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Home My WebLink AboutH2018-0306 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 3 0 6 F Permit Counter Phone (949)644-3288 e'�Arh51F�'k Job Address: 2505 CRESTVIEW DR BIdg:1 Floor: Suite: Description of Work: MECH - C/O FAU Inspector Area:2 Code Edit: 2016 Legal Description: N TR 1140 LOT 69 Owner: HSIEH JIMMY Contractor: ALPS AIC & HEATING INC Address: 2505 CRESTVIEW DR Address: 1000 E HOWELL AVE #B NEWPORT BEACH CA 92663 Other ANAHEIM CA 92805 Phone: Phone: 714-633-8892 Up to 3HP: Con State Lie: 667953 Issued Date:05/16 2018 Lie Expire: 04/30/2019 Bus Lie: BT30047511 Processed By: Lie Exp Date: 06/30/2018 MEe0AAj4lC66Pe timet;112018-0306 ° Projejt No e a e a o 0 0 000 o eo e o a e awe ss Inspection Requests Phone (949)644-3255 0 000 0 00 f O °�• O °O n°- O °O 00• - O 000 OV •06 Oto Worker's Comp Insurance - Carrier: FALLS LAKE FIRE Policy No: FLA00731700 Expire :10/19/2018 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $18.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 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 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: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $9.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $27.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $27.00 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-BUILDEVOEMRATION• ' I hereby affirm (inaer pe°aal�j of pedup (hal I are 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, Bu9iigiss.4* Professions Code: Afl9 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 he 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 3rofessions 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 lot more than five hgndred dollars.($500)f • • ; ,• • _ I, as owner of tAa Sropor[y, or myemployetis W�tl wage`s 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, 3usiness and Profe?slpns :ode:-I1eConiractors0§ttte•I;18ense 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 notinterltlEd or offered %r 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 m 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 Ipply to anownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure 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 legally ;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 rrofessions 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 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) 0 Division 3 of the Business and Professs Code, and my license is in full force Ind effect. It 9,) .icense Class License No Dat17T r Contractor Signature/ YORKERS' COMPENSATION DECLARATION IARNING: 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 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 tht ormance of the work for which this permit is issued. Policy No. h 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' compensatior Is rance carrier and policy number are: Tier Policy Number Expiration Date THS of Agent Phone # certify that, in the performance o 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 agrer I, if I should become subject to a workers' compensation rovisi ion 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica Dale �dT7 % C tura of ON RE CTION LENDING AGENCY l/( Ireby 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). 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 prop nees behalf. I have read this application and the information I h provided is correct. I agree to comply with all applicable city and Cp6tyo0inances and state laws relating to building construction. ,ts, �/ p I authorize representatives of this city or cou er the abovLd=n1'F'^a ^—^^��'^�;^_^= tion purposes. p '�, Print Property Owner's or Authorized ACTION DATE EY DECLARATION OFCOMPUANCEMTHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF 77TIE40AND AQMDRULE1403. PERMITEXPIRED 0 1 SUBMITTEDASBESTOS NOTIFICATION TO: 0 EPA 0 AQMD PERMITCANCELLED P€RMITEXTENDED 0 ASBESTOS N017RCA770HIS NOTAPPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: