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Home My WebLink AboutH2020-0080 - Permits0Projwa} City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O20-0080 o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 0 8 0 ``. Permit Counter Phone (949)644-3288 ect NO :0111-2020 �°�`dif� s Inspection Requests Phone (949)644-3255 Job Address: 424 MARIGOLD AVE BIdg:1 Floor: Suite: Description of Work: MECH/ NEW A/C "TAMPER RESISTANT CAP REQ" 6� Inspector Area:5 Code Edit : 2019 Legal Description: CORONA DEL MAR BLK 440 LOT 16 Owner: COSS EDWARD Contractor: OCEAN A/C & HEATING CO Worker's Comp Insurance - Address: 301 P PP AV Address: 28052 CAMINO CAPISTRANO #101 Carrier: EVEREST CO ONA DEL AR CA 92625 LAGUNA NIGUEL CA 92677 Policy No: 7600020119191 Phone: 9 9-394-9422 Phone: 949-582-0700 Expire :03/01/2020 Con State Lic: 278618 Issued Date: /29/2020 Lic Expire: Bus Lic: 02/29/2020 BT00003631 A t NO CO VS'TR ®r g--1 �$ON NOSE Processed By: Lic Exp Date: 03/31/2020 B t o� M a7C • • mommo <:. •••••• ° „ • • a ° HVAC Items FEES 4r ILYti T Furnaces Boilers &Co pressors Ventilation Other° °° °••` Up to 1 OOK BTU/hr: $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° Q o $O.00 • • . Over 1OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 ` ` sew... Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 o •• 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 1OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investi °ation: $Ov00"= - Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Cbeck ° • $17.40 • ° L Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AWHI2QC-A3DNA5KIssuan4.°°° $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $113.90 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. ;;1 i Bj E CT TO FIELD TN SPF.CTO R' S, REV IE W A ND APPROVAL 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 apj4licant 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). �L ❑ 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 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 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). ❑ 1 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Profess' s Code Ind my,license is in full force and effect. /1 kyr License Class License No '2Date Contractor Signature zo— NORIKERS'COMPANSATION DECLARATION NARNING: FAILURE TQ §F�CjIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Fiereliy affirm urldRc parially of perjury one of the following declarations: )n2 g and will piaintain 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 nce of the work for which this permit is issued. Policy No. .. and will plalntiin 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 e carrieraV;0pocynumber are_ . _ _ _ _' Policy Number Expiration Date TAVAgent rnone w •••.• crartifp that, in tfiepksuob'ect ance of th ork for w ' 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 I, if I s ould be to the rkers' nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. •••.• /� / 416 s of AppJ1a*rf Date Z CLARATION Rf D G N TR AGENCY /11 areby affirm under a of perjuryat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider'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 provi d is correct (/// I agree to comply with all applicable city and county ordin ces and s laws relating to building construction. �� I authorize representatives of this city or county t t abov entified property for inspection purposes. nature of PrODerty Owner or Authorized Apeltt Print Property Owner's or Authorized Agent's NamN 4�� Da ACTION I DATE I PERMITEXTENDED I I 1 I/ / I OCCUPANCYISSUED FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 7403. ❑ I SUBMIITEDASBESTOS N07(FICATION TO: El EPA ❑ AQMD ❑ ASBESTOS NOflRCA77ONIS NOT APPLICABLE TO PROPOSEDDEMOUTIO& SIGNATURE: