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Home My WebLink AboutH2018-0151 - PermitsI City of Newport Beach - Building Division IIIIIIIIIIII IIIIIIIIII IIIII IIIIIIIIIII IIIIIIIIII III MECHANICAL Permit: H2O18-0151 a 100 Civic Center Drive, Newport Beech, CA 92660 H 2 0 1 8 0 1 5 1 Project No : 1723-2016 Permit Counter Phone(949)644-3288 ar s Inspection Requests Phone (949)644-3255 Job Address: 1501 SERENADE TER BIdg:1`Floor: Suite: Description of Work: MECH/NEW A/C (2) "TAMPER RESISTANT CAP REQ" i r a 7�m X2017-1201 Inspector Areai2 Code Edit: 2016 Legal Description: N TR 1701 LOT 39 1 i_.-a " 3 Owner: SER ERRACE LLC Contractor: J T HEAT AND AIR Worker's Comp Insurance - Address: ' 4 OLD NE ORT BLVD Address: 38561 TRANQUILA AVENUE Carrier: EXEMPT EWPORT BE CH CA 92663 MURRIETA CA 92563 Policy No: NO EMPLOYEES Phone: Phone: 951-303-5511 Expire Con State Lic: 74577,0 ° ° ° ° ° Issued Da :03/06/2018 ` Lic Expire: 08/31/2019 Bus Lic: BT30054494 Processed By: Lic Exp Date: 02/28/2019 ' 1s ic,l "i' .1:L1:' ! N IV :K;•^ HVAC Items FEES ° ° Furnaces Boilers&Compressors VentilationOther Up to 1 OOK BTU/hr. 0 $0.00 Up to 3HP: 2 $36.00 Bathroom Fan:` 0 $0.00 Fire Dampers: 0 $0.00 ° ° o ° $0.06 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 $0.00 ' Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 ° o ° 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 : $31.32 Investigation: $0.00 Over 500KBTU/hr: 0 $0.00 - Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1M BTU/hr 0 .$0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A4-048 Issuance, $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over I OK CFM: 0 $0.00 ' Supplemental Fee: $9.00 Manufacturer: DAY & NIGHT Over 1.75M BTU/hr. 0 $0.00 VAV Box:' 0 $0.00 Zoning PC: $37.50 TOTAL: $113.82 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $113.82 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. )WNER-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 to 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 acivil penaltyof of more than five hundred dollars ($500). 7 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, iusiness 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 roved for the purpose of sale). 1, 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 idly 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).. J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legalh 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. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirrq yQ4pr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. • .„• iceryse Class License No Date 3 9 Contractor Signature VMKERS.00VPENSATION DECLARATIONif 'ARyING: 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 ($100,000), IN ADDITION TO THE OST *F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm! 6fid6r penalty of perjury one of the following declarations: a,I,tTave and•will•• maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th nce pf4Qa work for which this permit is issued. Policy No. .hav and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi hWrocarrier and eolicy number are: • .: .... Policy Number Expiration Date Baof Agent Phone a • , P Certify that,'iail$aperformance 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 ogre I, if I should become subject too the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican�y/Q ./ Dafe7CJ 3 �/ Ir CLARATION REdARDINGNS ENDING AGENCY �reby affirm under 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). tder'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 to entgr-identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam nate �+ �• ACTION DATE SYDEl LARATIONOFCOMPLIANCEWITHCODEOF FOR OFFICE USE ONLY FEDERAf_REGULAFIONS PART&f OF TIRE40AND PERMITEXP/RED• 1S -' EUSMAU TTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD PERMITCANCELLED PERMITEXTENDED 0 ASBESTOS NONFICATTONIS NOT APPLICABLE TO PROPOSEDDEMOLIT/ON. PERMITFINAL Z( CERTIR TEOF SIGNATURE: OCCUPANCYfSSUED