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H2019-0572 - Permits
w City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII P4` 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 7 2 " Permit Counter Phone (949)644-3288 r Job Address: 2404 CLIFF DR Bldg:1 Floor: Suite: Description of Work: MECH/NEW A/C ON ROOF (2) "TAMPER RESISTANT CAP REQ" X2019-0732 InspectorArea:2 Code Edit: 2016 Legal Description: N TR 919 BLK 3 LOT 5 Owner: TRIMAR PROPERTIES Contractor: Address• II �IIPWAY LN Address: NEWPORT BEACH, CA 92660 Date:09/20/2019 Phone: Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: AIR MAX 27260 LOS ALTOS MISSION VIEJO CA 92691 626-255-2299 1015725 07/31/2020 BT30065145 11/30/2019 MECHANICAL Permit: H2O19-0572 Project No : 0491-2019 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - - Carrier: STATE COMRINS Policy No: 9170882 Expire :12/08/2019 SiJ BJECT TQ P'IEL1Y1WPFCTQR'S REVIEW AND 411MCVALn ...... mmmm TOTAL: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $151.30 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. \ m c m AC Items FEES •nacesBoile Compressors Ventilation Other .... to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0 00°", :r 100K BTU/hr. 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.06... ` II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee ; $0.00 Investigation:. $0.06"'� :r 500K BTU/hr. 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Ch"aces.° $34.86'"` to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Madel: 24AAA5-60issuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $151.30 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. )WNER-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 ie 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 (_) 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 n mved for the purpose of sale). 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). 7 I 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 legally 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://www.leginfo.ce.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 and Professions Code, and my license is in full force nd effect. /�,r , L/ icense Class License No Date ' s Contractor Signature X /17� VORKERS' COWIPENSATION DECLARATION IARNING: FAILURE WO EBCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OfrOMPENSP6TION, VMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN Y'S FEES. hereby -affirm t%dg(g0nalty of perjury one of the following declarations: 34 have and wil6 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 IN e1fD Aance of t17E wprir for which this permit is issued. Policy No. �a I 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' an a carrier axcF policy number are: 'r•• •••+•• Policy Number Expiration Date l!! {;Z; Agent Phone # 111'oertily that, etlaa 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 agree )qt, iJ ilhould beco (meS/ub'jject to the workers' ompenssation,�p^rovisioonns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ii0"Ohire of Applic;n'AF / i��� // ��� .� Date l IECLARATION RE • R NGCONSTRUCTION LENDINGAGENCY hereby affirm unde?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). ender's Name Lender's Address 'y 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. ,f 7 .,I _ . ` I agree to comply with all applicable city and county ordinances and state laws relating to building construction. /`��5 �f I authorize representatives of this city or cougty to Wpr thtabove-ideyiffgdylopert,)�for inspection purposes. /—�/ //�� ACTION PERMiTEXPIRED PERMIT FINAL CERTIFfCAT€OF OCCUPANCYISSUED DATE 11 BY I SUBMITTED ASBESTOS NOTIFICATION TO: EPA © AQMD D ASBESTOS NOTT19CARONIS NOT APPLICABLE TO PROPOSED DEMOLIPON. SIGNATURE: