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Home My WebLink AboutH2017-0597 - Permits+rwx� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ao� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 Permit Counter Phone (949)644-3288 'd4trrnily° 0 5 9 7 MECHANICAL Permit: H2O17-0597 Project No Inspection Requests Phone (949)644-3255 Job Address: 424 COLTON ST BIdg:1 Floor: Suite: Description of Work: FURNACE AND COIL CIO *SAME LOCATION* Inspector Area:3 Code Edit : 2016 Legal Description: TR 772 LOT 15 BLK 24 ALL (EX NELY 11 FT) THEREOF AND NELY 15 ¢ ; a ° ° ° •, ; • • ° ° o FT LOT °... Owner: TAUBER ANNETTE Contractor: BASIC AIR INC Worker's Comp Insurance - •• o Address: 424 COLTON ST Address: 1157 SALINAS AVENUE Carrier: STATE FUND Ft. • • • • o NEWPORT BEACH, CA 92663 COSTA MESA CA92626 Policy No: 9086207 g m "° Phone: 949-887-8374 Phone: 714-469-4542 Expire :10/22/2017 • • • ° ° Con State Lic: 909834 ° ...°° Issued Date:10119/2017 Lic Expire: 01/31/2018 Bus Lic: BT30045172 _ Processed By: Lic Exp Date: 10/31/2017 ••• • ° ° ° ° ° ° °. HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 1 $18.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1 OOK 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: $0.00 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $33.00 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: $0.00 TOTAL: $69.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $69.00 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. IINER-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) Iction 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 Ifessions 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, 6iness 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 lroved for the purpose of sale). 1, as owner o(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 )1y to an owne► ePp 1perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). JI.aMexempt trpgl,licensure under the Contractors' State License Law for the following reason: my signature below f 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 legally I a structure that (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 Ifegsitns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Pro nNy QWner or Authorized Agent Date )E43ED CONTRACTOR'S DECLARATION :ruby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comme/Dat Section 7000) of Division 3 of the Business an Profess' a Code license is in full force 1ehEC Class • • License No y °i Contractor Signatur )2KeRS'CQMPE''•N•SATION DECLARATION 2NING:*FAILUR�'S%14RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Si OFQOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tReby affirm uedar 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 IN formance of the work 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' compensatior ujrr ce carrier and policy number are: Policy Number Date 'ne of Agent rnone o certify that, in the pe ormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agre¢ It, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ons. /1 ----'' nature of Applicant D j% 2 CLARATION RE RDIN CONSTRUCTION LENDING AGENCY areby affirm unde penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is iss ed (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. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or county t enter t ve- Pied property for inspection purposes. 1�nn��1 [q I_La� .,�+, „r o...,.va„n,., r... n,an, lil..I Ancnf Print Prooertv Owner's or Authorized Acent's Nam VN nqv' /�1-t0Dat ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODEOF ( FOR OFFICE FEDERAL REGULATIONS PART 61OFTITLE40AND AQMO RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITEXPIRED PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS M077FICATIONIS NOT APPLICABLE TO PROPOSEDDEMOLITION, PERA41TFINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED