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Home My WebLink AboutH2019-0702 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII ` P° ' '�� , 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 0 2 u r. Permit Counter Phone (949)644-3288 I SPECT0 Job Address: 938 SANDCASTLE DR BIdg:1 Floor: Suite: Description of Work: MECH A/C UNIT C/O ON GROUND *TAMPER PROOF CAP REQ* Inspector Area:4 Code Edit: 2016 Legal Description: N TR 6228 LOT 69 Owner: MAROVIC MARIO Contractor: Address: 938 SANDCASTLE DR Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:11/07/2019 Lic Expire: Bus Lic: Processed By: v�7 Lic Exp Date: MECHANICAL Permit: H2O19-0702 Project No Inspection Requests Phone (949)644-3255 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. BASIC AIR INC 1157 SALINAS AVENUE COSTA MESA CA92626 714-469-4542 909834 01/31/2020 BT30045172 1013112020 Workers Comp Insurance - Carrier : OAK RIVER INS Policy No: BAWCO21077 Expire :10/22/2020 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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: 1 $36.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $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: $31.32 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A660GKAIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY & NIGHT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $143.82 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $143.82 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 net 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). .❑',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). it I rm exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature 5�'ow 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 Iegall 'sell a structure that I nave 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 Prcfcssions 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 I_10F.NSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 700 ) of Division 3 of the Business and rote ns and my license is in full force and effect. 11 �7 q9 License Class License No Date �I / t 1 Contractor Signature `� "WORKERS' COMPENSATION DECLARATION WARNING: FAILURE',G SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O E HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN 'S 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 performance of the work for which this permit is issued. Policy No. 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' compensatio S nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, in the perf mance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject the workers' compensation laws of California, and agre that, if I should become s ject t he rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With thoseZd(Section provisions.' ^ Signature of Applicant /y DECLARATION REG DING CONSTRUCTION LENDING AGENCY I hereby affirm under natty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issu 3097, Civil Code). Lender's Name Lender's Address By 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 hav provided is correct. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or county t nter the above -identified property for inspection purposes. -7 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na e ate / ACTION DATE BY DECLARATION OF COMPLI ANCE WITH COOS OF FEDERAL REGULATIONS PART 61 OF TIRE 44AND AQMD RULE 1403. ❑ ! SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PROPOSED ASBESTOS NQRFlCA71QNIS NOT APPLlCASLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE DIjIY PERMt T EXP1 REO PERMIT CA":CE?tE!] PERMITEXTENDED PERMITFINAL 2../p.22 D11.L Oo.. St— CERTf F(CA7E OF OCCDPAltlCYPS51JE0