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Home My WebLink AboutH2018-0082 - Permits��..,�,�h City of Newport Beach - Building Division H2O18-0082 MECHANICAL Permit: H2O18-0082 o 100 Civic Center Drive, Newport Beach, CA 92660 Project NO ry Permit Counter Phone (949)644-3288 0fi nya r ��., Inspection Requests Phone (949)644-3255 Job Address: 1423 HIGH BLUFF DR BIdg:1 Floor: Suite: Description of Work: MECH REPLACE (2) A/C UNITS @ THE SIDE YARD "TIMER & NOISE AGREEMENT REQUIRED" TAMPER RESISTANT CAP REQ, REPLACE (2) FURNACES UNIT #2 24AAA548AO03 InspectorArea:B Code Edit: 2016 I Legal Description: N TR 15243 LOT 11 Owner: NICANOR ]SSE Contractor: Address: 1423 HIGH BLUFF DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:01/31/20 Lic Expire: Bus Lic: Processed By Lic Exp Date: GREENSTAR 1951 N MAIN ST ORANGE CA 92865 949-885-0102 795556 08/28/2018 ST30056111 0813112018 Worker's Comp Insurance - Carrier : LIBERTY INS Policy No: WA763D508631017 Expire :10101/2018 RLViE aV HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 2 $36.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.30 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $66.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $O.pa 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 : $57.42 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 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AAA536AO03 Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $229.92 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $229.92 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. WNER-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 appliLable items) ;action 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 e 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 rofessions Code) or that he or she is exempt from Iicensure 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 Dt 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved 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 pply 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). ] I am exempt from Iicensure under the Contractors' State License Law for the following reason: y 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 all 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec ion 7000) of Division 3 of the Busliness and rote ions Code, and my license is in full force nd effect. !cerise Class License No Date11T Contractowgignaature I?F.f.ERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CST O'r COMPENSATION, DAMAGES 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 .vJl r.ijintain 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 IN rforGlance of thq work for which this permit is issued. Policy No. '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 surance carrier and policy number are: Policy Number Expiration Date Phone # rerfify that, is the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become bj9q to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Appli 9t--�W— to DECLARATIOfY A ING CONSTRUCTION LENDING AGENCY 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 is d (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 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 to the above -identified property for inspection purposes. ��f Signature of Property Owner rAuthorized A ent "� Print Property Owner's orAuthorized-Agent's Name frG ate I ACDON DATE BY DECLARATION OF COMPLIANCE tMTNCODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61OF TITLE40AIVD AQMD RULE 1403. PERA4ITEXPIREO ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: EPA ❑ AQMD PERAMITCANCELLED A❑ PERMIT EXTENDED ❑ ASBESTOS M07IRCA710NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PFRMITFINAt CERTIFfCATEOF 1 SIGNATURE: OCCUPANCYlSSUED