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Home My WebLink AboutH2020-0418 - Permits4��w.,»k City of Newport Beach - Building Division p1111111111p11111111p11111111p1111111111p1111 MECHANICAL Permit: H2O20-0418 100 Civic Center Drive, Newport Beach, CA 92660 It 2 0 2 0 0 4 1 6 Project No f, Permit Counter Phone (949)644-3288 v ��ii � Inspection Requests Phone (949)644-3255 '�a�a,i.µ� Job Address: 2616 COVE ST Bldg:1 Floor: Suite: Description of Work: MECH - RJR FAU. A/C CONDENSOR. TAMPER -RESISTANT CAP & TIMER REQUIRED Inspector Area:5 Code Edit: 2019 Legal Description: CORONA DEL MAR BLK A32 LOT 4 Owner: CARLSON KAREN KAY Contractor: FAMILY HEATING & AIR INC Worker's Comp Insurance - Address: 2616 COVE ST Address: 582 ARDILLA LN /jam Carrier, SECURITY NAT'L INS CO CDM CA 92625 SAN CLEMENTE CA 92672 YO Policy No: SWC1269975 Phone: Phone: 949-388-4466 ^ Expire .0 1 /16/2021 Con State Lic: 957730 O Issued Date: Lic Expire: 02/28/2021 �j.n Bus Lic: BT30072445 V" y: Lic Ex Date: 07/31/2021 �/ Processed B P o �f`��' XT, C,-1� HVACItems FEES FurnacesSoilers & Compressors Ventilation /L-.Othp4 Up to 100K BTU/hr: 1 $20.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire ers: r $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 Lin 0 �6) $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fir 0 t` $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mg $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $17.40 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4AC16L48P-50 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $133.90 Plan Check Fee : $133.90 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m.to 6:30 p.m.and Satu, day .`rom 8:n0 a.m. to 6.00 p.m. OWNER -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 items) '(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 pursuantto 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 frcensure 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 U 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 Ii-m-roved for the purpose of sale). ff 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 Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legali sell a structure that 1 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:/Aw .leginfo.ca.gov/calaw.html. 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. 0 /� 2 License Class License No "1r�'I t� Date( gj3 Contractor Signature. i / WORKERS' COMPEN ATION DECLARATION �I.. ARNINC FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION aRS OF THE LABOR COOE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 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 rmance of the work for which this permit is issued. Policy No. eve 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' compensatiD nce carrier and policy number are: Carder Policy Number Expiration Date Name of Agent Phone# I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if 1 should become subject to o ters' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r Signature of ApplicantX � Date>( 9W-7l� DECLARATION REG R ING RU T LENDING AGENCY �� T I hereby 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). Lender's Name Lender's Address By my signature below, 1 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 provided is correct. I 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 roperty for inspection purposes. Signature of PropertyOwner or Authorized A en ent a ove-ide 'led pPrint Property Owners or Authorized Agent's Nam IV' 1 ate & A ACAON DATE BY DECLARATION FCO PAN tM NCODEOF FEDERAL REGtJLAT10NSPART bf OF777LE40AND ` A!JMD RULE 1403. 0 ! SVBMlTTEDASBESTOS NOTJFfCATfON TO: 0 EPA ❑ AQMD ❑ ASBESTOS NODFfCATfONJS NOTAPPLlCA&.E TO PROPOSEDDEMOU7)ON. SIRNATDRE: FOR OF}7CE USE ONLY PERM1717CP1RED PERMIT CANCELLED _ — PERPAl7 EXTENDED PERMIT FINAL CERTIFlCATEOF OCCUPAJJCYf55uED