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Home My WebLink AboutH2018-0043 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O18-0043 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 0 4 3 Project No : 0092-2016 n. Permit Counter Phone (949)644-3288 ''�stvnss'�`s Inspection Requests Phone (949)644-3255 Job Address: 40 EBB TIDE CIR BIdg:1 Floor: Suite: 00e, Description of Work: MECH -A/C UNIT"EBB TIDE" "TAMPER RES CAP REQ" (X2017-2724) � A Inspector Area:2 Code Edit: 2016 Legal Description: Owner: EBB TIDE LLC Contractor: M B K BUILDERS INC Worker's Comp Insurance - /��e ®- Address: 4 PARK PLAZA, STE 1000 Address: 175 TECHNOLOGY DRIVE Carrier: MITSUI SUMITOMO IRVINE CA 92614 IRVINE CA 92618 Policy No: WCP9110109.... m Phone: 949-789-8441 Phone: 949-789-8441 Expire :07/01/2017 .... . Con State Lic: 844533 ° � ° O ° ... .0° Issued Date:02/01/2018 Lic Expire: 08/31/2018 Bus Lic: BT30057158 ° Processed By: Lic Exp Date: 11/30/2017 .°°", ° o . . HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other a...�. o Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 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 ° ° ° c ° $0.0a..." 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 1OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $15.66 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: GSX14043 Issuance: $0.00 ,Over Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $9.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $42.66 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $42.66 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 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; a(s.; 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 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 improved 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 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: By 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) sell 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 Professions 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 LICENSED CQNTMCTOR'S DECLARATION Irereby.affirm unUMI•penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professigns Code, and my license is in full force License glass • • License No Date Contractor Signature WbRIZ@RS' COMPENSATION DECLARATION WARNING: FAILURE X.SESURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN ErmPLO VER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D(, IN ADDITION TO THE %0%OP COMPENa1AIIP�1J AMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I }Iereby affirm Unger penalty of perjury one of the following declarations: 12I•�Bove a•11•maiutain 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 pWtAvT&e of theavork for which this permit is issued. Policy No. - av;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 insurance carrier aridpciicy number are: Policy Number Date is of Agent • • • rn wne n 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 agree , if I should become sub'ec. he workers' compensation p rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisk) / ratureofApplica�>�J/`� Data .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. 1 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 de r the above -identified property for inspection purposes. �� mature of Prooertv Owner or Authorized Aoent Print Property Owner's. or Authorized Agent's Name AC770AI DATE BY DECLARATIONOFCOMPMANCEMTNCODEOF FOR OFFICE FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 9403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS 11077FIC11TION TO ❑ EPA [3 AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABL.E TO PERAUTFINAL 'G PROPOSED DEMOLITION. SIGNATURE. CERTIFICATEOF OCCOPANCYISSUED