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Home My WebLink AboutH2019-0275 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111 rod 100 Civic Center Drive, Newport Beach, CA 92660 H 2 O 1 9 0 2 7 5 �. Petrmit Counter Phone (949)644-3288 Job Address: 204 COLLINS AVE Bldg:1 Floor: Suite: Description of Work: MECH A/C UNITS (2) *TAMPER PROOF CAP REQ* InspectorArea:2 Code Edit: 2016 Legal Description: BALBOA ISLAND SEC 2 BILK 11 LOT 16 Owner: TRIMAR PROPERTIES Contractor: Address: 205 ONYX AVE STE B Address: NEWPORT BEACH, CA Phone: Phone: rl t Con State Lic: Issued Date:05/15/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: FERNANDEZ ROBERT CONSTR INC 923 EVERGREEN PLACE COSTA MESA CA 92627 949-981-9169 677390 04/30/2020 BT30046730 03/31/2020 MECHANICAL Permit: H2O19-0275 Project No: 0763-2017 Inspection Requests Phone (949)644-3255 HVAC Items •sm• FEES rl t 1 Doom ott e� Seo Ventilation ° Worker's Comp Insurance - m m ° Carrier: WIC EXEMPT Up to 100K BTU/hr: 0 $0.00 Policy No: (NO EMPLOYEES) 2 e Dee Bathroom Fan: Expire: Fire Dampers: 0 $0.00 $0.00 m •eoeo $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 meoeo• ° m m o 0 $0.00 o mo mmmmon m 0 $0.00 m o 0 omoo° $0.00 Attic Fan: mom. Metal Fireplace: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 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: $33.06 Up to 1 M BTU/hr: 0 $0.00 up to I OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model YCS18I24621S Issuance: $35.00 Up to 1.75M BTU/hr. 0 $0.00 Over 1 OK 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: $40.00 TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $146.06 PERMITS EXPIRE 980 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. t0 6:00 p.m. IWNER-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) 1 have placed next to the applicable4tem(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 is 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 Irofessions 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 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, lusiness 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 nprovements 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 nproved for the purpose of sale). 1, as owner ofthg %operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an ownerefroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ' 1'afrtexempl flom%ensure under the Contractors' State License Law for the following reason: ly my signalurerbel" 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 legall eT o shicture thal.1 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 'rofeS3ions Codp. is avpilable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Mgr atare of PrdptFt? Ogvner or Authorized Agent Date rlCE09ED CONTRACTOR'S DECLARATION hecshy affirm aNr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing th Section 7000) of Division 3 of the Business Pr assns C e, and my license is in full force rdeie p d 1c�er1%� &lass License No Dat -1 Z-1 1 Contractor Signatu FORKCRS' CCURIE61SATION DECLARATION 64$dIdGFA1LURE TO SECITRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OST OF GOMPENSAWIBN, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under4nalty of perjury one of the following declarations: 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 the erformance of the work for which this permit is issued. Policy No. 71 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 Isurance carrier and policy number are: :arrier Policy Number Expiration Date e of Agent tPhone # ertify that, in the perfo a of t work f r 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 agree tat, i should become b e t t th rkers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ' ns. Iignature of Applicant Date IECLARATION REG bIN4V6N§WCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code). ender's Name Lender's Address Iy 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 co ty antes d to laws relating to building construction. I authorize representatives of this city or county o t -1 tified property for inspection purposes. .,..,.,.— ,.f 0..... , n,.,.,e — A,ah—i- n„enr / Print Prooertv Owner's or Authorized ADent's Nam/Y- ACTION DATE f3Y ++>=..r-srw rsvia yr a_aimru�.r.�rr... FEDERAL REGULATIONS PART 61 OF T/RE40AND EXPdtiED AQM0 ROL€1403. ❑ ISUBMTTEDASBESTOSN071FICATIONTO: CANCELLED ❑ EPA EXTENDED ❑ AQMD ❑ ASB€STOS N01IRC4170MIS NOT APPLICABLE TO FINAL PROPOSED DEMOUTIOM OCCUPANCYISSUED r ' I I I -SIGNATURE.