: 01/31/2021 HVAC Items FEES Furnaces8oilers & Compressors Ventilation Other Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 2 $42.00 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: $36.54 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A4-036/048 Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TEMPSTAR Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $161.79 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $161.'79 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m.to 6.30 pdn.and Saturday from 8:00 a.m. to 6:00 p.m. 0 oa0 ° ° pOH o • ° e• • • oc coo 0 o c c c ° °Oo o I c 0• ° c • ° 00 00 000 NER-BUILDER DECD ARATTC N I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law forthe reason(s) indicated below by the oheckmark(s) I have placed next to the applicable ftem(s) '110117031.6, Business and Profess ions Cede: Any city or county that requires a pennitto construct, alter, Improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for permit to file a sign adstatement th it he or she is licensed pursuant to the provisions of the Conbactors' State License Law (Chapter 9 (commenting with Section 7000) of Division 3 of the Business and essions Code) or that he or she is :xempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pemdt subjects the applicant to a civil penalty of pore than five hundred dollars ($5n0). I, as owner of the property, or my a mplayees with wages.as their sole compensation, will do U all of or () portions of the work, and the Structure is not Intended or offered for sale (Section 7044, tress and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the cvements are not intended or offer ed for sale. If, however, the building Or improvement is Sohl within one year of completion, the Owner-Builderwiil have the burden of proving that R was not built or oved for the purpose of sale). I, as owner of the property, am exc usiveiy contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not y to an owner of property who builcs or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under 1 ie Contractors' State License Lewfor the following reason: Ty signature below I acknowledge t rat, except for my personal residence In which 1 must have resided forat least one year prior to completion of the improvements covered bythis perm'd, 1 cannot legala s structure that I have built as an o.vner-builder If R has not been constructed: in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Dssions Code, is available upon rec,ue$t when this application is submitted or at the following Web ste:httpY/www! legk&.ca:gov/calaw.hbnl. afore of Property Owner or Authori;:ed Agent Date SNSED CONTRACTOR'S DEC LARATION eby 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 fol rce effect. Ise Class _License No Date]O_/a '�j Contractor Signature RICERS' COMPENSATTON DE .LARATION / IING. FAILURE TO SECURE WORIGERS' CC:nPENSATION COVERAGE IS UNLAWFUL, AND SNAG, SUBJECT AN EMPLOYER TO CRIMINAL PaNALTIESIAND CNn. FINES UP TO ONE HUNDRED THOUSAND DOLIARS ($100,000), IN ADDITION TO THE OF COMPENSAmON, DAMAGES ASPROVIJFD FOR IN SECTION 3706 OFTHE LABOR CODE, INTEREST, ANDATTORNErS PEES, ,by affirm under penalty of perjury ,ane of the following declarations: have and will maintain a certifrca S of consent to set -insure for workers' compensation, issued by the Director of Industrial Relations as Provided far by Section 3700 of the Labor Code, for they rmance of the work for which this x ermit Is Issued. Policy No. '.. Ire and will maintain workers' cc.npensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' compensation ce carder and policy number are. 6 of Agent Policy Number Dais enify that, in the performance of thy.: work for which this permit is issued, I fr I should become a bloct to the VV )�r�ker$'ahali not employ any person In any manner so as to become 6Ubject to the workers' compensation laws of California, and pensaton provisitns n 3700 of the Labor Code, I shall forthwith comply with those provisions. dare ofAppficent -� .ARATIONREG R INGCONS'rE'.UUIHJNLENDINGAGENCY Data ,by affirm under penalty of perjury tnat there is a construction lending agency for the performance of the wart for which this permit is issued (; WE Name Carriers Address V signature below, i certffy to each �f the following: am the property owner or authorize: i to act on the property owner's behalf, have read this application and the i (formation I have provided is Correct, agree to comply with all applicable :Ity and county ordinances and state laws relating to building construction. authorize representatives of this ch r or cont ,ta enter t e -id party for inspection purposes. IL ACTM I c 4-M CtIPANC ISSURD M ©- i syBwrffllAsW7w WnFdC7$ifflplTqE3 EAA : • • © s15ffl3rfls6ff3nRc4Tf{NJ,fSNUTAppLjwA0itE'y0 PRO OREDDEdd(NdFfCMA SfGNATSJRE: • • • • 3097, Civil Code). CC1YY l � la