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Home My WebLink AboutH2019-0105 - PermitsCity of Newport Beach - Building Division III IuIlIIIIp11111111111111111IN11111p111111 p F 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 0 5 Permit Counter Phone (949)644-3288 �`�drpmF'�b Job Address: 1227 SANTIAGO DR BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT F.A.0 & A/C UNIT 50 dB (AMERICAN STD; 4A7A7060A1) InspectorArea:3 Code Edit: 2016 Legal Description: N TR 4224 LOT 235 FEES Owner: LANTGEN JASON Contractor: TACTICAL AIR INC Address: 1227 SANTIAGO DR Address: 23382 MADERO UNTI J NEWPORT BEACH, CA 92660 MISSION VIEJO, CA 92691 Phone: Phone: 949-303-5525 Other Con State Lic: 1010956 Issued Date:02/25/2019 Lic Expire: 01/31/2021 �,� / Bus Lic: BT30055229 Processed By: YKd Lic Exp Date: 05/31/2019 MECHANICAL Permit: H2019-01 05i Project No: 2344-2018 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE FARM INS Policy No: 92GJT3642 Expire :02/17/2020 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $19.00 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: 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 : $16.53 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 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: $40.00 TOTAL: $129.53 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $129.53 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday°7:00 a.m.fo 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. •°• °p e o ° e ccc c c ccs oc° 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) 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 7e 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). 7 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, Usiness and Professions Code: The Contractors' Stale 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 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). 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 legalh ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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. tignature 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 andionsfasS s Code, and my license is in full force nd effect. .icense Class License No Date Zi Contractor Signet VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO QNE4 ED THOUSAND DOLLARS ($100,000), 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: 31 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 th ¢ertormance of the work for which this permit is issued. Policy No. JI have and willifmaIritain 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' compensatiol Isurance carrier 9 d licy number a e: :arrier .- li u bar Expiration Date lame of Agent * Phone # ]I 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 iat, if I should becomesu/p1eg erkers`ee/mqe isation provisions o 'wa-X79&efthe Labor Code, I shall forthwith comply with those pro��slo/ns. ignature of Applicant 7C�r / - DDF 2 -1w, -CJ IECLARATION REG DING CONST ON -LENDING AGENCY hereby affirm under penalty of per' ry at 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. I agree to comply with all applicable city and county o s and state laws relating to building construction. I authorize representatives of this city or countyt er th bove-identified Droperty for inspection purposes. t 1� �2.5 ianature of Pronertv Owner or Authorized ADent Alm ---print Property Owner's or Authorized Agent's Name` (�� Doll ACTION DATf L By DECLARATION OF COMPLIANCEMTH CODEOF FOROFFICE FEDERAL REGULATIONSPART 0? OF TITLE40AND AQMDRULE1403. ,.. '. XPfRED t SUBMLTTEfl 8ESTQ3 hb7 fICATION T0:. .. •:❑ epA • .A : '.• ANCELLED PXOAOS D VSN dW ON. RONIS NOT APPLICABLE TO . •' 7NDED s, AL LTEOF SIGMA :FSE:. • . JCYISSUED •