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Home My WebLink AboutH2020-0279 - Permits'1 City of Newport Beach - Building Division IIIUIIIIIIIIIIIIIIIIIIIIII��IIIIIIIIIIIII MECHANICAL Permit: H2O20-0279 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 2 7 9 Project No: Ev Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1015 BALBOA BLVD W BIdg:1 Floor: Suite Description of Work: MECH - NEW ROOFTOP A/C UNIT. 3 SPLIT -SYSTEMS. SOUND ANALYSIS ATTACHED TO PLAN �40`se Inspector reao Code Edit: 2019 Legal Description: N TR 234 BILK 10 LOT 20 jg Owner: DOOLITTLE KEITH Contractor: CALIF A A C CONSTRUCTION Worker's�C^C{v� Ufance - Address: 1Address: AD HACIENDA HEIGHTS CA 91745 TEMECULA CA Policy No: NO EMPLOYEES Phone: Phone: Expire Con State Lie: 595631 Issued Date:05/29/2020 Lie Expire: 06/30/2020 Bus Lie: BT30071887 Processed By: Lie Exp Date: 05/31/2021 o h CS HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 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: 3 $60.00 >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: $69.60 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AMSC14H4S24 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AIRCON Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $226.10 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $226.10 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 item(s) 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 (_) 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). 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 Jonly 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). 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 legall, 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.ca.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. icense Class l> ' License No . J /�.�1 �/ Date 5--XIAx Contractor SignatuteZ�.✓� 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 No THOUSAND0LLARS 1$100,0001, 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: 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 in erformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Agent Date Ttu ify 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 should become subject to the kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./re of Applicant. --- Da I Z zea - K CLARATION REGA D RUC 10 ENDING AGENCY �reby affirm under penalty of p� ury that th re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name X 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 correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter✓��roperty for inspection purposes. ab� AC77ON DATE v r BY/ Vru.wrw I IVar VV i.vmrusuvu rn en wvr V, 7r.n vr,,..e - F€DERAL REGULATIONSPART 01 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NORFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL a /..2 5 CERTfFtCATEOF SIGNATURE: OCCUPANCYLSSUED