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Home My WebLink AboutH2020-0042 - PermitsCity of Newport Beach - Building Division III 111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 0 4 2 Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O20-0042 Project No: 2172-2018 Inspection Requests Phone (949)644-3255 Job Address: 3902 CHANNEL PL BIdg:1 Floor: Suite: Description of Work: MECH INSTALL (2) AIC UNITS @ THE ROOF "TIMER REQ ON UNIT #1" TAMPER RESISTANT CAPS REQ InspectorArea:1 Code Edit: 2016 Legal Description: MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) Owner: 3900 CHANNEL PL #1, LLC Contractor: Address: 15 CORPORATE PLAZA Address: NEWPORT BEACH CA 92660 « Phone: Phone: 08/31/2020 Con State Lie: Issued Date:01/21/2020 Lie Expire: r'" Bus Lie: Processed By:- CL Lie Exp Date: Ir S E __�, eeos o ebeoc ooebe• o r b COMFORT HEATING & A/C Worker's Comp Insurance - 21962 COSALA Carrier: W/C EXEMPT MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) 714-335-7055 NO CONStl R M 632774 i 4� 9N NOISE 12/31/2021 « BT30005700 b e� 08/31/2020 be i9 1 211M =114 HVAC Items • o e„ .. e o « e bee b e� FurnacesBoilers & Compressors be C'CO4'0C el48�i t o bbo®J Other Up to 100K BTU/hr: 0 ee o e e 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 004®q� 00n S« C e000C 480J` $0.00 > 3 HP to 15 HP: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up 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 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: 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: $34.80 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CSH1BE-36Klssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAG Over 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. I DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated kelow 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 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). ❑ 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, 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 notintended 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 ownero,f 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 exempPfjgry jjdensure under the Contractors' State License Law for the following reason: Nj 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 sglt 5 %fracture tNIJ neve 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 OCERSED CONTPPTOR'S DECLARATION I Vniib;affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu mass and Professi ode, and my license is in full force and effdbt. , . 1 _ _ Liearee-Class ••••.; License No �IJay (^ Contra; Ignature WORK RS' COMPENSATION DECLARATION \/ Wgr�T tb!P.AILURE TQSECiIRE 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 C((t�ST bbF CpMPENSPrTIONrDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hejebbyatfirm under penalty of perjury one of the following declarations: 70 W and will,�gipfain 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 pe rmance of the work for which this permit is issued. Policy No. 1.4ave 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' compensation. urance carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # certify that, in thp.performance of the work which this permit is issued, I shall not employ any person in any manner so as to become subj ct to the workers' compensation laws of California, and agre t, if I should Stoma s b' the worker ' compensation vision Section 3700 of the Labor Code, I shall forthwith comply with those 0 vii ns. natur App' an i (D e— CLA TION R R G NSTRUCTION LEND NG AGENCY �reby 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). 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 provided is correct. I agree to comply with all applicable city and county ordinances and sta ws relating to building construction. I authorize representatives of this city or county to VAer the alioye-id died property for inspection purposes. ACTION A It BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLXfl FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ f SUBMfTTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N017FICATIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMITFLNAt / '20:-0 CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: