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Home My WebLink AboutH2018-0637 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII t5 fir 100 Civic Center Drive, 9EiNpoit0Bea4'C4 9J66D'' Z% a H 2 0 1 8 0 6 3 7 �-, Permit Counter Phone (941)644-43888 • e e in 0' m y •ue o n e u•• •• 4 m T M O m 00 • m om ee •o e • • o u e o e Job Address: 1840 MARAPATA15W B18g:1 Flb;r. mm• Suile:e m Description of Work: MECH -CIO A/C CONDENSOR *TAMPER-RESISTANT CAP REQUIRED MECHANICAL Permit: H2O18-0637 Project No : Inspection Requests Phone (949)644-3255 Inspector Area:5 Code Edit: 2016 Legal Description: N TR 2813 LOT 33 FEES Owner: BOMAN WILLIAM LAROY Contractor: WE CARE Worker's Comp Insurance - Address: 1840 MARAPATA DR Address: 41085 GOLDEN GATE CIR Carrier: CYPRESS INS CO. CORONA DEL MAR, CA 92625 MURRIETA CA 92562 Policy No: WCWC907593 Phone: Phone: 951-600-0700 Expire :01/0112019 1 $19.00 Con State Lic: `779604 Fire Dampers: Issued Date:10/11/2018 Lic Expire: 06/30/2020 :r 100K BTU/hr: 0 Bus Lic: BT30038344 0 $0.00 Processed By: Lic Exp Date: 02/28/2019 0 $0.00 $0.00 II/Floor Heaters: Ii AC Items FEES - ` •nacesBoilers & Compressors Ventilation Other to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $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 $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 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $16.53 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Madel: NH4A41ssuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $110.53 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 Ifelow 6y $le oheskmarii; s) I Have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, Qr repoIr *y$trDctyre',' piJor tQ 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 (CtfaptE" (cemmencing with Coation 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 L) all of or L) portions of the work, and the structure is not inlandea cr offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp1gyee4 or 17ers4nal effort, buads',or irflproves 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 completIV, tFSe;4wnerPuildgrwill have the bares en of proving that it was not built or improved 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 buildsor improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure 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 legally 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 D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Profess' e;anct-my license is in full force and effect. f - License Class License No Date t a I IJ�Z Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I -hle'reby affirm under penalty of perjury one of the following declarations: ky� 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 e mance of the work for which this permit is issued. Policy No. )ar e 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' compensatior ce carrier and policy number are: Policy Number Expiration Date ame of Agent Phone # ]I certify that, in the performance of t fo t ' ssue , I shall person in any manner so as to become subject to the workers' compensation laws of California, and agree at, if I should become s bject t w ensation provis' c ion 3700 of the Labor Code, I shall forthwith comply with those provi ions. ,i ignature of Applican _ - �! o it/ �q ECLARATION REG DI CONSTRU ING AGENCY hereby affirm under penalty o equry 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 y 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 pr et�� I agree to comply with all applicable city and I Ce a laws relating to building construction. f I authorize representatives of this city ot�en ant rove -identified property for inspection purposes. , ®O� - _ I -.1 , to ACTION I DATE BY I u>=1.Lslrsearlvn yr ♦.a�mrunirr-r_.ener•a.vu�v, EED€RAL REGULATIONS PART Bt OFTIILE40AND raxtr�r�erx�aanl� PERMIT FINAL OCCUPANCYISSUED ❑ t SUBMITFEDASSESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS U07IRCAIIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.