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Home My WebLink AboutH2019-0804 - Permits1 City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 MECHANICAL Permit: H201 s-0804 t.,.. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 s 0 8 0 a Project No ti s Permit Counter Phone (949)644-3288 ti ,.�-. Inspection Requests Phone (949)644-3255 *L=* at ti Job Address: 1128 CORELLA Bldg:1 Floor: Suite: Description of Work: MECH MFR *BLDG #15* REPLACE (8) GROUND MOUNTED A/C UNITS, SAME LOCATIONS, LOWER DB LEVEL THAN EXISTING TON UNITS -3126, DONOVAN SCHMIDT CH14NB01800GAAA, 2 TON UNITS CH14NB02400GAAA, FOR NOISE COMPLAINTS PLEASE CALL EDWARD GROLEAU (949) 720HMIDT (949) 720-5415** UNITS 1128-1138 Inspector Area:8 Code Edit: 2016 Legal Description: N TR 12309 LOT 4 Owner: IAC AT JAMBOREE LLC Contractor: Address: PO BOX 2450 Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date: 6/2019 Lic Expire: yBus Lic: Processed Lic Exp Date: nacesBoilers & Compressors to 100K BTU/hr: 0 $0.00 ar 100K BTU/hr: 0 $0.00 ill/Floor Heaters: 0 $0.00 at Pumps & Package Units to 100K BTU/hr. 8 $160.00 er 500K BTU/hr: 0 $0.00 to 1M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 er 1.75M BTU/hr: 0 $0.00 Ventilation U M AIR INC 12211 WOODRUFF AVE DOWNEY CA 90241 562-413-1235 1050013 02/28/2021 BT30061455 1213112019 Up to 3HP: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 >15 HP to 30 HP: 0 $0.00 >30 HP to 50 HP 0 $0.00 >50 HP: 0 $0.00 Air Handling Units up to 1 OK CFM: 8 $112.00 Over 10K CFM: 0 $0.00 VAV Box: 0 $0.00 Worker's Comp Insurance - Carrier : NATIONAL LIABILITY Policy No: A9WC045079 Expire :0911312020 FEES Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Comm. Hood: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: Supplemental Fee: $0.00 Manufacturer: CARRIER Other ap� $0.0$0.0'0 I Investigation: $0.00 Plan Check: $0.00 $35.00 Zoning PC: $0.00 TOTAL: $307.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $307.00 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. (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, pdorto its issuance, also requires theappligant 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 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). ff 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 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) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No LD6te C ractor Signature NORY.ERS' COMPENSATION DECLARATION NARNING: FAILURE TJ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI SUP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST uF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. her&)y affirm under penalty of perjury one of the following declarations: I hove and will mcintain 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 urmance of th? work for which this permit is issued. Policy No. Jb and will m6intain 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' compensatioi n`s Fance carrier snd policy number are: Ir Policy Number Expiration Date of Agent Phnno a Al nerllfy 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 beco subject to the workers' compensation laws of California, and afire tat, if,hshauId be�urne subje to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th a rovis?k Ze/ Wo/ igna w' Date ( /L -% ECLATIONEGARDING CONSTRUCTION LENDING AGENCY hereby affirm under 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 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 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 represe IV f this oil r-county to.ea r th aboveydeMlhed property for inspection purposes. /� nature of Property r or A orized Agent Print Property Owner's or Authoriz6ffAZ�nYs Nama_ \ hnriD�� / iJ r,..._ zv ACTION DATE BY DECL ARAT10N OF COMPLIANCE MTN CO FOR OFFfcE USE FEDERAL REGULATIONS PART 61 OF TIILE 40AND PERMIT EXPIRED AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: PERMITCA,NCELLED ❑ EPA PERMIT EXTENDED ❑ AQMD PERMITFINAL ❑ ASBESTOS NOTIRCA77ON IS NOT APPLICABLE TO / � PROPOSED DEMOLITION. CERTIF,'CATE OF _ OCCL'PA ^,'CYISSUED SIGNATURE: