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Home My WebLink AboutH2019-0546 - PermitsCity of Newport Beach - Building Division 1111 11111111111IIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 4 6 H Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O19-0546 Project No : Inspection Requests Phone (949)644-3255 Job Address: 11 BODEGA BAY DR BIdg:1 Floor: Suite: Description of Work: MECH A/C UNIT & FURNACE C/O *TAMPER PROOF CAP REQ" TIMER REQUIRED ON EQUIPMENT NEIGHBOR NOISE AGREEMNT ATTACHED InspectorArea:4 Code Edit: 2016 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Legal Description: N TR 7844 LOT 14 Owner: KIM WESLEY YOUNGDO Contractor: A C COOL INC Worker's Comp Insurance - Address: 11 BODEGA BAY Address: P O BOX6868 Carrier: EVEREST NATIONAL NEWPORT BEACH, CA 92625 ORANGE CA 92863 Policy No: 760007408191 Phone: Phone: 714-720-3938 Expire 06/01/2020 Con State Lic: Issued Date:09/10/2019 Lic Expire: nn Bus Lic: Processed By: C l \ Lic Exp Dater 804056 01/31/2020 BT30042073 0��C-® 1/31/2020 e.em s ! eoom FEES o � b m• m•emoc m df'0! ! C ! m .Other !A O m 0 meeeo• ! ! • e n 0 $0.00 0o n eole c � memce ecce olemcc > 3 HP to 15 HP: 1 $36.00 ! 0 $0.00 Gas Line: POmmCC m m m mmeedm. c �� m 000moo m mo Attic Fan: e O O OA2f( Decd HVAC Items FEES FurnacesBoilers&.Compressors Ventilation .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: 1 $24.00 > 3 HP to 15 HP: 1 $36.00 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 Comma Hood`. 0 $0.00 Plan Check: $52.20 Up to 1M BTU/hr: 0 $0.00 up to1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AHA41ssuance: $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: $188.70 Plan Check Fee :' $0.00 Fee Due at Permit Issuance : $188,70 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. VNER-BUILDER DECLARATION I herebyaffirmunder 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) fiction 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 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 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 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, ;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 1hemporoperty, am exclusively contracting 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). Lary Pxempt fro�Lrnl licensure under the Contractors' State License Law for the following reason: my signature, r1m ).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 structure thft1 Tuve 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 If EUcTins Code, R available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. natup of Pro arty Owner or Authorized Agent Date :£N9ED CO�J'fMTOR'S DECLARATION ireay affirm und9r itenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000) of Division 3 of the Business and P ofessi od lic s0 is in full force AM Class License No Date 9 / i0/i 5 Contractor Signature )KKeRS' C(QMPE,NSATION DECLARATION 3NING?FAILURP-0061MERE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Hr OC COMPENSATION, ErAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. 181+/affirm LJA§r p*alty of perjury one of the following declarations: • I have and will••m•aintain 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 formance of the work for which this permit is issued. Policy No. �rNave 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 rice carrier and policy number are: Policy Number Date Name of Agent Friona s I certify that, in the performance of work for hich this per is issued, II not 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 bject a worker ' o or p ov i of S do 3700 of the Labor Code, I shall forthwith comply with those provisi s. Signature of Applicant Date DECLARATION REG R G ONSTRUCY40N LENDING AGENCY I hereby affirm under enalty of perjury that there is a construction lending agen y for the performance of the work for which. this permit is issue action 309 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 information I have prov' correct I agree to comply with all applicable city and county rlflnanc nd st laws relating to building construction. I authorize representatives of this city or count a ova idia property for inspection purposes. Sianature of Property Owner or Authorized Ag Print Property Owner's or Authorized Agent s Name ACTION DAE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY/ FEDERAL REG ULA TIONS PART 61 OF TITLE 40 AND - AQMDRULE 1403. - P€RMIT EXPIR€D O .1 SUBMtTTEDASB€STOS N071FICATIONTO: 0 EPA 0 AQMD PERMlTCANCELLED P€RWiTEXTENDED ASBESTOS DONS NOT APPLICABLE TO PPROPODDEMOLITIpM PERMITFINAL o d'C — CERTIRCATEOF SIGNATURE,, OCCUPANCYtSSUED N N N rn a �g a N M w D Azr� 0 as �Z� n yAm D a r O (D U O O r J Z W O Jg WJ z Z Z �F- 2 Z W 0 U W W COa z� o= tto N a) cu = rrss7 Y as C Z=ca 3d+ c 8m N N c aL au)Q� QoE� O — ao, ^mei Q W a a mouj QU O CO C N 2 •� N d (D v d 0 o Q N N o E E c Q L 7 Q O U w xEx •5N 7 l0 a) M 2 E V5t m (a Q C m N S c 0 0 c d o E o Y 0 p_ O' U 3 3 3 3 1 'awa)a)Z N