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Home My WebLink AboutH2018-0378 - PermitsCity of Newport Beach - Building Division H2O18-0378 ". 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 H-2-0 03-7 Y SSS (0 Lv1 Job Address: 1556 AUGUST LN Bldg:1 Floor: Suite: Description of Work: MECH A/C UNIT C/O *TAMPER PROOF CAP REQ* AND FURNACE C/O MECHANICAL Permit: H2O18-0378 Project No : Inspection Requests Phone (949)644-3255 Inspector Area:8 Code Edit: 2016 Legal Description: FEES Owner: CASE JACKIE Contractor: CLIMATE AIR MASTERS INC Worker's Comp Insurance - Address: 1556 AUGUST LANE Address: 1139 N ANAHEIM BLVD Carrier: SECURITY NATIONAL NEWPORT BEACH, CA 92660 ANAHEIM CA 92801 Policy No: SWC1157439 Phone: 949-338-2176 Phone: 951-288-6822 Expire :06/25/2018 Up to 3HP: Con State Lic: 695854 0 $0.00 Issued Date:06/21/2018 Lic Expire: 0 8131/2 01 9 $0.00 Over 100K BTU/hr: Bus Lic: BT30059886 > 3 HP to 15 HP: Processed By: ( Lic Exp Date: 07/31/2018 Gas Line: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $18.00 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 $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: $31.32 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4TTR4025L Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANE Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $137.82 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $137.82 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, also requires the applicant for he 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 Irofessions 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 lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 Tlprovementsnranot 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 Tlproved for'fhV jVdose of sale). ]•Iigs owner gf 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 IlSply an ownEt 9(0roperty 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: 3;1 vWsignature belq,4 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) �gell a structure,61-1 neve 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 Irofnlions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Agnalure of P�prpgy pwner or Authorized Agent Date .ItMSED CONTRIkCTOR'S DECLARATION TLfEby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec 7000 of Division 3 of the Business and ofessi y ME IR full force Ind efrgct. • • /'Co .icense•Class •"••: License No Date L Contractor Signature PRK¢RS' COMPENSATION DECLARATION IARWMG: FAILURE yv 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 ;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: 7 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, fff 01 mance of the work for which this permit is issued. Policy No. P6 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' compensatior isu ce carrier and policy number are: Tier Policy Number Expiration Date ne of Agent Phone # certify that, in the ork for which this sued, I shall not employ any person in any manner so as to become subject to thP�workers' compe sation laws of California, and ogre I, if I should beco the; to workers' co ton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio nature of Applican Date 2� CLARATION R T ENDING AGENCY ireby affirm and 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 informationcorreed-Is c --- I agree to comply with all applicable city and county na a e laws relating to building construction. I authorize representatives of this city or county t ealrnv i entified property for inspection purposes. -. ACTION DATE BY DECLARATION OFCOMPLIANCE KITH CODEOF FOR OFFICEUSEONLY FEDERAL REGULA17ONSPART OI OFTITLE40AND AQMD RULE 1403. - PERMITEXPIRED ❑ I SUBMITTEDASBESTOSM}TiFICATIONTO: ❑ EPA ❑ AQMD PERMdTCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT RNAL CER77FICATEOF OCCUPANCYISSUED SIGNATURE.