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Home My WebLink AboutH2018-0728 - Permits4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O18-072 :- �' r ; 100 Cmc C@liter Give. NeAport Beach, CA 92660 H 2 0 1 8 0 7 2 a Project No : 0540-2018 a Permit Ccun.er Phone (549�644-3288 y 4o Inspection Requests Phone (949)644-3255 141!'tIY�`* Job Address: 4645 CAMDEN DR BIdg:1 Floor: Suite: Description of Work: MECH -A/C CONDENSOR *TAMPER -RESISTANT CAP REQUIRED* Inspector Area:5 Code Edit: 2016 Legal Description: N TR 3357 LOT 127 Owner: HOGAN Contractor: BRYCE HEATING & A/C Worker's Comp Insurance - Address: 4645 CAMDEN DR Address: 2122 NO QUINCE AVE Carrier: TWIN CITY FIRE INS CO CORONA DEL MAR, CA 92625 RIALTO CA 92377 Policy No: 72WECAB1 FHU Phone: Phone: 949-929-1741 Expire :02/07/2019 Con State Lic: 669545 Lie Expire: 05/31/2019 e `,` Issued Date:11/1412018 Bus Lie: BT30065119 , g Processed By: Lie Exp Date: 11/30/2019 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 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 & 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: $16.53 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: XTQ36TAVJUIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAIKIN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $110.53 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. DWNER-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-ha,re p:aae6 nLxt tcthe 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'o is isscan:e, aleo r3gJres 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 U all of or U portions of the work, and the structure is not ioteadeL �r offered for sole (Secdun 744'4, 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 tl:c property, prc✓ided :hat 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 hv,Hen of provirg'that it wrsnet I) -,lilt or roved for the purpose of sale). LJ 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 legally 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 Code, is available 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 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) pff ivision 3 of the Business and ofe sio Code d my lice a is in full force and effect. G/ License Class License No Date l� �d Contractor Signatur WORKERS' COMPENSATION DECLARATION JJARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS ND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 the T ce of the workfor 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' compensatior carrier and policy number are: Policy Number Expiration Date ne of Agent Phone # certify that, in the performanc f th wo r wf,his permit is issued, I shall not employ any person in any manner so as to become sub)�to the workers' compensation laws of California, and agreE if I should become ubject t the o e otion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.Of/tature of Applican A / D T �'✓ Y ADATI Kln nnCury I hereby affirm under penalty of perjury that thpkls 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, 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 have p ovi ed is ccrrec 1 agree to comply with all applicable city and county o Ina cps st laws relating to building construction. I authorize representatives of this city or county tov i led property for inspection purposes. Signature of Property Owner or Authorized Agen e er a Print Property Owner's or Authorized Agent's Namh./\ ! /w Date AC77ON BY DECLARATION OF COMPLIANCE iMTHCODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBM11TED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED 4DATE ❑ ASBESTOS N017HCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED