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Home My WebLink AboutH2019-0470 - Permits,0swlviu4m,-011'12 City of Newport Beach - Building Division IIIIIIIIIIII�II�IIIIIIIIIIIII 100 Civic Center Drive, NewpcA Seach, CA 92660 H 2 0 1 9 0 4 7 0 Permit Counter Phone (949)644-3288 Job Address: 103 OCEAN VISTA BIdg:1 Floor: Suite: Description of Work: MECH/CAU & A/C C/O "TAMPER RESISTANT CAP REQ" Inspector Area:8 Code Edit: 2016 Legal Description: TR 9676 LOT 13 UNIT 125 OF PROJECT LOCATED ON AP 442-361-31 TOGETHER Owner: MORGAN MELINDA Contractor: SIMS COMPANY, A PARTNERSHIP Address: 103 CEAN, VISTA Address: 6943 TRINITY PLACE N PORT BEACH, CA 92660 ALTA LOMA, CA 91701 Phone: 49-338-7706 Phone: (951) 271-2928 Con State Lic: 1032723 Issued Dat :0810212019 PIT Lic Expire: 11130/2019 MECHANICAL Permit: H2019-0470 Project No : Inspection Requests Phone (949)644-3255 SPEG1 1o, Worker's Comp Insurance - Carrier: EXEMPT Policy No: Expire : $UBJECTTO FIELD W'SPrzr l OPUS REVIEW AND APPROVAL, :essed% X Lic Exp Date: 09/30/2019 AC Items FEES •nacesBoilers & COMMILsors Ventilation Other to 100K BTU/hr: 1 19.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 :r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Dawn -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hnnd 0 SO_nn Arlditinnal Foe QI 53 1�". r $0 00 $0.00 o , ar bUUK B I U/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 to 1 M-BTU/hr- 0- $0.00 up to 10K-CFM 0- -$0.00--Repair/Alter/Add: O- $0 00 - Model-- 4TTR40461_106oa issuance: $3"0 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TRANS 3r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $129.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $129.53 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, 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). 111, 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 Im roved 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 Iicensure 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 legal) 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.htmi. 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 B iness and Pmfe9@02==8nde=6ad my license is in full force and effect. License Class License No Contr Ignature WORKERS' COKPFENSATION DECLARATION w,,.rxwT -AILURE TO SPCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE GUST OF CJMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 1:11 have and will 7v;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 the -n cl�Ian of the work for which this permit is issued. Policy No. fe and will ,nairtain 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' compensatior urance carrier eql policy number are: Carrier Policy Number Expiration Date TI3 of Agent r•none If re+tif,, that, in the peiform a is issued, I shall not employ any person in any manner so as to become subject to tpe workers' compensation laws of California, and agree I. ifh�DfNu Id beu� pe n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr"""ow}}}s)yyy��fls. natuIcant Date/ \CLATS I REGA CONST CTION LENDING AGENCY (S \ areby affirm nder penalty of perjury there is a construction lending agency for the performance of the work for which this permit is issued (Section 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 provid ect. I agree to comply with all applicab city and coun1wooryces re g to building construction. I authorize representatives of t ' city or co ntif! roperty for inspection purposes. natnre of Prcoertv Owner or orized ,6gen�— Print Property Owner's or Authorized ent's Name L Date ACTION DATE 4 BY FEDERAL REGULATIONS PART 61 OFTITLE 40 AND PAQMD RULE 1401 ERMtTEXPIR€D ❑ 1 SUBMITTED ASBESTOS M077FICATION TO: PERMITCANCELLED ❑ EPA PERMIT EXTENDED [3 AQMD [3ASBESTOS NOTIRC477ON/S NOTAPPLICABLE TO PERMITFINAL PROPOSEODEMOLITION. CER77FICATEOF VV 7" SIGNATURE: OCCUPANCYISSUED