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Home My WebLink AboutH2019-0767 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII � V \100 Civic Center Drive; Newport Beach, CA 92669 H 2 0 1 9 0 7 s 7 Permit Counter Phone (949)644-3288 Y . TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Job Address: 17 GLENEAGLES DR BIdg:1 Floor: Suite: Description of Work: MECH (2) A/C UNITS ON GROUND *TAMPER PROOF CAP REW AND (2) FURNACE C/O'S InspectorArea:8 Code Edit: 2016 Legal Description: N TR 15388 LOT 56 Owner: ERIKSSON JAN PATRIK Contractor: ALISO AIR INC Address: 17 GLENEAGLES DR Address: 29736 AVE DE LAS BAN DERAS NEWPORT BEACH, CA 92660 RSM CA 92688 Phone: Phone: 949-589-2021 Con State Lic: 526420 Issued Date:11/27/2019 Lic Expire: 03/31/2020 �� /� Bus Lic: BT30019236 Processed By: %1y ` Lic Exp Date: 0212812020 MECHANICAL Permit: H2O19-0767 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: LIBERTY MUTUAL Policy No: WC2Z61036218098 Expire :07/01/2020 HVAC Items FurnacesBoilers & Compressors Up to 100K BTU/hr: 2 $40.00 Over 100K BTU/hr: 0 $0.00 Ventilation Up to 3HP: > 3 HP to 15 HP: 2 $40.00 0 $0.00 FEES Bathroom Fan: Exhaust Fan: 0 $0.00 0 $0.00 Fire Dampers: Gas Line: 0 $0.00 0 $0.00 Other $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: $69.60 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AHA460AIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK 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: $226.10 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $226.10 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. DMINER-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-forthe 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�L) all of or (_)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). ❑ 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, it i„ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signatu•e of Property Gwner or Authorized Agent Date '_ICENI;ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of ivision 3 of the Business an ass ns Code, and my license is in full force Ant, eff ict. p License Class _ License No Date G 7 Contractor Signatur WORKERS' C?MPF'NSATION DECLARATION NARNING: FAILUFE TO 99rURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($100,0007, IN ADDITION TO THE COST OF COMPENSA. ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I neleoy affirm under penalty of perjury one of the following declarations: U I h,.ve and •vill 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 performance or the wqA for which this permit is issued. Policy No. nI have and wiC 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' compensatioi urance carrier an,+ policy number are: Policy Number Date Tie of Agent rnone µ certify that, in tApenalty P�� s issued, I shall not employ any person in any manner so as to become subject to t workers' compensation laws of California, and agre t, if I should becans-of-5eetion3700-ofthe-Labor Cade, I shall forthwith comply with those provisie s. nature of ApplicDate 27 CLARATION RUCTION LENDING AGENCY Ireby affirm and perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( ection 3097, Civil Code). Ider's Name Lender's Address 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 coup y ordiHeRees-and state laws relating to building construction. I authorize representatives of this city or county t ter the ve-identfad nrnnPdv for inspection purposes. Name AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ON[ FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD P❑ROPOS D DEMOUTON.ASBESTOS RONtS NIIT APPLICABLE TO PERMITCANCELLED PERMITEXTENDED PERMITFINAL QZ/lo ZO W% aeeet CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED