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Home My WebLink AboutH2017-0306 - Permits�t Wr.,,k. City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!II MECHANICAL Permit: H2O17-0306 s4 r 100 Civic Center Drive. Newport Beach, CA 92660 H 2 0 1 7 0 3 0 6 Permit Counter Phone (949)644-3288 Project NO : 1784-2016 x. Inspection Requests Phone (949)644-3255 Job Address: 44 OLD COURSE DR BIdg:1 Floor: Suite: Description of Work: MECH - 3 A/C CONDENSORS *TIMER REQUIRED ON #3, TAMPER -RESISTANT CAP REQUIRED ON ALL 3* InspectorArea:B Code Edit: 2016 Legal Description: N TR 15388 LOT 69 Owner: WYNN STEVEN & JANINE Contractor: UNITED CONTRACTORS Worker's Comp Insurance - Address: 44 OLD COURSE DR Address: 10725 ELLIS AVE #D Carrier: STATE FUND NEWPORT BEACH, CA 92660 FOUNTAIN VALLEY CA 92708 Policy No: 9119462 Phone: Phone: 801-792-7417 Expire :12106/E617 Con State Lic 949005 Issued Date:06/12/2017 Lic Expire: 06/30/2018 Bus Lic: BT30053869 Processed By: v Lic Exp Date: 01/31/2018 k'i rnacesBoilers & Compressors Ventilation FEES to 100K BTU/hr: 0 $0.00 100K Up to 3HP: 3 $54.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Other $0.00 er BTU/hr: 0 $0.00 ill/Floor Heaters: 0 $100 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 at Pumps & Package Units >15-HP-ta-30-HP;- >30 HP to 50 HP 0 0 $0:00 $0.00 -Attic-Fanr Down -Draft Fan: 0 $0-.00- 0 $0.00 metal Irep ace: Record 0 $0.00 to 100K BTU/hr: 0 $0.00 500K >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Mgt Fee: Additional Fee : $0.00 $0.00 Investigation: $0.00 9r BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1M BTU/hr: 0 $0.00 1.75M up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: YORK Plan Check: Issuance: $46.98 $33.00 to BTU/hr: 0 $0.00 9r 1.75M BTU/hr: 0 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YCG48621S/48B21 $0.00 VAV Box: 0 $0.00 IITOTAL: $133.98 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $133.98 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 e�errpt fro,n toe Co.rtractr-rs' State License Law for the reason(s) indicated below by the one ckmark(s) I have placed next to the applicable item(s) section 7031.5, Business and Professions Code: Any city of wanly that requires a pel,nit to construct, alter, improve, demolish, , also requires the applicant for or repair any structure, prior to its issuance 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 �ofessions 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 A more than five hundred dollars ($500). - ] 1, as owner of the property, or my employees with wages as tneii sole c ,mpcnsaflrn, will do ( )all of or U Portions of the work, and the structure is not intended r offered for sale (Section d tha usiness and Professions Code: The Contractors' State License Law does not app,y to a.. c.vner of property who, through employees' or personal effort, builds or improves the property, provided that the iprovements are not intended or offered for sale. If, however, the building or improvemert is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or iproved 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 licensure 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 a year prior to completion of the improvements covered by this permit, 1 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 professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION mencing w' h Section 7000) of Division 3 of the Business�and �Professions Cade, and my license is in u force hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (com nd effect. Do'! �� Contractor Sign atUreY icense Class License No VORKERS' COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'ID0,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 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 th Q rmance of the work for which this permit is issued. Policy No. �I h ve 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' compensatio nsur ce tamer and policy number are: Expiration Date Policy Number _ ame of Agent loy any person iany manner so as comply become subject to the workers' compensation laws of California, and ogre ]I certify that, in the performance of the work for which this permit is issued, I shall not empI lat. if I should beco a bject to thew k sation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. Dt ignature of Applican 'ECLARATION RE A ING CONS G-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 (S(coon 3097, Civil Code). enders 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 information I have provided is correct. �+ 1 I agree to comply with all applicable city and County ordinances and state laws relating to building construction. 1 authorize representatives of this city or count tm enter operty for inspection purposes. >ignature of Property Owner or Authorized A Print Property Owner's or Authorized Agent's Nam Date �y DECLARATION OF -DE OF FOROffiCEOSEONLY ACTION BY FFDFRAI RFGULATIONS PART 61 OFTITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ IStBMITIEDASBESTOSNOTIFICATION TO: PERMITCANCELLED ❑ EPA ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS H071FICATIONIS NOT APPLICABLE TO PERMIT Q 07((9 r 1 6 PROPOSED DEMOLITION. CERTIFICATE 0f SIGNATURE: OCCUPANCYISSUED