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Home My WebLink AboutH2018-0447 - Permits0City of Newport Beach - Building DivisionIIII�IIIIIII�IIIIIIIIIIIII�I�IIIIIIIIIIIII MECHANICAL Permit: H2O18-0447 100 Civic Center Drive, Newport Beach, CA 92660 H 2 6 1 s Project No I _ Permit Counter Phone (949)[:14-32L-0 . fx"i .riff*�1,= Inspection Requests Phone (949)644-3255 Job Address: 31 RUE GRAND VALLEE BIdg:1 Floor: Suite: Description of Work: MECH REPLACE A/C UNIT @ THE SIDE YARD "TAMPER RESISTANT CAP REQ" InspectorArea:4 Code Edit: 2016 IMPECTOR Legal Description: N TR 7384 LOT 25 Owner: SMITH ISABELLE Contractor: SERVICE CHAMPIONS HTG Worker's Comp Insurance - Address: 31 RUE GRAND VALLEE Address: 3150 E BIRCH Carrier: PACIFIC COMP NEWPORT BEACH, CA 92660 BREA CA 92821 Policy No: WA000607 Phone: Phone: 714-777-7777 Expire :0 312 212 01 9 Con State Lic: 799170 IssuedDate:07/36/ 018 Lic Expire: 09/30/2019 SUBJECT TO FIELD1MF.CTQR1q ° t/` \p Bus Lic: BT01080105 REVIEW AND AMIt®VA.0 Processed By: 2e - Lic Exp Date: 07/31/2018 .° ^ ° ° ° o 0 c o 0 0 0 o eo HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to I OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.000000 Over 1 OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 0 ... c ° $0,1 v ° 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 Dawn -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 ° ° ° ° Up to 1 OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee $0.00 Investigattm:- ° $0.06600 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $15.66 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A4-24 Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY & NIGHT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $104.16 Plan Check Fee: $0.00 Fie Due at Permit Issuance: $104.16 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(a) I have placed next to the applicable item(s) iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priot to its issuance, also requires the applicant for Ie 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). 1, 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, usiness 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 n roue`d f,�G,thurgose of sale). i,' as owner of the property,yam ezclMely contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not JTljito 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). Itar r exempt; from licensure under the Contractors' State License Law for the following reason: y 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 legall) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comma 6M with Se ion 700J) of Division 3 of the Business n Pr Code, and my license is in full force nd effect. (i icense Clas : • • • • License No Def < on actor Signature ✓ORJCERS' COMPENSATION DECLARATION ARNING: FAILL21E Ia 99CIJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST & COMPEWATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IVrdtyv affirm under penalty of perjury one of the following declarations: ] I have ancJtv%ihSIntain 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, h&mrance of 44le wdtk for which this permit is issued. Policy No. and wfi:meiRtain 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' carritr arfd'policy, number are: Policy Number Expiration Date aed-P§fiall not employ any person in any manner so as to becomes% of Section 3700 of the Labor Code, I shall forthwith comply with those nature of Api3licant CLARATIONAWAftdNQ4eTV3WMTION LENDING AGENCY ?reby affirm underpenal that there is a construction lending agency for the performance of the work for which this permit is 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. I have read this application and the information I have provided is I agree to comply with all applicable city and county o and state relating to building construction. I authorize representatives o city or cou a abov = If property for inspection purposes. nature of Prooertv Owner orized-Ae Print Property Owner's or Authorized Agen I to the workers' compensaavion laws of California, and agree risions. 41t2 / 4P (Section 3097, Civil Code). ACTION DATE BY mi��............... ..... FEDERAL REGULATIONSPART&1 OF TITLE40AND AQMORULE1403. .,.......,..,_.,.,�..,... PERMIT€XPIR€D ❑ tSUBMfTTEDASSESTOSN07IF1C4TlONTO:. ❑ EPA ❑ AQMD PERMITCANCELLED P€RMITEX7ENDED ❑ ASBESTOS NO111FICA1701V/S NOT APPLICABLE TO PROPOSED DEMOUTION. PERMITFINAL t t CER77FICATEOF SIGNATURE. OCCUPANCYISSUED