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HomeMy WebLinkAboutH2021-0412 - Permits' + City of Newport Beach - Building Division H2O21-0412 MECHANICAL Permit: H2O21-0412 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2355-2020 Permit Counter Phone(949)644-3288 INSPECI cF tC j ��'q "' Inspection Requests Phone (949)644-3255 Job Address: 24 RUE SAINT CLOUD Bldg:1 Floor: Suite: Description of Work: MECH (2) NEW A/C UNITS AND C/O (2) FURNACES *TAMPER PROOF CAP REQ* W/ DUCT WORK Inspector Area:4 Code Edit : 2019 Legal Description: N TR 7519 LOT 42 °°°°° ° Owner: MC DONALD CHRISTOPHER Contractor: B & P SERVICES INC Worker's Comp Insurance - Address: 24 RUE SAINT CLOUD Address: 771 NEWTON WAY Carrier: NORGUARD INS NEWPORT BEACH CA 92660 COSTA MESA CA 92627 Policy No: BPWC129685 Phone: Phone: 949-833-1041 Expire:01/01/2022 Con State Lic: 594563 Issued Date:07/08/2021 Lic Expire: 0513112022 Bus Lic: BT30045433 Processed By: Lic Exp Date: 11/30/2021 O O OJGJ°i ° C J r.C.J HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to IOOK BTU/hr: 2 $44.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over IOOK 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: $95.70 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 1 $22.00 Model: NH4A41ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY a NIGHT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $295.70 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $295.70 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. DWNER-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) ;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 :he 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 iot 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, 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 mprovements 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 mproved 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 owne r, ofpjoperty 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 tfgryl jitensure under the Contractors' State License Law for the following reason: IV.w Wature below II 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 sell a stricture t�IaW 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Jigi%grE of Property Owner or Authorized Agent Date LICEIJSED CQW tgCTOR'S DECLARATION I-here�by� ffirm undenpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Business an fessions d nd m license is in full force and eiiect. .. L1Ce4fiL&lass '_'__' License No Date '-15� Contractor Signature TVQ1LI��I'iRERS' COMPENSATION DECLARATION 4A%1 JG:FAILURE TO SECWRE 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 MST OF EOMPENSAT[ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ilet Vffirm under penalty of perjury one of the following declarations: • 1 nave and 0:11*64tain 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 thr 3erformance of the work for which this permit is issued. Policy No. I have and 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' wance carrier and policy number are: Policy Number me of Agent _ Date I certify that, in the p rtor ante of w for hich this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agree It, if I should become t to the or r ' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr vl ones—. 7 ]nature of Applicant Date ! '—� :CLARATION REGA DING CONSTRUCTION LENDING AGENCY ereby affirm under pbrialtylof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) rider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to acton the p pertyowner' behalf. I have read this application and the information I hav provided is r ct. I agree to comply with all applicable city and co nt rdinances at to laws relating to building construction. I authorize representatives of this city or count r the a ide tifed property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NI ACTION DATE BY)DECLARATION OF COMPLIANCE IMITH CODE OF FEDERAL REGULATIONSPART 61 OF TITLE40 AND PERMITEXPIRED AQMDRULE 1403. ❑ 1SUBMIrf'ED ASBESTOS NOTIFICATION TO., PERMIT CANCELLED ❑ EPA PERMIT EXTENDED ❑ AQMD ❑ ASBESTOS M017RCA77ON IS NOT APPLICABLE TO PERMIT FINAL 2 2,]s PROPOSED DEMOLITION. OCCUPANCYISSUED SIGNATURE.