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Home My WebLink AboutH2018-0183 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIII `t ! 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 1 8 3 Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O18-0183 Project No : 1720-2017 Inspection Requests Phone (949)644-3255 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. Job Address: 15 DEERWOOD LN BIdg:1 Floor. Suite: Description of Work: MECH A/C UNITS (3) *TAMPER PROOF CAP REQ* FEES 0. ° FurnacesBoilers & Compressors Ventilation Inspector Area:4 Code Edit: 2016 Other Legal Description: N TR 7638 LOT 101 Up to 100K BTU/hr: 0 $0.00 • • ° • " 3 $54.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Owner: DEERWOOD LLC Contractor: WATER MILL HOMES INC Worker's Comp Insurance - $0.00 Address: 20151 SW BIRCH ST STE 150 Address: 20151 SW BIRCH ST #105 Carrier: STATE COMP ° ° ° • ° NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 Policy No: 1606900 • . °° Phone: 949-2504200 Phone: 949-250-4200 Expire :01/01/2019 0 $0.00 Metal Fireplace: Con State Lic: 941819 ® e o o Issued Date:03/21/2018 Lic Expire: 01/31/2020 Down -Draft Fan: 0OO•oe ° /��/^\ Bus Lic: BT30034736 o eiee°O Processed By: � / \ Lic Exp Date: 08/31/2018 0 $0.00 e • e e o 0 0 $0.00 Additional Fee : $0.00 Investigation: o mmmoca Over 500K BTU/hr: 0 $0.00 Air Handling Units e°mmmo 0 0 0 Comm. Hood: 0 $0.00 memeoo 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. HVAC Items FEES 0. ° FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 3 $54.00 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: $46.98 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AHA46OA003 Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: SLIM LINE Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $171.48 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $171.48 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) action 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 jpplic* for 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 rfessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7,131.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). 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, siness 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 )rovements 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 )roved for the purpose of sale). I, as owner of the property; amexclusivelycontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly 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). I am exemel fSo4n licensure under the Contractors' State License Law for the following reason: 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 I a itructure4Rat T 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 Ifessions Obdg iS available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html. nattre of IFIreperty Owner or Authorized Agent Date %211IISED CONTRACTOR'S DECLARATION .Tdby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenci/witect' n 70 ) of Division 3 of the Business andP%%Foofessions Code/�j�d my license is in full force t effect. • • •';Ti �Contractor Si Ince Class License No DSignature )RKERS' C(INIPENSATION DECLARATION INING: FAILURE Tf, 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 jT q%COMPENSA ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Irebt affirm AderFenalty of perjury one of the following declarations: d.have andgill naintain 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 the (q W%nce oft a ork for which this permit is issued. Policy No. have 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 trance carrier and policy number are: Tier Policy Number Expiration Date lame of Agent rnone s �I certify that, in the p rformance of the)"rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to th crkers' compensation laws of California, and agree tat, if I should beco sUN ct to the r rs' compens provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi 'n s. ignature of App..-- t Dat IECLARATION R A ING RUCTION I23EMbING AGENCY hereby affirm un r penalty of erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y 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 1 have provided is correct. I agree to comply with all applicable city and coupily ordinance nd state laws relating to building construction. I authorize representatives of this city or county, og,�,f,'ter the ov -Idents 'ed party for inspection purposes. M. ionature of Prooertv Owner or Authorized AGentl 14 r —! Print Property Owner's or Authorized Agent's Wme %s! eA#f'cz tW1#1 ,%J1Arn Date ACTION DATE ` BY U LLAH flu" Ur LVIVIr"A"Ur wlrn uv cvr - ruff urrLr• Uat urvLr/ FEDERAL REGULATIONS PART 61 OF TITLE40.AND AQMORULE1403. P€RMITEXPIR€D ❑ I SUBMITFED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD PERMITCANCELLED PERA41TEXTENDED ❑ ASBESTOS M07IRCA7I0NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFICATEOF SIGNATURE. OCCOPANCYISSUED