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Home My WebLink AboutH2020-0594 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 t 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 9 4 N. n. Permit Counter Phone (949)644-3288 ii i AT Job Address: 157 SHORECLIFF RD BIdg:1 Floor: Suite: Description of Work: SFR -INSTALL RADIANT FLOOR HEATING (X2013-3405) InspectorArea:5 Code Edit: 2019 Legal Description: N TR 1116 LOT 109 Owner: WANG WILLIAM TRUST Contractor: Address: 6 STRAFFORD Address: NEWPORT BEACH CA 92660 Phone: Phone: Con State Lic: Issued Date:12/07/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: VAC Items - irnacesBoilers & Compressors ntilation p to 100K BTU/hr: 0 $0.00 to 3HP: Avl� 1 ver 100K BTU/hr: `0 $0.00 - to 15 HP: 0 loll/Floor Heaters: 0. $ . >15 HP to 30 HP: 0 eat Pumps & Package Unit >30 HP to 50 HP 0 p to 1OOK BTU/hr: 0 $0. >50 HP: 0 ver 500K BTU/hr: 0 $0.00 Air Handling Units pto 1M BTU/hr: 0 $0.00 /]up$ to 1OK.CFM 0 p to 1.75M BTU/hr: 0 $0.00_/ Over 10K CFM: 0 ver 1.75M BTU/hr: 0 $0.0 ) VAV Box: 0 TOTAL: $76.27 1�rECT® ACME ENVIRONMENTAL INC 3200 AIRPORT AVENUE #18 SANTA MONICA CA 90405 310-397-2199 724082 10/31/2022 BT30069771 11/30/2021 FEES $21.00 Bathroom Fan: 0 $0.00 Exhaust Fan: 0 $0.00 Attic Fan: 0 $0.00 Down -Draft Fan: 0 $0.00 Residential Hood: 0 Co ¢iQo�d:, , _ 0 $0.00 Red{"'". 1i�WAdd: 0 $0.00 Sttp$l mental Fee: $0.00 MECHANICAL Permit: H2O20-0594 Project No : 2876-2013 Inspection Requests Phone (949)e44-3255 Worker's Comp Insurance - Carrler;.CALiFORNIA INS CO • , .PolibyNo:4688965101 Expire :0713112021 $0.00 Fire Dampers: $0.00- Gas Line: $0.00 Metal Fireplace: $0.00 Record Mgt Fee: - $0.00 Additional Fee $0.00 $0.00 Model: -"Issuance: $0.00 Manufacturer: Other $0.00 $0.00 Investigation: $0.00 Plan Check: $18.27 $37.00 Zoning PC: $0.00 Plan Cheek Fee $0.00 Fee Due at Permit Issuance : $76.27 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. 'NER-BUILDER DECLARATION 1 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) :tion 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 'essions 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 roved for th='o!updse of sale). I, a, 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 ly 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). L 1 I, m exempt from iicensure under the Contractors' State License Law for the following reason: dy 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 tl sell a structure tl.tt : Nave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the Orcfessrons Codi isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent LJI:CrJSED CONTRACTOR'S DECLARATION I teraJy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Sad 3,fcct. ; 6- 1 License Class; License NorY"fv VCJ- Date Contractor Signatun `.VORY.ERS' COMPENSATION DECLARATION W17TIG: FAILURE TO SEfURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONI COST OF COMPENSA. UI:, DAMAGES 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: law, Section 7044 of the Business and Date is in full force DOLLARS 1$t4gp001, IN ADDITION TO 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 mance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: is of Agent certify that, in the performance of the , if I should become subje he wo tature of Applicant Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiITIS. � l TA��.1 T / Datee� :Y I hereby affirm under penalty of pe ury at there is a consti n lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code). Lender's Name Lender's Address By my signature below, I certify to ch f the following: I am the prop( ho'8zjd 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 cou ty ordina ease d state la re ting \110nt ilding construction. I authorize representatives of this city or coun enter a above entifie re rpection purposes. pp Signature of Property Owner or Authorized Agent Property Owner's or Authorized Agent's Name J�'� Da ACTION DATE 8Y DECL GIN OF COMPLIANCE IMTN CODE OF FOR OFFICE US€ONLY EOE L GULATIONS PART 6I OF TITLE40 AND AQM RUL 1403. PERMFFEXPIRED El1 SUBMITTED ASBESTOS M077FICATION TO: ❑ EPA ❑ AQMO PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS M017FICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTI,GIC'ATE OF SIGNATURE:. OCCUPANCYISSUED