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Home My WebLink AboutH2019-0046 - PermitsCity of Newport Beach - Building Division III�IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII ' 100 Civic Center Drive, Newport Beach, CA 92660 H.2 0 1 9 0 0.4 6 '; Permit Counter Phone (949)644-3288 Over 100K BTU/hr: 0`� . $0.00 o`�4rCnuxle•�.. 0 $0.00 Exhaust Fan: 0 Wall/Floor Heaters: Job Address: 14. SANDY COVE BIdg:1 Floor: Suite: $0.00 Description of Work: MECH A/C UNITS (2) *TAMPER PROOF CAP REQ* InspectorArea:6 Code Edit: 2016 Attic Fan: 0 Legal Description: N TR 15445 LOT 7 Units Owner: SANTA CATERINA LLC - Contractor: THOMSON AIR CONDITIONING Address: 215 STONE OAKCT Address: 21205 JUAN AVE UNIT A HOLLAND OH 43528 HAWAIIAN GARDENS, CA 90716 Phone: Phone: 562-201-3014 Con State Lic: 959811 Issued Date:01/23/2019 - Lic Expire: 04/30/2019 el@ pn\ Bus Lic: BT30064475 Processed By: ` Lic Exp Date: 11/30/2019 FurnacesBoilers & Compressors Ventilation Up to 1OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 Over 500K BTU/hr: 0 $0.00 Air Handling Units O C a q O .NSO €006 Comm. Hood: 0 Up to 1 M BTU/hr: 0 $0.00 up to I OK CFM: 0 $0.00 Repair/Alter/Add: 0 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 TOTAL: $110.53 Plan Check Fee: MECHANICAL Permit: H2O19-0046 Project No : 2802-2017 Inspection Requests Phone (949)644-3255 $0.00 Fire Dampers: $0.00 Gas Line: $0.00 Metal Fireplace: $0.00 Record Mgt Fee: $0.00 °• u $0.00 e o $0.00 Model: Worker's Comp Insurance - `• Carrier. INDEMNITY INSURANCE eeee. o Policy No: C65797720 °• e°e Expire :10/02/2019 d e0atl�r 1 00 O C a q O .NSO €006 $0.00 Fire Dampers: $0.00 Gas Line: $0.00 Metal Fireplace: $0.00 Record Mgt Fee: $0.00 Additional Fee $0.00 Investigation $0.00 Model: $0.00 Manufacturer: $0.00 Fee Due at Permit Issuance : $110.53 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. $0.00 $0.00 $0:00 $16.53 $35.00 $40.00 Other 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 Investigation Plan Check: RXTQ60TAVJU Issuance: DAIKIN Zoning PC: $0.00 Fee Due at Permit Issuance : $110.53 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. $0.00 $0.00 $0:00 $16.53 $35.00 $40.00 OWNER -BUILDER DECLARATION 1 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 theapplicant 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 Bylsiness 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 cPjil penalty of not more than five hundred dollars ($500). 13 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 ovroet bfWoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 asn exempt from licensure under the Contractors' State License Law for the following reason: ti¢ ":;ignatu44 t?PJgf 1 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 sell a structure that I Ifave 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 Professions Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. SigAdture of Property Awner or Authorized Agent Date. E¢EliSED CQvri?ACTOR'S DECLARATION I hereby affirm undey, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business at/cd Professio5s Code, and my license is in full force ard.akfect. • • • 7 ,Ij,ffp�9 Class '' .. License No Date Contractor Signatu WORKERS' CtiMPENSATION DECLARATION WARNINE: FAILUR4710.9E6URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, -DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •e+ee ,1.eh,�e hereby affirm�Imtlgr penalty of perjury one of the following declarations LJ. I have and wiil Aaintain 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 IN Karmance of the work for which this permit is issued. Policy No. ave 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 msura a carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 11certify that, in the #nalty e of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agre( that, if I should becomo the - rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' ns / Signature of Applicant .Date l -Z_3- DECLARATION REGONST ION LE ING AGENCY I hereby affirm under perjury that thereis a construction lending agency for the performance of the work for which this permit is issued action 3097, Civil Code). Lender's Name Lender's Address By. my signature below, I certify to each of the following:. I am the property owner orauthorized to act on the property owner's behalf. I have read this application and the information I have rovided is correct. I agree to comply with all applicable city. and county dinances and state laws relating to building construction. 1 I authorize representatives of this city or county to qhteethd ado -identified property for inspection purposes. „mac. _ W Sicnature of Prooertv Owner or Authorized ADent j� Print Prooertv Owner'sor Authorized Agent's Na ✓ ate 9 ACTION I DATE V RY PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED FEDERAL REGULATIONS PART Of OF TITLE40AND / AQMDRULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICA770MIS NOT APPLICABLE TO PROPOSED DEMOUTION, SIGNATURE.