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HomeMy WebLinkAbouth2021-0242 - Permits� w City of Newport Beach - Building Division H2O21-0242 1100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1801 WHEELER PIL BIdg:1 Floor: Suite: Description T of Work: M CH(2) NEW HEAT PUMPS *TAMPER PROOF CAP REQ* INSPECTOR Inspector Area:4 Code Edit: 2019 Legal Description: N TR 7029 LOT 71 Owner: VAN HORCK KATE & MARK Contractor: Address: 1801 PORT WHEELER PL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:04/07/2021 Lie Expire: Bus Lie: Processed By: Lic Exp Date: GRAVES M H INC 5852 MULLER ST BELL GARDENS CA 90201 562-833-3703 241731 03131 /2022 BT30034436 04/30/2021 MECHANICAL Permit: H2O21-0242 Project No: 1309-2020 Inspection Requests Phone (949)644-3255 9•G• • Worker's Comp Insurance - GGG• . m Carrier 0G•i GGO000 :OAK RIVER INSURANCE Policy No: MHWC232915 Expire :01/01/2022 m o° •°• 3 O f aJJC 0 m • Gm m uo. m ° 0 9Wpm3 •• • °®m•m ° 00 ® a o a • 00 HVAC Items FEES ....0 °°°°.•%11 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 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 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: 2 $42.00 >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 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24ANSIssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT 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 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. fNER-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) action 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 rovements 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 roved for the purpose of sale). 1, 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 dy 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: 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 in sell a structure Rat'I leave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the appl Professions Code' Is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. ElVhlayure of rrbporty Owner or Authorized Agent SIC€NSED CONTRACTOR'S DECLARATION 1 Oe reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sec n 700 of Division 3 of the Business and A effect. .... 4e6%e GIBER, License No Date' 2 Contractor Signature WORKERS'.CCUP.ENSATION DECLARATION / coverea oy DUE permit, I cannot action 7044 of the Business and and my license is in full force T AR%G: FAILr;�TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONs4iUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE @$AOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. b re6y affirm under Penalty of perjury one of the following declarations: F1ave anB,blift rtjaintain 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 �Ifarmance o the wprk for which this permit is issued. Policy No. i I grave andiw11 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' compensatiol isurance carrier and policy numbed are arrier fl Policy Number Expiration Date lame of Agent Phone # I certify that, in the perform ce of he ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the orke s' compensation laws of California, and agm tat, if I should beco e s bj t to t o ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those r isio s �� ignature of Applicant Da iECLARATION REGaKDIKG RUCTION LENDING AGENCY hereby affirm and enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (SeelcL 3097, Civil Code). Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the propert owner's behalf. J A� I have read this application and the information I have pr Ided is orrect. x !�' I agree to comply with all applicable city and cou ordi ances nd s to laws relating to building construction. I authorize representatives of this city or cou en t e a -i entified props or inspection purposes. ;ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Dat ACTION DATE BY DECLARATION OF COMPLIANCE WfTH CODE OF FOROFFIC€US€ONLY FEDERAL REGULA TIONS PART 61 OF TITLE 40 AND AOMO RULE 1403. PERMIT EXPIRED ❑ ISUBMf•TTEDASBESTOS NORFICATION TO: - ❑ EPA ❑ AOMD PERMIT CANCELLED PERMITEXTENDED ASBESTOS N07IRCARON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FiATAt ';% �- 2!L CERTIFICATE OF SIGNATURE. OCCUPANCYISSUED