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HomeMy WebLinkAbouth2021-0222 - Permits61r City of Newport Beach - Building Division IIII�III�IiIi�IIIIIIIIIIIIIIIII�IIIIIIIIIIIIII MECHANICAL Permit: H2O21-0222 . 100 Civic Center Drive, Newport Beach, dA 9266o H 2 0 2 1 0 2 2 2 Project No: 0994-2020 Permit Counter Phone (949)644-3288 �y�lillit�4� r Inspection Requests Phone (949)644-3255 Job Address: 307 ONYX AVE BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (3) A/C UNITS 41cIB, 44cIB & 48dB (AC PRO; AULD36W2-A-D(U) - *ELEC. BY OTHERS e Inspector Area:2 Code Edit: 2019 B, ') Legal Description: BALBOA ISLAND SEC 3 LOT 34 BLK 18(AND S1/2 LOT 33 BLK 18 •' Owner: SCHMIT JOHN Contractor: AIR MAX INC Worker's Comp Insurance - IA Address: 217 ONYX AV Address: 27260 LOS ALTOS #123 Carrier: STATE COMP.INS NEWPORT BEACH CA 92662 MISSION VIEJO CA 92691 Policy No: 9170882 Phone: Phone: 626-468-9999 Expire :12108/2021 Con State Lic: 1015725 Issued Date:03/26/2021 Lic Expire: 07/31/2022 -- Bus Lic: BT30065145 a Processed By: a Lic Exp Date: 11/30/2021 Ac Items FEES 'nacesBoilers & Compressors Ventilation Other 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 -r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 3 $114.00 Exhaust Fan: 0 $0.00 Gas Line: - 0 $0.00 $0.00 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 m 500K BTU/hr: 0 $0.00 Air Handling Units , Comm. Hood: 0 $0.00 Plan Check: $99.18 to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $296.43 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $296.43 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE oR LAST VALID INSPECTION Construction Hours: Monday - Friday 7.,O a.m.to .q.30,p.m.a d gaigrday from 8:00 a.m. to 6:00 p.m. • e . � A O oa 4u. 00 0 eatl .ne °e• a° a . eaa •.• IYYRCR-OVILVGR YGMLNRNIIVIY { 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 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 Iicensure 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). 11, 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, ;usiness 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 nproved 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). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: ;y 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, 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.html. ;ignature 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. icense Class License No DateeZ --ZC1 � Contractor Signatuu VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 erftrmance of the work for which this permit is issued. Policy No. have and will tain workers' p9pensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and Icy number re: p7 ier _. n 13 ! 1 r IiC�NGrylber Expiration Date Name of Agent N J%/ ✓ I Phone # I certify that, in the performance of the work 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 that, if I should become suub/lect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prolusions. lican Signature of Appt A ,/ GvYd ���' Date�b 7- 3-5Z% DECLARATION I ARPING CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By my signature below, 1 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 rdinances and slate laws relating to building construction. I authorize representatives of this city or county o nter the above -identified property for inspection purposes. _ yl� Signature of Property Owner or Authorized Agent. ��/�il Print Property Owners or Authorized Agent's Name �/ .YS Date ACTION DATE BY DECLARATION OF COMPLIANCE WfTH CODE OF FOR OFHCE USE ONLY FEDERAL REGULATIONS PART 61 OF T17LE40AND •AOW RUIN 1406s . PERMITEXPIRED .. ❑' / SVBWWD6ASBES70S ffORFICATION TO: • • • U EPA : . • ` • . . ❑ 11im • .. ` PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO • MPOSEDDEMOLITION. • • • . ... ... •: • PERMITRNAL V % - CERTIFICATE OF , _ _.. 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