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HomeMy WebLinkAbouth2021-0014 - PermitsCity of Newport Bea'h - B'uilding Division IIII�I�IIIII�IIIUIIIIIIIIIIII�IIIVlllllllll MECHANICAL Permit: H2O21-0014 100 Civic Center Drive, Newport each, CA 92660 H 2 0 2 1 0 0 1 4 Project No: 0353-2019 Permit Counter Phone (949)644=3288 9W nx`> Inspection Requests Phone (949)644-3255 Job Address: 1807 GALATEA TER BIdg:1 Floor: Suite Description of Work: MECH (5) NEW HEAT PUMPS *TAMPER PROOF CAP REQ* p ECJ', rl N Inspector Area:2 Code Edit: 2019 Legal Description: N TR 2813 LOT 144 ° Owner: MOHSEN PEGGY Contractor: URBAN MECHANICAL Worker's Comp Insurance - Address: 621 MALABAR DR Address: 10621 BLOOMFIELD #25 Carrier: WESCO INS CO 6°00 ° CORONA DEL MAR, CA 92625 LOS ALAMITOS CA 90720 Policy No: WWC3486885 `°.♦♦° Phone: Phone: 714-614-2446 Expire:0910912021 Con State Lie: 594181 ♦ Issued Date:01/07/2021 Lie Expire: 05/31/2022 ♦ °`° ° Bus Lie: BT30005613 Processed By: l �/ \ Lie Exp Date: 08/31/2021 c JGC093 Op0000 GP^Jp HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 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: 5 $105.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 5110K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0,00 Plan Check: $91.35 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 ,Over Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANEIMITSUBISH Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $279.60 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $279.60 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. TIMERS PATE® ON HEAT PuMPs OWNER -BUILDER DECLARATION 1 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 ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). - ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owrIli`r of'property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .. I amexempt from. licensure under the Contractors' State License Law for the following reason: Of ilfy**nature 6e1gw; acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall sell a structure that I h2ve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Drollessions Code* available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Sign$tOre of Prop"ty Owner or Authorized Agent Date 4r,EN$ED COWMCTOR'S DECLARATION INIerEtfy affirm tyldeGQenalty of perjury that I am licensed under provisions of Chapter 9 (commencin it#Sectin of Division 3 ofthe Bu esa and Profe o od d m Icens full force s4iG9'h�?`Class " License No Da2� Contractor Si at ORIEERS'COMPENSATION DECLARATION RNINGI:AILURIPTO 9EC3RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE (jO'9j P� COMPENSA*AbN, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I fig2bpffirm ujIftrMialty, of perjury one of the fallowing declarations: knsn� 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 I e of the work for which this permit is issued. Policy No. nd will maintain 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' compensatioarrier and policy number are: Carrier _ Policy Number Expiration Date Name of Agent Phone # I certify that, in the rformance of the f w ' I ermit i issued, I shall not employ any person in any manner so as to became subject to the workers' gbmpe anon laws of California, and ogre hat, if I should becom bject to the co pe I pro 1 of Section 3700 of the Labor Code, I shall forthwith comply with those provis' ns. /y / Signature of Applicant Date / / G.✓ DECLARATION REGA DIN NSTRUCTION LENDING AGE I hereby affirm under pe alty of perjury at there is a construction lending agency for the performance of the work for which this permit is issued ( ecti n 309 , Civil Code). Lenders 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co ty ordinaA�alel to building construction.1 authorize representatives of this city or county o nter fop mspe ion purposes. ( LY Signature of PropertOwner or Authorized Agent rint Property Owner's or Authorized Agent's Name U'+ at ACTION DATE BY DECLARATION OF COMPLIANCE INfTH CODE OF Y fOROTi7CEO5EQNtY � - FEDERAL REGliLAT14N5PART 6'f OF T17L€40AND AQMD RULE 9403: PERMITEXPIRED ( ❑ /SUBAWTFEDASSEST05 NQRflCAfiON TO: ❑ EPA ❑ AQMD PERMfT CANCELLED PERNfITEXTENflEQ � ❑ A58E5705 NOTIACATtONIS NOT APPLICABLE TO PROPOSED DEA40LfR('1N. PERMfT FINAL CER77FlCA7EOF SIGNATURE-, vC'COPANCYISSOED