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Home My WebLink AboutH2020-0424 - Permitsw City oport B - ildingDivision Center100 Dea Beach, �II�I� � �uI2l�ll00�ll424l� Permit Counter Phone (949)644-3288 a Job Address: 433 SAN BERNARDINO AVE BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (2) A/C UNITS 49.7dB & 45.7dB (TRANE; 4TTR4060L1000A) @ ROOF DECK Inspector Area:2 Code Edit: 2019 Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 13 LOT 16 Owner: MCHONE DAVID Contractor: Address: 433 SAN BERNARDINO AVE Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lie: Issued Date:07/29/2020 Lie Expire: FurnacesBoilers & Compressors Bus Lie: Processed By: Lie Exp Date: AIRSMITHS INC 1474-A POMONA ROAD CORONA CA 92882 951-735-5225 783449 08/31/2020 BT95002015 10131/2020 MECHANICAL Permit: H2O20-0424 Project No: 2394-2019 Inspection Requests Phone (949)644-3255 I Worker's Comp Insurance - Carrier: OAK RIVER INSURANCE nini Policy No: AIWC030566 Expire : J FurnacesBoilers & Compressors X HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 10oK 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 10oK 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 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: 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(SS1141dCE OR LAST VALID lkSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:3,0'p.m.rmV 4aturday forb 8,;00 a.m. to 6:00 p.m. o e o r eV t c .. alp Y GSA CYD ' O♦ •oW O ®O 9Ac Com• 4 f G WA ( J D O Y Lu OOG O o C9 iG,UUo 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 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 roved 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 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). 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 legal 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 Pr Code icense is in full force nd effect. ? icense Class License No Dat "! 0 202,0, Contractor Signatur . 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 THI 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 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 tl eormance 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 carrierV�`sYLrolicy number >r \ , il:_ . 1 vn l'� Kahas Expiration Dale ie of Agent certifythat, in the performance of . if I should become subject to the which this per It is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and npensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions._ _ nature of Applicant - CLARATION REG RDING C NSTR CTION NDI AGE - :reby affirm under penalty of perjury that there is onstruction 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county orAbI911cevand state la s relating to building construction. I authorize representatives of this city or county tq above-identif 3efly for inspection purposes. of Property Owner or Authorized Agent ACTION DATE BY PERMITExPIR€D • PERA41TC40VCELLED ' •' PERMITExTENDED PERMITFINAI CERTIFICATE OF - OCCOPANCYISSOED .:• �• '❑ :I SVETWIT50,3SPESTOS NOTIFICATION TO. • « • C7 EPA ❑ AQMD ❑ ASBESTOS NOTIf7C41IONIS NOT APPLICABLE TO •PTJOP•O5EI2DEW4TION, SItNATUDEi •