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Home My WebLink AboutH2018-0736 - Permitst City of Newport Beach - Building Division III 111111111p1111111111111111p11IN11111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 7 3 6 k Permit Counter Phone (949)644-3288 Job Address: 182 SHORECLIFF RD BIdg:1 Floor: Suite: Description of Work: MECH A/C UNITS (2) *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit: 2016 Legal Description: N TR 1116 LOT 100 Owner: HOHMANN DAVID Contractor: ENDLESS SUMMER HTG & A/C Address: 182 SHORECLIFF RD Address: 110 COPPERWOOD WAY, STE G CORONA DEL MAR, CA92660 m c OCEANSIDE CA 92058 Phone: Phone: 760-439-5071 Con State Lic: 914490 Issued Date:11121/2018 Lic Expire: 04/30/2020 Bus Lic: BT30030164 Processed By: Lic Exp Date: 12/31/2018 MECHANICAL Permit: H2O18-0736 Project No: 1135-2017 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: STATE FUND Policy No: 9078097 Expire :1110712019 ,A m c e c cmemco e6 m c r FEES mm mcm sm o FurnacesBoilers&Compressors Ventilation am c Other o mom- Pm emmoo 0 $0.00 Up to 3HP: ccc co Bathroom Fan: ccec cc m c o 0 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. nemccc HVAC Items FEES mmeeu FurnacesBoilers&Compressors Ventilation am c Other c Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $35.00 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: $46.98 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Madel: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANTIMITSUBIS Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $175.98 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $175.98 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. OWNER -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 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 applicant 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 theBhainess 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 1 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. 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 Pr9Cggy.Qwner or Authorized Agent Date I:ICEN+SED CONTRACTOR'S DECLARATION I bemb? affirm under mnalty of perjury that I am licensed under provisions of Chapter 9 (commencing w' h Section 7000) of Division 3 of the Business a 6 Pr si s o nd my license is in full force and effect. �TcEnS%Class License No Dat ` 1 ' l Contractor Signalur, WORKERS' COMR6NSATION DECLARATION WARNINrk FAILUR'E•TOaE&RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL VER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COSI-CIF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t borebi eaderpenalty of perjury one of the following declarations: 0'1*6ave and wig 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 ndffonce of tVe woglc for which this permit is issued. Policy No. have and iviil maistain 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' compensatioi SMe carrieyanfJ policy number are: Cainei '.'. ' Policy Number Expiration Date ne of Agent Phone # 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 t, if I should becomeub ec to t e rke mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prove onsl nature of Applicant Date ` CLARATION REG DI C 0 NS U I N LENDING AGENCY Ireby affirm undernalty 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). Ider's Name T 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 CIOrre I agree to comply with all applicable city and cou�}ty ordF�o .nd st e I s relating to building construction. ///�� I authorize representatives of this cit y or county {6 ente- le property for inspection purposes. r rl �^^� �� nature of Prooertv Owner cr Authorized Agent / Print Prooertv Owner's or Authorized Aqent's me I(j ate I L.i ACTION DATE / BY V UCULr fJVrx ur t VIN•rLrsUVnc rforn wucw FEDERAL REGULATIONS PART St OFTITL.E40A AQMDRULE1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA . ❑ AQMD PERMITCANCELLED PERMITEXT€NDED ❑ ASBESTOS NO7IFlC417ONIS NOT APPLICABLE TO PROPOSED OEMOLITION. PERMITFINAL CERTIFICATE OF ___...,..._...__..__ SIGNATURE: