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Home My WebLink AboutH2019-0503 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ti Permit Counter Phone (949)644-3288 is III 111111111111111111 MECHANICAL Permit: H2O19-0503 H 2 0 1 9 0 5 9 3 Project No:1926-2018 Inspection Requests Phone (949)644-3255 _lijob Address: 400 VIA LIDO NORD BIdg:1 Floor: Suite: IDnspeaporon of AreaV1ork: SFR (2) AIC Code EdiSO2016AMPER-RESISTANT CAPS REQ'D; TIMER REQ'D ON #�1TBRBVtEW ANl I)JFCTTO P Rtt�l Ai,�*-� Legal Description: N TR 907 LOT 474 Owner: LEVIN/LAUERLEVIN Contractor: EMERALD AIRE Worker's Comp Insurance - Address: 9825 SUNRISE LN Address: 19881 BROOKHURST ST C140 Carrier: OHIO SECURITY INS CO SANTA ANA CA 92705 HUNTINGTON BEACH CA 92646 Policy No: xws59970690 Phone: 949-975-0123 Phone: 714-914-9304 Expire :06115/2020 Con State Lic: 613134 Issued Date:08/20/2019 Lic Expire: 07/31/2021 i tlti L t4IE T ALLIC TUBING Bus Lic. BT30058087 _1� . Processed By: Lic Exp Date: 02/28/2020 `vii T } IS� NOT ALLOWED FOR ; Tr:R R APPLICATIONS i HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1 o0K BTU/hr: 0 $0.00 Up to 3HP: 2 $38.00 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 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 IOOK 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: $33.06 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model N4A4-Clssuance: $36.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TEMPSTAR Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $146.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $146.06 PERMITS EXPIRE 180DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 5:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. NO CONSTRUCTION NOISE ON THE WEEKEND LDER 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 (a) 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 is 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 (_) all of or (_) 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 n 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 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 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 Iega111 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed 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 Class License No Date � –25:� ` Contractor Signature42F ✓� VORKERS' COMPENSATION DECLARATION 'ARNING: 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 ATTORNEY'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 the grformance 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 Date me of Agent Phone # certify that, in the performance of the work for 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 t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C?� nature of ApplicanA G� Date, 9, –20 —. l `I CLARATION RE�A DING CONSTRUCTION LENDING AGENCY �� V' freby 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). tder'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 county ordinances and state laws relating to building construction. I authorize representatives of this city or coun�ty�fto enter the above -identified property for inspection purposes. X – ;,� nature of ProDerted V Owner or AuthorizAaen;! a / rooertv Owner's or Authorized Agent's Name Q `P. J Lfl �I^ C �� Date ACTION DATE BY UCtLslrrwfJV" vrrvetn uvuc ur run urrns wt V1VLr FEDERAL REGULATIONS PART 01 OF TITLE40AND AQMD RULE 1403. 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