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Home My WebLink AboutH2021-0146 - PermitsCity of Newport Beach - Building Division IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III MECHANICAL Permit: H2O21-0146 d 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 1 4 6 Project No: 2395-2019 Permit Counter Phone (949)644-3288 `x Inspection Requests Phone (949)644-3255 Job Address: 2418 HOLLY LN Bldg:1 Floor: Suite: Description of Work: MECH (2) A/C UNITS ON GROUND *TAMPER PROOF CAP REQ* ' I if J IN � A O R *REVISED 2/18121* Inspector Area:3 Code Edit: 2019 Legal Description: N TR 1702 LOT 24 Owner: DAVIES TOM & JANELLE Contractor: ON TIME ENERGY SOLUTIONS Worker's Comp Insurance - Address: 2418 HOLLY LN Address: 43397 BUSINESS PARK DR D5 Carrier: EMPLOYEE SERVICE GROUP NEWPORT BEACH, CA 92663 TEMECULA CA 92590 Policy No: C66385577 Phone: 347-971-1018 Phone: 954-331-3838 Expire :02/0112021 Con State Lic: 657180 ° . . Issued Date:02/18/2021 Lic Expire: 0413012021 Bus Lic: BT30065834 ' Processed By: 1, Lic Exp Date: 01/31/2021 °°°°°° ° 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 10oK 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: 1 $21.00 >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: $18.27 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AWHI8QD-D3DNB5KIssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $122.52 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $122.62 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. 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 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 ❑ 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 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 ❑ 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 apply 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 exempLUVII Iicensure under the Contractors State License Law for the following reason: By my signatu t be LgyiYl 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. II understand that a copy of the applicable law, Section 7044 of the Business and ofesy'ons Cede, iB a'yailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sjgnajure of PropOrty Owner or Authorized Agent Date ICfJ,SED CONTRACTOR'S DECLARATION I hereby affirm jmd erpnalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi action 700 ') of Division 3 of the Business and rofessions Code, and my li nse is in full force Ing Asa iceflSe Class _ License No Date S - O�ontractor Signature OMERS' COURENSATION DECLARATION WSIAG: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE' ALTIES AND CIVIL FINES UP TO j1ME HUNDp THOUSAND DOLLARS (E'10a,660I, IN ADDITION TO THE ffPCMCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. t`�-_ of perjury one of the following declarations: '[Toe and %ill maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire mane of -the NDI.c for which this permit is issued. Policy No. 'ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for rahce carrier and policy number are: ier Policy Number is of Agent of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date 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 agree t, if I should becom ubject to tLe_Warkers1 compensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those pro Isrons. nature of Applicant Datee � CLARATION REG DIN RUCT ENDING AGENCY areby affirm under p n y of perjury there is a construction lending agency for the performance of the work for which this permit is issued action 3097, Civil Code). Ider's Name Lender's Address 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.Z J �� I have read this application and the information I have provided is correct. •6 v I agree to comply with all applicable city and c unty ordinances and state laws relating t building construction. I authorize representatives of this city or cou to enterove-ident!"-I!!!perLv46rinspection purposes. nature of Prooertv Owner or Authorized Agent _ _ Print Prooertv Owner's or Authorized ADent's Nam e\ f-{' ..._/ �.__ 5 Date/ ACTION DATE ucu , rurY ur wMrUAIT .c M r n �wc ur FEDERAL REGULATIONS PART 61 OF TITLE40 AND PERMIT EXPIRED AQMD RULE 1403. ❑ ISUBUTFEOASBESTOS NORFICATION TO:. PERMIT CANCELLED ❑ EPA PERMfTEXTENDED ❑ AQMD PERMIT FINAL 0 ASBEU ESTOS NOTIFIC N. TION IS NOT APPLICABLE TO CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: