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Home My WebLink AboutH2018-0470 - Permits (2)City of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIII FEES MECHANICAL Permit: H2O18-0470 FurnacesBoilers & Compressors Ventilation v � � Other Up to 100K BTU/hr. 0 100 Civic Center Drive, Newport Beach, CA 92660 Fa 2 0 •8 0 4 7 0 Project No : 1221-2017. Bathroom Fan: 1Permit Counter Phone (949)644-3288 Fire Dampers: 0 $0.00 � $0.00 Over 100K BTU/hr. 0 $0.00 > 3 HP to 15 HP: 4 $132.00 Inspection Requests Phone (949)644-3255 0 $0.00 Gas Line: 0 $0.00 � •�• Job Address: 88 LINDA ISLE BIdg:1 Floor: Suite: Wall/Floor Heaters: 0 $0.00 Description of Work: MECH/(4) A/C UNITS 49.5dB, 48clB, 47.5dB & 50.5dB* (CARRIER;24NA-937, 24VNA-948) *TIMER REQUIRED ON EQUIPMENT TO SHUTOfrP BETWEEN 10PM & 7AM 0 $0.00 Metal Fireplace: 6� *REVISED 10/75/2019. Heat Pumps & Package 0 Inspector Area:2 Code Edit : 2016 0 $0.00 Down -Draft Fan: - Legal Description: N TR 4003 LOT 88 $0.00 Owner: DAVIS RANDOLPH/DAVIS SANDRA Contractor: LDI MECHANICAL INC Worker's Comp Insurance - UJ Address: 6400 ALMOND ST Address: 1587 BENTLEY DRIVE Carrier: STARR INDEMNITY /� CL ALTA LOMA CA 91737 CORONA CA 92879 Policy No: 1000001059 Over 500K BTU/hr: Phone: Phone: 951-898-2560 Expire :1110112018 U) Con state Lic: Lic Expire: 784662 0913012018 TIMER REQUIRED ON EQUIPMENT z Issued Date:08/03/2018 $114.84 Up to 1M BTU/hr: 0 Bus Lic: � BT30042979 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Repair/Alter/Add: Processed By:y r Lic Exp Date: 04/30/2019 Issuance: $33.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation v � � Other Up to 100K BTU/hr. 0 $0.00 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: 4 $132.00 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: $114.84 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $317.34 Plan Check Fee : $317.34 Fee Due at Permit Issuance: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCEQR LASTVAttD. INSPECTION Construction Hours: Monday- Friday7#"a.1A.to 6:30 p.m.$nd SAdurd0yefrom 8:00 a.m. to 6:00 P.M. v � � a a � •ao •e• � � •�• ••• oaa DWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law {or the reas'on(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 U all of or U 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 —mrroved for the purpose of sale). u 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 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). n 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 Ihave 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de, my license is in full force and effect. r /0—/ S = j Contractor Signature%�l License Class � License No Date NORKERS' COMPENSATION DECLARATION." NARNING: FAILURE TO SECURE WORKERS' COMPENSATION'COVERAGE I$ UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DOST OF COMPENSATION, DAMAGES AS PROVIDED FOR4SE,CTI(iN7Q6PFTHE LABORCODE,. INTEREST„AND ATTORNEY'S FEES. hereby affirm under penalty of peffuly- 1 e o%'f (he fblloWm� decrarations: 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 thI rformance of the work for which this permit is issued. Policy No. I have and will rrr (�tain 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 nsurance carrier andSpisjicy number -go') q _ O •, Date of Agent I certify that, in the performance of 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 agre t, if I should become su ect to the work nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prow ions. q nature ofAID"ant Day CLARATION REG I CO TRUCTION LENDING AGENCY ?reby affirm under p nalty 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). tder'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 county ordinances and state la s relating to building construction. I authorize representatives of this city or count to nter the abo -i property for inspection purposes. t� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTLON DATE IBY DECLARATION OF COMPLIANCE IMTNCODEOF FOR OFFICE USE ONLY FEDER4L REGULATIONSPART &1 OFTnLE40AND •:AQMO RULE.9F3• ❑ I QUBMfTj'€t7AS8E$TflfdOT1FlCATfDN TO. s. '❑•CEPA ' D•,A M ASBESTOS NORI'7•CAT DMIS NOT APPLICABLE TO PROPOSED DEMOLITION. • • s • • A€RMIT£XP)R€D .. PERMITCANCELLED ••• P€RMITEXTENDED PERMITFINAL CERTIFICATE OF ° • OCCUPANCY.SUEO s` • : h ATTJ • s