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Home My WebLink AboutH2018-0800 - Permitsoplomft 'gSxrr1� City of Newport Beach - Building Division III�IIIIIII�II�il�'IIIIIIIIIII�III 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 8 0 0 ?-, Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O18-0800 Project No : Inspection Requests Phone (949)644-3255 Job Address: 328 OTERO BIdg:1 Floor: Suite: Description of Work: MFR - CIO FURNACE Inspector Area:8 Code Edit: 2016 Legal Description: N TR 7082 LOT 14 Owner FARMER STEVE Contractor: RIGHTIME HOME SERVICES Worker's Comp Insurance - AddrPFS: 328 Of ERO Address: 965 RIDGE LAKE BLVD SUITE 201 Carder: LIBERTY INS CO NEWPORT BEACH, CA 92660 MEMPHIS, TN 38120 Policy No: WA763D508631018 Phoa= Phone: 951-276-9744 Expire :10/0112019 Con State Lic: 765074 Issued I)Pte:12/2p1201d Lic Expire: 06130/2019 Bus Lic: BT30063826 Processed"By: Lic Exp Date: 07/31/2019 HV1C Items FEES FurnacesBoilem 3 C»tpressors Ventilation Up to 100K BTU/hr: 1 $19.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $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 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 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $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: Issuance: Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $54.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST vALm 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. "6 y L Other $0.00 $0.00 Investigation: $0.00 Plan Check: $0.00 $35.00 Zoning PC: $0.00 $54.00 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, 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 (_) 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, 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 000) pf Division 3 of the Business and Pr 'en o e, and my license is in -ull f�rc^ and effect. L ap License Class License No Date ��- C/ Contractor Signature�TIOUSANDIOLLARS WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NORED rS100,0061, IN ADDITION TO i HE 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: 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 Cole, fir th ormance of the work for which this permit is issued. Policy No. - - - - - - e 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' cobpensatioi 'ns ante carrier and policy number are: of Agent certify that, in t* mr of t 9 work for Policy Number Date ermlCls issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and rat, if I should become subject to t worke ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 'signature of Applicant Date � 1 2 IECLARATION REGA C CTION LENDING AGENCY hereby affirm under pena y 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 ly 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 informs a provided. is correct. I agree to comply with all applicable ordinances and state IS o uilding construction. `n^y s I f� I authorize representatives of this city or coun enter the ab ntifiedproperty for inspection purposes. l/ ` ITC (NG 466L Date I �- �)l` ;ionatum of ProDertv Owner or Authorized Agent r ' Print Property Owner's or Authorized Agent's Nameow ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMtTEXPiRED PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOUTIOM SIGNATURE: PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED