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Home My WebLink AboutH2018-0434 - PermitsCity of Newport Beach - Building Division 111111111111111111111111 IN IIIpIIIII III 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 4 3 4 Per,d( tCounter Phone (949)644-3288 G'1:LPYY}W�S� Job Address: 4 FAIRWIND Bldg:2 Floor: Suite: Description of Work: MECH -REPLACE (3) A/C UNITS "TAMPER RES CAP REQ" X2016-4322 InspectorArea:6 Code Edit: 2016 Legal Description: N TR 14037 LOT 37 FEES Owner: BUI CHRIS Contractor: CALIFORNIA HEATING & A/C Address: 4 FAIRWIND Address: 33892 PEQUITO DR #B NEWPORT COAST, CA 92657 Ventilation DANA POINT CA 92629 Phone: 714-580-4546 Phone: 949-351-4336 Con State Lic: 677332 Issued Date:07/23/2018 Lic Expire: 09/30/2019 $0.00 Bus Lic: BT30060389 Processed By: Lic Exp Date: 09/30/2018 MECHANICAL Permit: H2O18-0434 Project No : 2970-2016 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: EXEMPT Policy No: Expire : j00P . . . a ..o.o HVAC Items FEES o FurnacesBoilers&Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HPr 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 3 $99.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 C. c G $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 1MK 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: $86.13 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: YCS36B21S/60B21 Issuance: $33:00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $255.63 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $255.63 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, alsnteq es the applicant 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 theBusinessand Ifessions 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 more than five hundred dollars ($500). I, as owner of the propekty;.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, ;iness 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, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fly 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: 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 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 copy of the applicable law, Section 7044 of the Business and ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date TENSED CGAtXACTOR'S DECLARATION ;rebyaffirm untlg enalty of perjury that I am licensed under provisions of Chapter 9 (commencing withaction 7000) of Division 3 of the Business and Professi>�de, and my license is in full force 1.Mct. C •••• -i anse Class • • License No Date / "2 3 - 0� Contractor Signature YP{ ERS' COMPENSATION DECLARATION ININPr: FAILUR%7b Te; RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE I=O GOMPEN AfTlp MAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ireol affirm under penalty of perjury one of the following declarations: •*a . . CiM and NAI maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI formance of the -work for which this permit is issued. Policy No. 17av$ and wj CrpaipCain 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 ijirscg carrier and policy number are: Tjgr_ • _ • _ • • _ Policy Number Expiration Date Agent • 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 ould become subje/ct10 the work ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions of Applicant / ! Date 3 =reby affirm under penalty 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) lder'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 laws relating to building construction. I authorize representatives of this city or county tolenter the above -identified property for inspection purposes. % mature of Prooertv Owner or Authorized Acent Print Prooertv Owner's or Authorized AGent's Name kd N v' 6 ACTION DATE BY ufzuJ fH flu" VI"LVIVIYUHIYLC: VY/{r}LVUC V!- (Vii Urrll VJL VIVLT FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD.RULE 1403, PERMIT EXPIRED I SUBMfTTEDASBESTOS N071FICA77ON TO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCATIONIS NOTAPPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL ( p CERPRCATEOF SIGNATURE. OCCUPANCYISSUED CO o do N t I T a c .Li a v VI a a M V a ° �6 ro W. b l g 4V N � Vl O N � � C 6 ['• U N � a . VO $ Ld rq C b � C 6 M �S_ Ltl u O 3 5 M a 4 � w d yp T a ° 4V N � Vl O N ['• U N b r - k N a R'