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Home My WebLink AboutH2019-0750 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O19-0750 ,r; 4 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 5 0 H :;y Permit Counter Phone (949)644-3288 Project No : 2876-2013 Inspection Requests Phone (949)644-3255 Job Address: 157 SHORECLIFF RD BIdg:1 Floor: Suite: Description of Work: MECH INSTL (4) A/C UNITS @ THE SIDE YARD, "TAMPER RESISTANT CAPS REQ" ' N S 1 E VTU:R Inspector Area:5 Code Edit: 2016 Legal Description: N TR 1116 LOT 109 Owner: WANG WILLIAM TRUST Contractor: OASIS AIR CONDITIONING Worker's Comp Insurance - - Address: 6 STRAFFORD Address: P O BOX 937 Carrier: NATIONAL LIBILITY INS NEWPORT BEACH CA 92660 SAN JUAN CAP CA 92693 Policy No: V9WC854146 ° Phone: Phone: 949-420-1321 Expire :1213112019 Con State Lic: 767272 Issued Date:11/25/2019 Lic Expire: 08/31/2021 Stl$)FC'P TO BicsExpDate: FIELD TN" F,CTGF'c RLVLL6 AjNDAPPROVAL Processed By: B%30/20190 ° HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 4 $144.00 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: $125.28 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: TUMYP0601AK42NA Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K 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: $41.50 TOTAL: $345.78 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $345.78 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. IWNER-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) iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repdr any structure, prior to its issuance, also requires the applicant for 1e 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 'rofessions 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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, ar excfusiveIV contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an ow,ner,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 exempt from licensure under the Contractors State License Law for the following reason: y 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 eegall ell a structure the!' hive 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 'rofessions Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html. ig.iatJ.e 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 Busine slo Cod - Icen full force nd efiect. i-ensa Class _ - _ License No LDate I1 ' 2S� (� Contrac Signatures _. VORKERS' COMPENSATION DECLARATION kiRMNO: 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 CST 7� 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: ] I have and wdl rnaintain 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 the d).—mance of the work for which this permit is issued. Policy No. " e and will r-niitain 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' compensatier rance carrier and policy number are: rrier Policy Number Expiration Date me of Agent Phone # I certify that, in the rmaace of the work for which this it is issued, I shall not employ any person in any manner so as to become subjec o the workers' compensation laws of California, and agree t, if I should b ome tot the co anon pro visl of Section 3700 of the Labor Code, I shall forthwith comply with those pro ISIp\q1s. Q, '.nature of Ap is Da —2.S-- lot CLARATI RUCTION L r :reby 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 Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provi 'eeerrer I agree to comply with all applicable city and c t ances and state la relating to building construction. I authorize representatives of this city or oun er t above-identifiedoperty for inspection purposes. nature of Property OwnereAuthorized Age Print Property Owner's or Authorized gent's Nan) (V'7� l•LC�E� De /� ACTION DATE BY DECLARATION OF COMPLIANCE KgTH C0 E1OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED 1Z ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED