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Home My WebLink AboutH2020-0586 - Permitsw City of Newport Beach- Building Division IIII�IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII o 100 Civic Center Drive, Newport Beach, CA 92660 - H 2 0 2 0 0 5 6 6 F g Permit Counter Phone (949)644-3288 , `_ ., ��' HERS VERIFICATION REQ MECHANICAL Permit: H2O20-0586 Project No : Inspection Requests Phone (949)644-3255 Job Address: 85 OCEAN VISTA BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (E) F.A.0 & A/C UNIT 51.5dB* TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN IOPM & TAM Inspector Area:4 Code Edit: 2019 Legal Description: TR 9676 LOT 12 UNIT 88 OF PROJECT LOCATED ON AP 442-361-31 TOGETHER Owner: WOODFORD BETTY Contractor: Address: 85 OCEAN VISTA Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:10/12/2020 Lie Expire: f' Bus Lie: Processed By:- 1 r 1% Lie Exp Date: SIMS COMPANY, A PARTNERSHIP 6943 TRINITY PLACE ALTA LOMA, CA 91701 (951) 271-2928 1032723 11/30/2021 BT30072280 06/30/2021 Worker's Comp Insurance - Carrier : BENCHMARK INS CO Policy No: CST5019140 Expire :05/06/2021 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. HVAC Items ccs o o cao FEES FurnacesBoilers & Compressors Ventilation M 00 WO` Other Up to 1OOK BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 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 1OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $18.27 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: $37.00 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: $46.25 TOTAL: $143.52 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $143.52 PERMITS E3tP/RE `'80 DA" /TASTER IMIJJ4NCf OR LAST VALID INSPECTION Construction Hours: Mondly 9=riojay,,7:00 &m.6c 65:90 pbrr.and Saturday from 8:00 a.m. to 6:00 p.m. ccs o o cao OfU UUO M 00 WO` OWNER -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 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 (_) 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' Stale 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). ❑ 1 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 legall) 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 CONTRACTOR'S DECLARATION I 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 salons C e, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 CIF THE LABOR CODE,INTEREST, AND ATTORNEY'S FEES. I 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 th oerformance of the work for which this permit is issued. Policy No. l 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' compensatioi urance carrier aicy number a ,, rrier '� Expiration Date me of Agent e, s Phone # certify that, in the performan a of the rk for whi 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 t, if I should become subject to he wo a pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica a G>-' CLARATION RE ARD( G NST ION LENDING AGENCY Dreby 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 owners behalf. I have read this application and the information I have p is correct. I agree to comply with all applicable city and county dina as and state laws re-lauilding construction. authorize representatives of this city or county o r t e above= property for inspection purposes. (nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na ee=1 ACTION DATE - RY DECLARATION OFCOMPLIANCEWIT CODEOF FOR OFRCE USE ONLY FEDERALf�EEGULATIONS,P,AIJ Q1 OF TFILE40AND AQMORUf:E1$03. ' • • . . PERMITEXPIRED ❑ PERMIT CANCELLED 7 ISUVF1EPA TftLA§BES:Q 7TOS 4DgICA'[2 "P .. ... .Q ... ❑ PERMIT EXTENDED ❑ AQMD . ❑ ASBESTOS NODRCARONIS NOT APPLICABLE TO PERMITFINAL / PROPOSEDOEMOL00N. CERTIFICATEOF • : : a OCCUPANCYISSUED SIGNATURE., • .• :.