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Home My WebLink AboutH2018-0538 - PermitsCity of Newport Beach - Building Division H2O18-0538 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 etr 'fid r'u7x Job Address: 4 CANYON FAIRWAY DR Bldg:1 Floor: Suite: Description of Work: MECH A/C UNITS (7) *TAMPER PROOF CAP REQ* Inspector Area:4 Code Edit: 2016 Legal Description: N TR 10814 LOT 15 Owner: PREMIER VISION HOLDING LTD Contractor: Address: 4 CANYON FAIRWAY DR Address: NEWPORT BEACH, CA 92660 m c Phone: Phone: Con State Lic: Issued Date:08/28/2018 Lic Expire: % OOC AO Bus Lic: Processed By: a m Lic Exp Date: WESTERN PACIFIC DEV INC 450 NEWPORT CENTER DR #490 NEWPORT BEACH, CA 92660 949-278-8937 882643 08/31/2018 BT30038827 04/30/2019 MECHANICAL Permit: H2O18-0538 Project No : 1195-2016 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: EXEMPTION ON FILE Policy No: Expire : HVAC Items COW inr ° a ° �o oeecea ° m c r ° m m o o 0 me m o 6 . mmmem r % OOC AO ,WOOF *Iv"�' ommeam a m m o 0 a a OQ O 060000 om o mmmo HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 7 $126.00 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: 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: $109.62 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: ARUN048GSS4 Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MULTI V Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $306.12 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $306.12 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. IWNER-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(sp 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exeptpF$om licensure under the Contractors' State License Law for the following reason: ly mY signalufW Aelow 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) pY aatructure-tl]I�8NI slave 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 'rofessions Zap is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. igrmLure of Property Owner or Authorized Agent Date ISENSED CDNTRACTOR'S DECLARATION hereby affirr*,g jCerbenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Busine/NE Professions Code, and my license is in full force Arfeffect. i.�...,, ii g%Ve Class. . License No Date t` Contractor Signe QFIKERS' (0APENSATION DECLARATION f NWO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TODRED THOUSAND DOLLARS (E700,0001, IN ADGITION TO THE OST OR cOMpE1��G, IIOH4)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. hereby affirm under Il natty of perjury one of the following declarations: 1.I,42ve andvwglvmarintain 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 the erformance 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' rance carrier and policy number are: Policy Number Date Za of Agent :none s Gertify 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 workers' compensation laws of California, and agree at, if I should become s bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio ignature of Applicant l Date 2.� ry DECLARATION REG DIN UCTION LENDING AGENCY hereby affirm under nally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued action 3097, Civil Code). ender's Name Lender's Address y 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 rd and state laws relating to building construction. I authorize representatives of this city or county to nttelr the above -identified props for inspection purposes. �,t _ �y y ignature of Pronerty Owner or Authorized Anent `? � Print Prooertv Owner's or Authorized AOent's Name JErP'- ✓-.' 0451 N% ACTION DATE BY veu.0 rruly Ur 6VMVUAW .r vvlI n UVUE air FEDERAL REGULATIONS PART of OFTITLE40AND AQMD.RULE1403. / run urnrx USC U1 L' / PERMITEXPIRED ❑ I SUBMfTTEDASBESTOS N071F1CATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS M077RCA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINA1 16 3a CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED