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Home My WebLink AboutH2020-0239 - Permits0��1 I City of Newport Beaoh - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 3 9 E ��_ Permit Counter Phone (949)644-3288 �r,s:.... MECHANICAL Permit: H2O20-0239 Project No Inspection Requests Phone (949)644-3255 Job Address: 6 SIDRA COVE BIdg:1 Floor: Suite: Description of Work: MECH - C/O 2 A/C CONDENSORS, 2 FAU, 1 HEAT PUMP InspectorArea:6 Code Edit: 2019 Legal Description: Furnaces Boilers & Compressors Ventilation Owner: KAUFMAN MARILYN Contractor: ALISO AIR INC Worker's Comp Insurance - Address: 6 SIDRA COVE Address: 29736 AVE DE LAS BANDERAS Carrier: LIBERTY MUTUAL NEWPORT COAST CA 92657 RSM CA 92688 Policy No: WC2Z61036218098 Phone: 949-715-3730 Phone: 949-589-2021 Expire :07/01/2020 Con State Lic: 526420 0 $0.00 Issued Date:05/14/2020 Lic Expire: 03/31/2022 Bus Lic: BT30019236 $0.00 Processed By: Lic Exp Date: 02/28/2021 $0.00 Exhaust Fan: 0 $0.00 Gas Line: HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr. 1 $20.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: $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: __O 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 1g 1Q0K BTI1/hf:° ° °1 $20.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $34.80 Investigation: $0.00 Otey.f�QO,j( BTU/for° ° ° 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 UR to 1M,BTU/ftrP ° ° '0 $0.00 up to 1 O CFM: 1 $14.00 Repair/Alter/Add: 0 $0.00 Model: ACX-06Clssuance: $35.00 UQ (,C' 1,,7�W BTU/hr: "0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over°1 75M BTU/[*: ° 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 cocc TOTAL: $205.30 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $205.30 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. °°°°° 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) I have placed next to the applicable items) lection 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 'rofessions 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 1, 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 pply 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: ly 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 legalh ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/ANww.leginfo.ca.gov/calaw.htmi. Iignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION —E_ 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 an ro ass and my license is in full force nd effect. J / �� icense Class License No Date ! Contractor Signat VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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 th 2q2q II,,��.. rrI\mance of the work for which this permit is issued. Policy No. ve 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' compensatiol Isu nce carrier and policy number are: Policy Number Date ne of Agent r -none * 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 I, if I should become subject to the a - nation- wslons of Sectio - "f=the-Labor-Gode-FshallioTthwith-complywith those provisions. fly/ .... 11 nature of Applicant - — IDate •••••• ••000 CLARATION I RWJK=N5-TFWCT0N LENDING AGENCY OF •• 0 0 0 n veby 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). • • • • 0 Ider's Name Lender's Address ...... my signature below, I certify to each of the following: 000000 I am the property owner or authorized to act on the property owner's behalf. ... •0000 I have read this application and the information I have provided is correct.I agree to • 0 I authorizecrepPesenly lth tatfves of applicabcity and c le or count unty ordinances uliding,construcve-ide 'Sellarty for inspection purposes.• • • • • • (�t�le i%�i a dim/ i s nature of Property Owner or Auth 'z Print Property Owner's or Authorized Agent's NI ACTION DATE BY DECLARATION OF COMPLIANCE K1TNCODEOF _ FEDERAL REGULATIONS PART fit OF IITLE40AND AGMURULE1403. PERMIT€XRRED f SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AGMD PERMITCANC€LLED PERMITEXTENDED 0 ASBESTOS NOT APPLICABLE TO PERMIT FINAL (/ PROPOSED DEMOLITION.770Ni5 C€RTIRCATEOF SIGNATURE: OCCOPANCYISSOED ••000V