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Home My WebLink AboutH2019-0419 - Permits (2)City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a Job Address: 505 35TH ST Bldg;1 Floor: Suite: Description of Work: MECH - FURNACE CHANGE OUT (SAME LOCATION) InspectorArea:1 Code Edit: 2016 Legal Description: CANAL SECTION BILK 535 LOT 18 Ili III IIIII iilll IIIII IIII Ilill IIIII IIIII IIIII III H 2 9 1 9 0 4 1 9 Owner: MOUNTAIN VIEW MOBILE ESTS LLC Contractor: SCHMITZ DOUGLAS Address: 1500 W BALBOA BLVD #2028 Address: 2951 OSTROM STREET NEWPORT BEACH CA 92663 LONG BEACH CA 90815 Phone: Phone: 562-754-5920 Con State Lic: 829377 Issued Date:07/15/2019 Lic Expire: 06/30/2020 Bus Lic: BT30054750 Processed By: Lic Exp Date: 10/31/2019 MECHANICAL Permit: H2O19-0419 Project No : Inspection Requests Phone (949)644-3255 V G' k Worker's Comp Insurance - Carrier: EXEMPT,° Policy No: Expire • m mmm® • ° om o ¢m o e aemmm. - ° HVAC Items FEES m` FurnacesBoilers &Compressors Ventilation ee•e mu! Other m • • O Up to 100K BTU/hr: 1 $19.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 m ° e$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"" o 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 "e ` Up to 100K BTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigatidq:o ® e`$0.00 Over 500K BTU/hr. 0 $0.00 Air Handling Units Comma Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 10K 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; $0.00 TOTAL: $54.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $54.00 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. IWNER-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) 1 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 n roved 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se000) of Division 3 of the Business and Professions z s Code, and my e is in full force nd effect. /� icense Class �Y��(" � License No ��,J'�7 Date � Contractor Signature CORKERS' CpJ-eIENSATION DECLARATION NRNINP: FAILUrLE T0., � URE 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 OSTOPCOMPEMSP710NN AMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. F(Preby affirm under penalty of perjury one of the following declarations: T ITave and pill 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 thl w0giance dkkawark for which this permit is issued. Policy No. �I have and.wiY rgaintain 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 Isuracce carDer'W'pollcy number are: ... ,mer _ Policy Number Expiration Date of Agent. Phone # ...... rtify that, in the? performance he ork for which mIS 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 ogre I should, becoaie subj th orkers' co 'on isio Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. ure of Applicant Date e... .. , ..,- ., 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 _. Lenders Address y 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 st laws relating to building construction. authorize representatives of this city or county led property faHinspection purposes. ACTION DATE RY DECLA TION OF COMPLIA CE M THCODEOF FOR OFFICE USE ONLY FEDERAL REGUL7TIONSPART 61 OFTITLE40AND AQMO RULE 1403. PERMITEXPIRED I SUBMfTTED ASBESTOS NONFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICABONIS NOT APPLICABLE TO PROPOSEDDEMOLIUTION. PERMITCANCELLEO PERMITEXTENDED PERMIT FINAL Zp 1K CERTIFICATE OF SIGNATURE: OCCUPANCYISSUEO