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Home My WebLink AboutH2017-0583 - Permits (2)City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 5 8 3 i-Permit Counter Phone (949)644-3288 NZ3M'iTf'6E Job Address: 107 SONORA ST Bldg:1 Floor: Suite: Description of Work: MECH - 2 A/C CONDENSORS - "TAMPER RESISTANT CAP REQ" & TIMER REQUIRED ON UNIT #2 PERMIT & PLAN REVISED 6-25-18 InspectorArea:3 Code Edit: 2016 Legal Description: SEASHORE COLONY TR BLK M LOT 12 Owner: GARZA SHARYL Contractor: OWNER/BLDR Address: 5 GENEVE Address: NEWPORT BEACH CA 92660 Phone: Phone: Con State Lic: O/B Issued Date:10/06/ 017 Lic Expire: Bus Lic: Processed By: -Lic Exp Date: AC Items FEES macesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 -r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 ill/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 A Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTU/hr: 2 $36.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 3r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 er 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 $137.82 Plan Check Fee : $137.82 MECHANICAL Permit: H2O17-0583 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : Policy No: Expire : Fire Dampers: Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee: Model: Manufacturer: 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 BRYANT 124ANS0361048-A Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. m.em e em•m m emmm ooeemc o a m m e om m • m mo m Other o $0.08' m . m mm m $0.0ae,.m CmCO oomsm e m m m mes Investigation:•mm $0.60 Plan Cheek: a $31 Umm` Issuancee•e•e $33.06eee Zoning PC: $37.50 $0.00 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 is 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 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, lusiness 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 nprovements 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 nproved 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 nd effect. icense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION .... IARNING: FAILUR6T0 SECURE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f700,000), IN ADDITION TO THE DST OF COMPENSAr707Q'DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hetabyQffirm rrdvi-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 thl BrfOnftce of the'Work for which this permit is issued. Policy No. a have and will maintoain 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 Warlca carrier and policy number are: ;array. : . Policy Number Expiration Date Lana nS 'ADent � � � Phone # that, in jhe 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 ould tfst&hb�ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ..... lnatun of Date CLYRATIONWIDARDING CONSTRUCTION LENDING AGENCY weby 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 have provided is correct. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name AC77ON DATE BY DECLARATION OF COMPLIANCE M TH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMtTEXPIRED I SUBMITTED ASBESTOS M077FICATION TO., ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICA170NIS NOTAPPLICABL.E TO PROPOSEDDEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE., OCCUPANCYISSUED