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Home My WebLink AboutH2018-0111 - PermitsCity of Newport Beach - Building Division IIIIIIII'lllllllllllllllllllllllll ' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 1 1 1 Permit Counter Phone (949)644-3288 �n`�Xzrnw�e Job Address: 1215 BALBOA BLVD E BIdg:1 Floor: Suite: Description of Work: MECH A/C UNITS (3) *TAMPER PROOF CAP REQ* Inspector Area:1 Code Edit : 2016 Legal Description: BALBOA TR EAST SIDE ADD LOT 7 BLK 20(AND WLY112 LOT 8 BLK 20 Owner: TYSON FAMILY TRUST Contractor: ENDLESS SUMMER HTG & A/C Address: 21731 VENTURA BLVD #300 Address: 110 COPPERWOOD WAY, STE G WOODLAND HILLS, CA 91364 OCEANSIDE CA 92058 Phone: Phone: 760-439-5071 Con State Lic: 914490 Issued Date:02/20/2018 Lic Expire: 0413012018 Up to IOOK BTU/hr: Bus Lic: BT30030164 Processed By: � Lic Exp Date: 12/31/2018 MECHANICAL Permit: H2018-01 11 Project No: 0536-2016 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE FUND Policy No: 9078097 Expire :1110712018 •eee e n �y e� a oeeeoc a a sa'yq, -Fye ei� • • c 44 •eeoo g�ooem�� e 0 e e o e c ° ..•oo.. .. e HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to IOOK BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over I OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 3 $99.00 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: $86.13 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 124ANS Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT/MITS Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $255.63 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $255.63 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. 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, he applic#nt 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 U 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). Lai I amexempt from licensure under the Contractors' State License Law for the following reason: **nl7giinaturebeloWl: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 se%a syucture thdt1 hafe'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 PqrofeDssians Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signaiure of Property Owner or Authorized Agent Date UCENSED CCNTA&TOR'S DECLARATION I hereby' affirm undgrjVnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Businessao s id d my license is in full force aAd eff0ct. L"A9ef61ass • • • • License No Date e_ - Contractor Signet 1AtOQ1(eJ1S' CO1VIPEUSATION DECLARATION WARNING: FAILURE406L•"E 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 CQgTjgf gpMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 111e•reI)y9ffirm ugQ%D6palty of perjury one of the following declarations: ,. . ❑ Al 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 the eefformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performa of a work for hich t ' rmlt is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree I, if I should become b'e t th sat ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoserovis' nature of Applica O D CLARATION RE&RDINGICONSTIZOCTIONIUNDING AGENCY :reby affirm under penalty of perjury that 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 provided is c e _. I agree to comply with all applicable city and cc ty In%�ce tate laws relating to building construction. I authorize representatives of this city or coun torJhk entified property for inspection purposes. �� nature of Prooertv Owner or Authorized ADe II� �� Print Prooertv Owner's or Authorized Agent's Na a ,J ,rN _ f'j Date U ACTION DATE 1W uca.f-sew ffuir Vr t.ulwruAlv.c rrf f n a Vv air run urnrt u>e ufvtr FEDERAL REGULATIONS PART 61OF TITLE40AND PERMITEXPIRED AOMDRULE1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: PERMITCANCELLED ❑ EPA P£RMITEXTENDED ❑ AQMD ❑ ASBESTOS M07IRCA770NIS NOT APPLICABLE TO PERMITFINAL L f` PROPOSED. DEMOLITION. CERTIFICATEOF - - - OCCUPANCYISSUED SIGNATURE: