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Home My WebLink AboutH2020-0648 - Permitsrwrfr�, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r'�G�Mat4Y1�'. Job Address: 1818 PORT WESTBOURNE PL BIdg:1 Floor: Suite: Description of Work: MECH A/C UNIT & FURNACE `TAMPER PROOF CAP FEW Inspector Area:4 Code Edit: 2019 Legal Description: N TR 6622 LOT 41 Owner: SEAN HANNA Contractor: Address: 1818 PORT WESTBOURNE PL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:11/05/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: MECHANICAL Permit: H2O20-0648 Project No Inspection Requests Phone (949)644-3255 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. SOUTHWEST HVAC INC Worker's Comp Insurance - 11255 WOODRUFF AVENUE #4 Carrier: OAK RIVER INS CO. DOWNEY CA 90241 Policy No: SOWC138786 562-425-4822 Expire :0310112021 932164 05/31/2021 INSPE^T(DR 083//20210 HVAC Items FEES Other Furnaces Boilers & Compressors Up to 100K BTU/hr: 1 $21.00 Ventilation Up to 3HP: 1 $21.00 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 $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: r: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $36.54 $37.00 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: DZ16TC0601Issuance: hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAIKINhr: Zoning PC: $46.25 L 0 $0.00 VAV Box: 0 $0.00 TOTAL: $161.79 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $161.79 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. 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 pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Rusiness 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 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). -��- • - -� -1- ' •�° ..... . ❑ 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 nrDterty who builds or improves thereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). n 1 am ixempt from licensure under the Contractors' State License Law for the following reason: By IT y sigmature below Iacknowledge 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 Iegalll sell a structure that I he%a 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 Profrssicns Code, f^ available upon request when this application is submitted or at the following Web site:http:/An .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date/ LIEIF.N'SED CONTRACTOR'S DECLARATION I f iere;iy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business In Professions a my license is in full force anc! �f`cct. Li:=n==Class r7 License No �S7 16 1—/ Date -3( 2 Contractor Signature Vl'O''t{(ERS' COMPENSATION DECLARATION NIRNING:'AILURE 70 SCCU-tE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO HUNDRED THOUSAND DOLLARS 15100,000I, IN ADDITION TO THE COST OF COMPENSAi IUN, D{ MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 thi 7Zejformance 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: Policy Number Expiration Date of Agent JI certify that, in the perfo an" of the or k for ich this permit is issued, I shall not employ any person in any manner so as to become subject o th workers' compensation laws of Calif o is, and agre Iat, if I should become u ject to the k rs' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi io ignature of Applicant Date IECLARATION REGAR IN NDING AGENCY hereby affirm under pe alty of perjury that re is a construction lending agency for the performance of the work for which this permit is issued (S ct n 3097, Civil Code), Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the propertyA al I have read this application and the information I ha a provi I agree to comply with all applicable city and unt ordinanlaws relating to building construction. I authorize representatives ofthis city or coun nter thefi d property for inspection purposes. — ignature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's NameVA—ntoylo Z_ Date t1 :3 ACTION DATE y DECLARATION OF COMPLIANCE MTFI CODE OF FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. ❑ / SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N017RCATIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE:. FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL .JVli CERTIFICATEO€ 0CCUPANCYf5! Ki I