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Home My WebLink AboutH2020-0690 - Permits (2)City of Newport Beach - Building Division ' d 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 Permit Counter Phone (949)644-3288 H 11?02-6 -U661U I'K C O V VV1 CM W- Cn � 0 6 9 0 MECHANICAL Permit: H2O20-0690 Project No :1753-2020 Inspection Requests Phone (949)644-3255 Job Address: 18 CORMORANT CIR BIdg:1 Floor: Suite: Description of Work: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit: 2019 Legal Description: NTR12529LOT 9 ®°•°°O Owner: VOSSMELANIE J Contractor: OWNER/BLDR Worker's Comp ••000c Insurance- ® Address: 18 CORMORANT CIR Address: AUTH AGENT: Carrier : • °° °°° NEWPORT BEACH, CA 92660 PAT SIMONIAN PQli6 No: O° ` Phone: Phone: 949-721-8585 Expirei "" s®°®•° .° °'° Con State Lic: O/8 IssuedDate:11/25/2020 Lic Expire: Bus Lic: mo°oo ° Processed By: Lic Exp Date: �1 'N�9ECr OOCCpf, j� o °® ®n UOOOUf OBOO p C ° O 6000 000• HVAC Items FEES-,, FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $O., 0 $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 $ X00 $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: $18.27 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: YCG42B2151ssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $122.52 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $122.52 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) 1 have placed next to the applicable items) ction 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 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 cessions 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 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, ,iness 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 rovements 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 roved for the purpose of sale). J,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 ly 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 exeDipt from licensure under the Contractors' State Licen 410aw for the following reason: ny signature beldw I acknowledge that, except for my erso res'6ence in whi must have resided for at least one ear prior to completion of the improvements covered by this permit, I cannot legalh estructuretj �t have built as an owner-builde if h not Be,n onstruc d in i entirety by licensed contractors. I u derstand that a copy of the applicable law, Section 7044 of the Bess and Asions �o e, is -available upon request when t ' a plic ionift or th following b site:htt �!/www.I ' fo.ca.gov/calaw.html. R9jure of Prqperty Owner or Authorized Agent D TENSED r�ONJRACTOR'S DECLARATIO '.taby affirM.Loellpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, an my license is in full force effect. we Clasl': �. License No Date Contractor Signature OkERSf COMPENSATION DECLARATION '.ynlG: 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 ($100,000), IN ADDITION TO THE TGF COMPENSA;18$ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm tHiderQenalty, of perjury one of the following declarations: I. Sve and Aq 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 ormance oftRiMork 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' compensatioi Trance carrier and policy number are: Policy Number Date ne of Agent rnone ff certify that, in the perfor agfthrk for w I h this Rermit is issued, I shall n employ any person in any manner so as to become subjectto t workers' compensation laws of California, and agre t, if I should become u crs' om nsation provisions 3f Section 37 0 of the Labor Code, I shall forthwith comply with those prove ��77 ....��nature of Applicant Date O'kJCLARATION REGA N TION LENDING AGENCY areby affirm under pe Ity ohere 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 prope y owner's behalf. I have read this application and the informatio h s a ro Id is c rrect. I agree to comply with all applicable city and ounl rdi antes an State laws relatigg to building onstruction. I authorize representatives of this city or co ty t r e bo identified property for inspecti n purposes. h nature of Prooertv Owner or Authorized ADen _ roperty Owner's or Authorized Agent's NameiY\ fl t AC 7ON DATE BY vc�AMwrrvry yr wmruAlvY c rn I w.� yr FEDERAL REGULATIONS PART 61 OFTITLE40A1110 AQMD RULE 1403. PERMITEXPIRED ❑ i SUBMITTEDASBESTOS NOBFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERA41TEXTENDED ASBESTOS NORACATION IS NOT APPLICABLE TO PROPOSEODEMOLITION. PERMN'FINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED