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Home My WebLink AboutH2019-0496 - Permits�gN1g4 City of Newport Beach - Building Division III III 11111p111111111111111111p111111111p11111 MECHANICAL Permit: H2O19-0496 0100 Civic Center Drive, Newport Beach, CA 92660 li 2 0 t s a a s s Project No : 0865-2018 P <.. n Permit counter Phone (949)644-3288 y a Inspection Requests Phone (949)644-3255 741v"1F��p Job Address: 304 POPPY AVE Bldg:1 Floor: Suite: �%il��►�l�_-7 Description of Work: MECH NEW A/C UNITS (3) ON GROUND & (1) COMPRESSOR FOR WINE CELLAR *TAMPER PROOF CAP REW C Inspector Area:5 Code Edit: 2016 Legal Description: N TR 673 BLK A LOT 16 Owner: GREENWOOD BRUCE Contractor: ON TIME ENERGY SOLUTIONS Worker's Comp Insurance - Address: 19605 MAYFIELD CIR Address: 43397 BUSINESS PARK DR D5 Carrier: EMPLOYEE SERVICE GROUP HUNTINGTON BEACH CA 92648 TEMECULA CA 92590 Policy No: C66609063 Phone: 954-331-3838 Expire :0210112020 Phone: Con State Lic: 857180 Issued Date:0811312019 Lic Expire: 04/30/2021 NO CONSTRUCTION NOISE Bus Lic: BT34 Processed By: 9!-N � Lic Exp Date: 01/31120201/2020 nN THE FItems FEESOther cesBoilers & Compressors Ventilation 0.00 00K BTU/hr: 0 $0.00 Upto3HP: 4 $76.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.0000K 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 loor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 umps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 00K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hocd: 0 $0.00 Additional Fee$0.00 plansCheckn $66.012 00K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model:t24ANSlssuance: $35.00 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANTZoning PC: $40.00 .75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $217.12 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $217.12 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. r.` 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 i1em(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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do Business and Professions Code: The Contractors' State License Law does not apply to an owner (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, improvements are not intended or offered for sale. If, however, the building or improvement is solof property who, through employees' or personal effort, builds or improves the property, provided that the improved for the purpose of sale). 'd within one year of completion, the Owner -Builder will have the burden of proving that it was not built or ❑ 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 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 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 improvements covered by this permit, 1 cannot legall sell 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 - Professions CoH6, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Cignaturs of Property Ciwner or Authorized Agent _ICFWSED CCNTRACTOR'S DECLARATION Date I hereby affirm ur.de- penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion 7000) of Division 3 of the Business d Professions Code, and license is in full force ant. effect. License Class License No Date (3 0 /p Contractor Signat re - - INORIEERS' COMNrNSATION DECLARATION NARNING: FAILU,PE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T �NE)� THOUSAND DOLLARS IE100,00a), IN ADDITION TO THE DOS. JF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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, )erfpfrrlance of 8,e vcrk for which this permit is issued. Policy No. r_ nd \-T! 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 u nice carrier :.nd policy number are: Tier Policy Number Expiration Date me of Agent Phone # I certify that, in the perfor ante of the work for which this p rmit is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation laws of California, and agre, t, if I should become su ject t orkers' compensat' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. nature of Applicant Date 3 G (' CLARATION REGARDING DING CONSTRUC 10 NDING AGE CY :reby affirm under p�nalty.df perjury tha re i5 a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify 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 co my ordinances and state laws relating to building construction. I authorize representatives of this city or count to„pter the above= ntified property for inspection purposes. / nature of Property Owner or Authorized Agent ��>' Print Property Owner's or Authorized ADent's Name ACT70N PERMIT BY PERMIT FINAL -11 J CERAFICATEOF OCCUPANCY(SSUEO rrutrtAL HLUULAIJUNSPART S1 OFTITL.E40AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N07IRCA7IONIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: FOR