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Home My WebLink AboutH2019-0566 - PermitsCity of Newport Beach - Building Division III 111111111111111111111111111111111 EII IIIII III e1 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 5 6 6 Permit Cdunter Phone (949)644-3288 MECHANICAL Permit: H2O19-0566 Project No : Inspection Requests Phone (949)644-3255 U i ttr H: ..LD1N5PI,CIUk'b Job Address: 1413 HIGH BLUFF DR BIdg:1 Floor: Suite: REVIEW AND APPROVAL Description of Work: MECH C/O A/C UNIT ON GROUND *TAMPER PROOF CAP REQ* Inspector Area:8 Code Edit: 2016 Legal Description: N TR 15243 LOT 16 Owner: CRIPE LAWRENCE Contractor: Address: 1413 HIGH BLUFF DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:09119/2019 Lie Expire: Bus Lie: Processed By: ✓ Lie Exp Date: AIRWEST A/C & HEATING INC 1886 SO SANTA CRUZ ST ANAHEIM CA 92805 714-978-7877 733715 0313112021 BT30057337 05131/2020 INSps Worker's Comp Insurance - Cr Carrier: INS OF THE WEST Policy No: WVE504444800 Expire :11/14/2019 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 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: $17.40 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AHA4Issuance: $35.00 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: $41.50 TOTAL: $113.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $113.90 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 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 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 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-Builderwill 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 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 a✓ailable 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 -ICENSED CON7VkCTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingATOCRIMINAL action7000) of Division 3 of the Business a Professions Code, and my license is in full force any effect. License Class _�,_ �C� License NG?i 15 DatContractor Signatu io „ NO RK'c RS' COMPENSATION DECLARATION d NARNING: FAILURE rU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO PENALTIES AND CIVIL FINES UP TO NE HUNOREO THOUSAND DOLLARS I$700,D001, IN ADDRION TO TKE GUST OF 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: IJ ! have and v, ill ma:ntain 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 cpelormance of the wor'c for which this permit is issued. Policy No. 6iJl have and wii, ,naintain 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' compensatiol 'rfisbKance carrier a.iJ policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in 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 he workers' compensation laws of California, and agre that, if I should become subject to the workers' comperealtigapFovisions of Section 3700 abor Code, I shall forthwith comply with those provis' ns. Signature of Applicant Date DECLARATION REGAADINS CGNSTRUCTION LENDING AGENCY I hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue 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. 1 �'1— �, f^` 1 I agree to comply with all applicable city and count ordina ces and state laws relating to building construction. Yl I y 1;L fe rtl'� I authorize representatives of this city or county t enter a above -identified propertyfor inspection purposes. / Signature of Property Owner or Authorized Agent i.. operty Owners or Authorized Agent's Name D e ACTION DATE BY DECLARATION OF COMPLIANCE tMTNCODE OF FOR OFFICE 05E ONlik FEDERAL REGULATIONSPART 61OF TITLE40AND AQMO RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ASBESTOS OPOSED DEMOLITION. TTONIS NOT APPLICABLE TO PROPOSED PERMIT FINAL I CERTIFfCATEOF SIGNATURE: OCCOPANCYISSLIED