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Home My WebLink AboutH2018-0516 - Permits1 „City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIII��IIIIIIIIIIIII MECHANICAL Permit: H2O18-0516 iftcivib�an`�er�lriyg, Newport Beach, CA 92660 H 2 e 1 a 0 5 t 6 Project No: 1941-2017 u Pernot C�o�t�r Fl ome (94b)6$4-3288 y�'$ae,A� • • • e e • • ; e • Inspection Requests Phone (949)644-3255 e m mmo e • • • e e Job Address: 1236 OCEAN FROV W B1dg:1 Floor: Suite: Description of Work: MECH - (2) A/C CONDENSORS41 REQUIRES TIMER, BOTH REQUIRE TAMPER -RESISTANT CAP Inspector Area:1 Cade Edit: 2016 Legal Description: N TR 234 BLK 12 LOT 10 Owner: CAMPANA ED Contractor: GREGORY LYNN MCCORMICK Worker's Comp Insurance - Address: 1236 W OCEAN FRONT Address: 18015 BRIAR STREET Carrier: EXEMPT NEWPORT BEACH CA 92661 FOUNTAIN VALLEY, CA 92708 Policy No: Phone: Phone: 9513151081 Expire: Con State Lic: 1029992 Issued Date:08/20/2018 Lic Expire: 08/31/2019 ? f® 7BT30060663 Bus p T R Processed By Lic ExxDate: 09/30/2018O .-. .a HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $36.00 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 'fir I - Ei' atnA4 Plan Check: $31.32 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 �,,I Model:/�Vt A7,1A t�SXI Ia��f s Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMANA Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 1. r Zoning PC: $37.50 'i?-z 8 FV3 NCI TOTAL: $137.82 Plan Check Fee : $0.00 Fee Due at Permit ssuance : $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. OWNER -BUILDER DECLARATION •• ••• '• •� ••• I hereby affiml under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(sril gave pieced f;e)Jtto ft-applirable 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, prict td its issuance, al sore%i?es % 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 88ctIbA700C) 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 nobintendedoroffgrEV fir Italg(S'esflori7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, bgjl84 or Improves the progerty, Qro:idld (hat 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 hates fhe piden cf proving hat it Voss not built or improved for the purpose of sale). ❑ I, 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). ❑ 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 Professions Code, and my license is in full force and effect. a License Class License No D e Contractor Signal u1le \�— NORKERS'COMPEP,rSATibN DECLARATION 1 NARNING: FAILURE TO SECUhE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000I, IN ADDITION TO THE COST 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: ❑ 1 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 Derformance of the work for which this permit is issued. Policy No. ❑1 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 nsurance carrier and policy number are: Policy Number Date ertij 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 if I Pould become subject ty the ySE rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I nature of Applica t DaaB� 921 Cyi 1 C, -- CLARATION RE IN NST LENDING AGENCY rreby 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 haveprovided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. Inc-L.6lzKt CAL I authorize representatives of this city or county, to e 1 a ve-identified property for inspection purposes. g nature of Propertv Owner or Authorized.Agr >t (�¢< Print Property Owner's or Authorized Agent's Name-� Date ACTION DATE BY rvrrn wur �r FEDERAL REGULATIONSPART 61 OFTITLE40AND "' AQMDRULE1403. KPIRED I SUBMITTED ASBESTOS NOTIFICATION TO: ANCELLED ❑ EPA ❑ AQMD KMNDED ❑ ASBESTOS NOTIHCATIONIS NOT APPLICABLE TO INAL PROPOSED DEMOLI TION- OCCUPANCYISSUED SIGNATURE: