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HomeMy WebLinkAboutH2019-0480 - Permits (3)City of Newport Beach - Building Division III 111111111111111111TI111111p11111p111111p1 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 4 8 0 F s y. Permit Counter Phone (949)644-3288 9 �'iaxn>♦'�`a �U�,iECT n�,., TOFIEr Job Address: 10 SCENIC BLUFF BIdg:1 Floor: Suite: -..%u VAL Description of Work: MECH/CHANGE OUT F.A.U. & (E) A/C UNIT 36.6dB (AMERICAN STD; 4A7V8024A1000B) Inspector Area:6 Legal Description: Code Edit: 2016 Owner: HARBOR FIELD HOLDINGS LLC Comp Insurance - Address: 8 CORPORATE PARK #110 IRVINE CA 92606 Contractor: JUST RIGHT SERVICES PLUMBING HEAT & A/C Address Phone: Phone: Con State Lic: Issued Date:08/07/2019 Lic Expire: n Bus Lic: Processed By: C \ Lic Exp Date: 11 WRANGLER CT TRABUCO CANYON CA 92679 949-228-2108 970383 04/30/2020 BT30066798 04/3012020 MECHANICAL Permit: H2O19-048i0 Project No : Inspection Requests Phone (949)644-3255 Carrier: MID CENTURY Policy No: A09495240 Expire :05/01/2020 HEFTS VERIFICATION REQ AC Items FEES •nacesBoilers & Compressors Ventilation Other to 100K BTU/hr: 1 $19.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 ar 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 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 at 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 : $16.53 Investigation: $0.00 ;r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: sr 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.Oi TOTAL: $129.53 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $129.53 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE O$? LAST 19. CID INSPECTION Construction Hours: Monday- Friday 7:00,:a.�n,o 6:30 o.m.and Satu alay_fnim 8:00 a.m. to 6:00 p.m. OWNER -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 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of. or (_) 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 riot 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, 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 Iicensure 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, I cannot legal 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 70 0) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class `^�`�, C'3C License No COO Date V 7 aul Contractor Signature INORKERS' COMPENSATION DECLARATION f/ \ NARNING: 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 ($100,000), IN ADDITION TO THI COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 tl Dejormance of the work for which this permit is issued. Policy No. have and wi aintain 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' rance carrierVnckpolicy number are-% S I' Date of 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 t, if I should become ubject tom the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions. nature of Applicar� ate CLARATION R A ING CONSTRUCTION LENDING AGENCY =,reby affirm un er 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). lder'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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county t nter the entified o erty for inspection purpose _�`)_ �l C_ 1 nature of Property Owner or Authorized Age roperty Owner's or Authorized Agent's e ACTION DATE BY DECLARATION OF COMPLIANCEIMTN CODE OF FOR O€BCE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND R'LE 1403. - PERMITEXPIRED r r .rJ/SUMMITTFDASBEiT,)SNOTIFICATIONTO: ["I EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOI ITION. PERMITFINAL d CERTIRCATE O€ OCCUPANCYISSUED ti1CNRTURF: