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Home My WebLink AboutH2020-0052 - Permitsw, ah City of Newport Beach - Building Division HIII 11111p11111111p11111111111111111111111111 MECHANICAL Permit: H2O20-0052 a 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 0 5 2 Project No : 2221-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 2420 SANTIAGO DR BIdg:1 Floor: Suite: Description of Work: MECH (2) NEW A/C UNITS *TAMPER PROOF CAP REQ* ' p, ■�� N®YI InspectorArea:3 Code Edit: 2016 C7.0 " Legal Description: NEWPORT HEIGHTS LOT 297 NWLY 120 FT SELY 360 FT -EX SWLY 150 , FT NW LY ' Owner: WILKINS SHANNON Contractor: SEASIDE AIR ENT INC Worker's Comp Insurance - Address: 2420 SANTIAGO DR Address: 32959 CALLE PERFECTO #C Carrier: INS CO. OF THE WEST NEWPORT BEACH CA 92660 SAN JUAN CAP, CA 92675 Policy No: WVE5049609 , Phone: 310-994-7552 Phone: 949.496-3639 Expire :0712112020 Con State Lic: 736214 Issued Date:01/23/2020 Lic Expire: 08/31/2020 ..... ny /� /�� Bus Lic: BT30018420 ' Processed By: f�1/\/ V Lic Exp Date: 01/31/2020 HVAC Items FEES FurnacesBoilers 8. Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 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 8. 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: $34.80 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAG/GMV Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $151.30 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $151.30 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 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 Section 7000) 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 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 have the burden of proving that it was not built or im roved for the purpose of sale). I, as ownerof 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). !' I ST. exempt "IJ, r, hcensure under the Contractors' State License Law for the following reason: B,, 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 st, ucture 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 Propa3y Cwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION Ihereby, affirm Vrder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ectien 7000) of Division 3 of the Business and Prof Sal s Code, an m Ice in full force •or,.i eifact. L icenco Class _ _ License No Date — Z �" Z O Contractor Signature YJORKERS' COMPENSATION DECLARATION V.ARJI.J�i: 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 1$100,000), IN ADDITION TO THE COST nF COMPEW 4TION, CWAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 pejformance 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' compensation trance carrier and policy number are: Tier Policy Number Expiration Date me of Agent Phone # certify that, in the perform nce of the work for which thi %permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agree t, if I should become subj t the wor pe t' pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ions. nature of Applicant Data. Z d CLARATION REGAR CONSTRUCTION LENDING AGENCY neby affirm under pe Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issu d (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 lave provided is correct. I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or county tkenter the v e property for inspection purposes. /CT(, \ /IL l� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nay,D e ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE U5E ON FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMlTEYTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL . CERTT RCATE OF SIGNATURE: OCCUPANCY6SUED