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Home My WebLink AboutH2018-0178 - PermitsCity of Newport Beach.:- Building Division IIII�IIIIII�IIIIIIIIIIIIIIII�IIIIII�IIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 1 7 8 ?" Permit Counter Phone (949)644-3288 r Job Address: 3408 MARCUS AVE BIdg:1 Floor: Suite: Description of Work: MECH/ F.A.U. Inspector Area:1 Code Edit: 2016 Legal Description: CANAL SECTION BLK 334 LOT 5 Owner: WU ERIC Contractor: OWNER/BLDR Address: 3408 MARCUS AVE Address: AUTH AGENT: NATHAN PHILLIPS NEWPORT BEACH CA 92663 949-235-1303 Phone: Phone: Con State Lie: O/B Issued Date:03/16/201 Luc Expire: Bus Lie: Processed By: Lie Exp Date: MECHANICAL Permit: H2O18-0178 Project No : 2701-2017 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : Policy No: Expire : HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $18.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $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 $0.00 WaIVFloor 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: $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: $33.00 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 Zoning PC: $0.00 TOTAL: $51.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $51.00 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. • °• ° - o DECLARATION 1 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 appycant for ie 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, 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, lusiness 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 Nprovements 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 Pnpr ad 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 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: ly 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 ell a structure that I have built as an owner -builder if it ha constr cted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 4 of the Business and 'rofessions Code, is available upon request when this pplic is subm' t the following Web site:hftp://www.leginfo.ca.govlcalaw.htmi. of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I amlicensed 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 nd effect.,. icense Crass License No Date S — (� Contractor Signature IIORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 erformance of the work for which this permit is issued. Policy No. ]I have 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' compensatioi Isurance carrier and policy number are: ;arrier Policy Number Expiration Date lame of Agent Phone # I certify that, in the performan the r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre la , if I should become�suu ' t to th rkers' mpensafion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant /�, DaA�d IECLARATION REG DINAR G ST�ON DING AGENCY hereby affirm under penaltyofperjury 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 information I have proyid2d is correct. I agree to comply with all applicable city and county rinances st' to laws relating to building construction. I authorize representatives of this city or county, to ter the a -id tified roperty for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam AC77ON DATE BY DECLARATION OF COMfPtIANCEWITH CODE OF FOROFRCEU5E01ftY FEDERAL REGULATIONSPART fit OF 717LE40.AND AQMD ROLE 1403. P€RMITEXPIRED ❑ ISUBW7TEDASRESTOSN071FICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NO URCA770N1S NOT APPUCABL.E TO PROPOSED DEMO7ITiON.e • • s • s s PERMIT FINAL CERTIRCATEOF OCCUPANCYISSUED SIGNATURE: • ee•