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Home My WebLink AboutH2017-0729 - PermitsCity of Newport Beach - Building Division 0 AG A 00 Civic Center Drive, Newport Beach, CA 92660 i-; y. ?ermif Counter Phone (949)644-3288 H2O17-0729 Job Address: 3 SECRET COVE BIdg:1 Floor: Suite: Description of Work: MECH REPLACE THE A/C AT THE SIDE YARD "TIMER & Inspector Area:6 Code Edit: 2016 Legal Description: N TR 15850 LOT 2 Owner: JIANQIANG WANG Contractor: Address: 1700 S 6TH AVE Address: ARCADIA CA 91106 Phone: Phone: Con State Lic: Issued Date:12/1212017 Lic Expire: Bus Lic: Processed By: Lic Exp Date: MECHANICAL Permit: H2O17 Project No : Inspection Requests Phone (949)644-3255 TAMPER RESISTANT CAP REQ" E17-0642, REPLACE FURNACE 1 OCEAN A/C & HEATING CO 28052 CAMINO CAPISTRANO #101 LAGUNA NIGUEL CA 92677 949-582-0700 278618 02/28/2018 BT00003631 03/31/2018 Worker's Comp Insurance - Carrier: REPUBLIC UNDERWRITERS Policy No: ATWO0936200 Expire :03/01/2018 612 BJECI'TO FfF.I ni^!cnr1C7 F_LV11:vV, ;vllf1:'I'I , :A :�, VAC Items FEES Other irnacesBoilers & Compressors p to 100K BTU/hr: 1 $18.00 Ventilation Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 ver 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $33.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 fall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 $0.00 p to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $28.71 Investigation: ver 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: Issuance: $0.00 $33.00 p to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: E116XCl-060 p to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX PC: $37.51 ver 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning TOTAL: $150.21 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $150.21 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. .q 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 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). ❑ 1, 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 improved 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 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 licensure under the Contractors' State License Law for the following reason: By 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 legall) sell 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 Professions Cade, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htm]. 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 700 ) of Divisio 3 of the Business and P essions d my license is in full force and effect. License Class License No D e for Signat NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI P TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 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, I�ormance of the work for which this permit is issued. Policy No. I 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' compensatior nsurance carrier and policy number are: ;airier Policy Number Expiration Date Vame of Agent Phone # ❑1 certify that, in the performance the work h this permit is issued, I shall not employ any person in any manner so as to become subject o the workers' compensation laws of California, and agree .hat, if I should become subject he work pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov Ions. l Signature Da �� y OECLARA N C CT Y hereby affir u r 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). _ender's Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the prope ner's behalf. I have read this application and the information I have p i d is correct. I agree to comiETAuthorizedAae cable city and county i ces an aws relating to building construction. f I _ e I authorize rephis city or county to ntified pro arty for inspection purposes.. �� T� signature of Prope rin roperty Owner's or Authorized Agent' ame Date ACTION TE BY DECLARATION OF COMPLIANCE WITH CODEOF FEDERAL REGULATIONSPART fie OF TITLE40AND AQMD RULE 1403, ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMITEXPIRED PERMITCANCELLED PERMIT EXTENDED PERNrITFiNAL CERURCATE OF OCCUPANCYISSUEO