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Home My WebLink AboutH2019-0580 - Permitst� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0580 '. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 8 0 Project No: Permit Counter Phone (949)644-3288 ��.��aa�',,pp'��'�''°""N°'�� D ny�ya� iilr�Spection Requests Phone(949)644-3255 Job Address: 3 CORAL REEF Bldg:1 Floor: Suite: Description of Work: MECH - C/O CONDENSOR & FAU, TIMER* TAMPER-RESISTANT CAP REQ'D InspectorArea:6 Code Edit: 2016 Legal Description: N TR 14859 LOT 8 Owner: SCHUMITZKY ROBERT N Contractor: ALISO AIR INC Address: 3 CORAL REEF Address: 29736 AVE DE LAS BANDERAS NEWPORT COAST, CA 92657 RSM CA 92688 Phone: Phone: 949-589-2021 0 Con State Lic: 526420 Issued Date:09/25/2019 Lic Expire: 03/31/2020 `JIB A Fire Dampers: Bus Lic: BT30019236 Processed By: Lic Exp Date: 02/28/2020 Worker's Comp Insurance - Carrier : LIBERTY MUTUAL Policy No: WC2Z61036218098 Expire :07/01/2020 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr. 1 $24.00 > 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: $38.28 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AHA460AIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $158.78 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $156.78 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. OWNER -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 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 Business 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 civil penalty of not 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 isnot 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 ap 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 exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect�ry 700�sion 3 of the BueiR d�.dicens.__ eti!-Rulltorne_ and effect (( -icense Class License No Date Contractor SionahAe NORKERS' COMPENSATION DECLARATION > �— -- VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYEBAO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. hereby affirm under penalty of perjury one of the following declarations: Ilkhave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl Trance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are:. Policy Number Expiration Date Phone # I certify that, in the per$arrEi a work for hitlF1'oI employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subject tot oompeHsat n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 9 Signature of Applicant Date L DECLARATION REGA ,VDINCIXEINSTRUCTION LENDING AGENCY � I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (tion 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 or authorized to act on the property owner's behalf. I have read this application and the informatic disk-Ifled I agree to comply with all applicable city and count neaws relating to building construction. I authorize representatives of this city or county RterT a abov property for inspection purposes. / h"ate Signature of Property Owner or Authorized Agent Print Property owner's or Authorized Agent's Name l C�J ACTION DATE BY DECLARATION OF COMPLIANCEWITNCODEOF FOR OFFICE USE ONtY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMITEXP/RED ❑ I SUBMtTTEDASBESTO5NDTIFICATION TO: - ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT: EXTENDED ❑ PROPOSED DEMOLITON.ASBESTOS TIQNlSNflTAPPLICABL.ETO PERMITFINAL l4 30 I9 — CERTIRCATEOF OLCUPANCYISSUED SIGNATURE: