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Home My WebLink AboutH2017-0502 - PermitsCity of Newport Beach - Building Division IIIIIII IIIIIp111111111p1111111p11111111p111111 MECHANICAL Permit: H2O17-0502 t 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 5 0 2 Project No: 0092-2016 E Permit Counter Phone (949)644-3288 c was Inspection Requests Phone (949)644-3255 Job Address: 23 EBB TIDE CIR BIdg:1 Floor: Suite: --_-__ - - Description of Work: MECH -AIC UNIT "EBB TIDE" (X2017-0490) "TAMPER RES CAP REQ" __ __ 0 0 °°•®�° 0 ° FurnacesBoilers&Compressors Ventilation Inspector Area:2 Code Edit: 2016 Other ,°,•° Up to 100K BTU/hr: 0 Legal Description: Up to 3HP: 1 $18.00 Bathroom Fan: 1 Owner: EBB TIDE LLC Contractor: M B K BUILDERS INC Worker's Comp Insurance - Over 100K BTU/hr: 0 Address: 4 PARK PLAZA, STE 1000 Address: 175 TECHNOLOGY DRIVE Carrier: MITSUI SUMITOMO ...... 0 $0.00 IRVINE CA 92614 0 $0.00 IRVINE CA 92618 Policy No: WCP9110109 .... • o Phone: 949-789-8441 Phone: 949-789-8441 Expire :0710112017 °° 0 o m °°••°° Metal Fireplace: Con State Lia 844533 .... m o ° Issued Date:09/11/2017 Lic Expire: 08/31/2018 Down -Draft Fan: 0 $0.00 • ° $0.00 Bus Lic: BT30067158 Up to 1 OOK BTU/hr: m®®®®e • ° Processed By: Lic Exp Date: 11/30/2017 Residential Hood: 0 $0.00 ° o $37.50 Investigation: $0.00 Over 500K BTU/hr: 0 0 ° ®• Air Handling Units Comm. Hood: oomeoo 0 oe•oo 0 Plan Check: $15.66 Up to 1M BTU/hr: 0 o••oo HVAC Items --_-__ _ - - - FEES_ _ __ __ 0 0 °°•®�° 0 ° FurnacesBoilers&Compressors Ventilation Other ,°,•° Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ° ° m $0 0%e • ° Over 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 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 1 OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $37.50 Investigation: $0.00 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: GSX140371K Issuance: $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $9.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $80.16 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $80.16 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. 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 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 U all of or U 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 not 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). LI I 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONT ACTOR'S DECLARATION I bewb; affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit S ctio 7000) of Division 3 of the Business and P of sions Code, and my license is in full force and eff@ct. •,•;•• p License Class License No Da / Contractor S qngfige INORII ERS' CQMP�NSATION DECLARATION N0.ARNIRC+�: FAILURE•rflSEl URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES IIP TO ONE HUNDRED THOUS O DOLLARS (E'100,000), IN ADDITION TO THE yOS'r• COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bPrelay affirm Lladarit.nalty of perjury one of the following declarations: Q -1 -Neve 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 thl ot4alwwrice of the work for which this permit is issued. Policy No. hal@ and A; Mallain 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' compensatior IeRce carri%r anopplicy number are: �aRiel' • • Policy Number Expiration Date Vame of Agent Phone # :11 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' co pa sation laws of California, and agree :hat, if I should become sub' to he workers' compensation pro ions of S tion 3700 of the Labor Cade, shall forthwith comply with those prowslo signature of Applicant>(� .(ems/ c.i1� Date-/��y �/ and ereby affirm(undOr—penalty of perjury that thefeYis a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) 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 correct. I agree to comply with all applicable city and coun o�rAdinances and state laws relating to building construction. I authorize representatives of this city or countyf eyry6r the above-identifi r erty for inspection purposes. nature of ProDertv Owner or Authorized Aaent ih/J�i(2tA ��int Property Owner's or Authorized Agent's Name ►aDi IRETI PERMITEXP/R€D ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS 11013FICA7IONIS NOTAPPLICABL.E TO PROPOSED DEMOLITION. PERMITFtNAL i CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED