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Home My WebLink AboutH2017-0487 - Permitsh � City of Newport Beach - Building Division . III 1111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beech, CA 92660 H 2 0 1 7 0 4 8 7 i Permit Counter Phone (949)644-3288 1 MECHANICAL Permit: H2O17-0487 Project No : _ 0� Requests Phone Owner: Address: Phone: ESSLINGER QUALIFIED TRUST,, Contractor: 31878 DEL OBISPO ST#118 Address: SAN JUAN CAPO CA 92675 Issued Date:08/30/2017 Processed ,nacesBoilers & Compressors to 100K BTU/hr: 1 $18.00 ar 10oK BTU/hr: Job Address: 72 HILLCREST LN BIdg:1 Floor: Suite: ill/Floor Heaters: 0 $0.00 Description of Work: MECH/C/O (2) F.A.0 & (2) A/C 46.5dB &50.5dB* (LENNOX; C16-048& b60) W/DUCT WORK *TIMER Pt A61�i�E ON R 10PM & IAM sr 500K BTU/hr: i� �/ $0.00 to 1M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 InspectorArea:4 Code Edit: 2016 $0.00 Legal Description: N TR 7223 LOT 33 /.c- r Owner: Address: Phone: ESSLINGER QUALIFIED TRUST,, Contractor: 31878 DEL OBISPO ST#118 Address: SAN JUAN CAPO CA 92675 Issued Date:08/30/2017 Processed ,nacesBoilers & Compressors to 100K BTU/hr: 1 $18.00 ar 10oK BTU/hr: 1 $22.00 ill/Floor Heaters: 0 $0.00 at Pumps & Package Units to 100K BTU/hr: 0 $0.00 sr 500K BTU/hr: 0 $0.00 to 1M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 :r 1.75M BTU/hr: 0 $0.00 Phone: 17.14-777-T777 Con State'Lic: 79917b Lid -,Expire: r 09/30/2017 Bus,f j �.;�� BT010,��)10 t Lic E7cp bate 07/ q%`MI Worker's Comp Insurance - ✓� PACIFIC COMP Picy : WA000607 KH l Ell 're /22/2018 4 rp a. tl u "� tarti�dl FEES Ia t1E`'z • -� fes,,_ r, Ventilation � F - „,�y� d`�i�l�he�r Up to 3HP: 0 $0.00 t $0.00 Fire Dampers: 0 WOO* $0.00 > 3 HP to 15 HP: 2 n: $0.00 $0.00 Gas Lin 0 $0.00 >15 HP to 30 HP c Fa Gs�2 0 $0.00 fireplace: $0.00 >30 HP to 50 HPti f Fan: 0 $0 Record M a, $0.00 >50 HP: $0.00 Res7dential Hood: 0.00 A al $57.42 Investigation: $0.00 Air Handling Units Comm. Hood 0 $0. Plan Check: $0.00 up to 10K CFM: 0 $0.00 Repa�� er/Add: 1 .0 oneIssuance: $33.00 ver 1 OK VOAV Box: CFM: Uitd °SGpplemental F 0 Manufacturer: Zoning PC: $37.50 TOTAL: $251.92 _ Plan Check Fee : $0.00 Fee Due at Permit Issuance : $251.92 PERMITS EXPIRE 180 DA VS APTE� IFSPANCPOR; AST VALID INSPECTION e m:00 a.nt.ta 6-.30p;Ipl.and Saturday from 8:00 a.m. to 8:00 p.m. Construction Hours: Monday-01�r><day ..• G O O fl Y4Y VY4 OU A O o4�i J•6 )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 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). 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). 1 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). 1 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 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://WWw.leginfo.ca.gov/calaw.htmi. 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 000) f Division 3 of the Business and n 'Ihforce nd effect. ��JJ icense Class License No Date cU Contractor Signa VORKERS' 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 3706 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 th, mance of the work for which this permit is issued. Policy No. and Intain 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' carrier a d aolicy numbWafe: — ,. Number ie of Agent certify that, in the pi if I should become iature of ApplicaOL Date any person in any manner so as to become subject to the workers' compensation laws of California, and agre, Labor Code, I shall forthwith comply with those wsio e :reby affirm under pens 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 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 tela I authorize representatives of this city or coli e above -identifies i building construction. property for inspection purposes. Print Prooertv Owner's or Authorized ACTLON DATE BY DECLARATION Ot COMPLiANUL VYI1 N UOUL OI- FEDERAREGf1IATIOMS PART 69' OF�T171E40AND FOR OFFICE USE ONLY AQ&ROLE f i '• • : i • i PERMITEXPIRED 1 l ®' 1 SUVb9rFEV 4SWS•TOS t0]VFVf1ON TO: PERMITCANCELLEO '•'❑ •EPA • •'• ❑ AQdMD ❑ ASBESTOS N077FICADONIS NOT APPLICABLE TO PERMIT EXTENDED PERMITFINAL PR(DF'�73EIjDF•iD)QL1J't�N.••• •�• CERTIFICATEOF OCCUPANCYtSSUEO • " " SIGPif AZ'UR9-: •• ••• • • •• •• •••