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HomeMy WebLinkAboutH2022-0258 - Permits07_., City of Newport Beach - Building Division H2O22-0258 MECHANICAL Permit: H2O22-0258 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2708-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644 '255 Job Address: 23 HARBOR ISLAND BIdg:O Floor: Suite: 0 . Description of Work: SFR MECH: INSTALL (3) ROOF MOUNTED A/C UNITS IN MECH WELL. (X2019-3927) _ G InspectorArea:2 Code Edit: 0 M 4 Legal Description: TR 802 LOT 23 ALL -INC BET SAME & HIGH TIDE LINE- M ' Owner: PICKUP TODD Contractor: MAYO MECHANICAL INC Worker's Comp Insurance - , ) Address: 23 HARBOR ISLAND Address: 33392 CORAL REACH STREET Carrier: TRANSVERSE INSURANCE COMPdNg-' NEWPORT BEACH, CA 92660 DANA POINT CA 92629 Policy No: FORWC0000002230 T -- Phone: Phone: 949-494-5036 Expire:01/0112023 - X Con State Lic: 472592 M Z Issued Date: Lic Expire: 04/3012023 Z z 57 Bus Lic: BT30019941 ® O Processed By: Lic Exp Date: 07/31/2022 ITI HVAC Items FEES Furnaces Boilers & 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 1 OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 3 $117.00 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 IOOK 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: $101.79 Up to I BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 16ACX-0(36 &48) Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.0 11 TOTAL: $30B.79 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $308.79 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. TIMER REQUIRED ON TO SHUT OFF BETWEEN 10 P.M. AND 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 far 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) er 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 fie_- hJ.ldred dollars ($500). .1 i, a., owner of ,he 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 Frofe�_ions 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 improved for thepurpose of sale). 0. I, ar 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 applylo 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). IZ]- i am exempt from icensure under the Contractors' State License Law for the following reason: 3y 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[) 3_I: ❑ 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 �rofess•ons Cede, r w,ailable upon request when this application is submitted or at the following Web site:http://www.leginfc.ca.gov/calaw.htm]. Sionatwe of Property Uwner or Authorized Agent Date ,_ICFNSED CONTRACTOR'S DECLARATION I hereby affirm w,Cer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ns C , and lid I orce and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA DOLLARS I$ 10111, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 xmance of the work for which this permit is issued. Policy No. 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' compensa rance carrier and policy number are: Policy Number Expiration Date of Agent Phone # certify that, in the performanc work for wh' is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' com ensation laws of California, and agre if I should become sub'e o the rke/rs a ens ti provisi of Section 3700 of the Labor Code, I shall forthwith comply with those proviissioonns. ///p(/ Iature of Applicant / / Date /< c / r `L ! 2 N ARATION RFC.AR�INr-. rnMATFNriAr—,5rrrmcy I hereby affirm under penalty of p to t there i nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 a laws relating to building construction. I authorize representatives of this city or county to ent th ov entifi d property for inspection purposes. Signature of Property Owner or Authorized Print Property Owner's or Authorized Agent's Name ACTION GATE DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61OFT177-E40AND AQMD RULE 1403, PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERPRITCANCELLED _ PERMIT EXTENDED - ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFU1AL CE5PF) CA T E OF SIGNATURE: OCCUPANC'f ISSUED