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Home My WebLink AboutH2020-0746 - Permits0$ City of Newport Beach - Buildingew Division IIIIIIIIIIII�IIIIIIII�IIIIIIIIIIIIIIII�IIII MECHANICAL Permit: H2O20-0746 ff 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 7 4 E s p Project No: 2465-2018 �; � � Permit Counter Phone (949)644-3288 �'�L$pryn-� ' Inspection Requests Phone (949)644-3255 Job Address: 1027 DOLPHIN TER BIdgA Floor: Suite: Description of Work: MECH/INSTALL (3) A/C UNITS 40.2dB, 38dB, 37dB (DAY&NIGHT; CVH860GKA) Inspector Area:2 Code Edit: 2019 Legal Description: N TR 5130 LOT 7 Owner: MEYER HOLDINGS LLC Contractor: LINEAR AIR CONDITIONING &HEATING Worker's Comp Insurance - Address: 4320 VON KARMAN AVE Address: PO BOX 1481 Carrier: EXEMPT NO EMPLOYEES NEWPORT BEACH CA 92660 TUSTIN CA 92781 Policy No: Phone: Phone: 949-933-4406 Expire Con State Lic: 932561 Issued Date:12/18/2020 Lic Expire: 05/3112021 Bus Lic: BT30062861 Processed By: Lic Exp Date: 04/30/2021 HVAC Items FEES FurnacesBoilers & 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: 3 $114.00 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: $99.18 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: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $296.43 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $296.43 PERMITS EXPIRE 160 DAY$,4FITR ISSW.CE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.1n„.to 6:3Q p.nt.mnd Seturr ay from 8:00 a.m. to 6:00 p.m. oe oo , O°' o s u oea o0 c _ o t o yaa as as a as o,o OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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). 111, 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 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 builds or 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 legal) sell a structure that I have built as an owner -builder K 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti� oy117000�sion 3 of the Business and Professions Code, and my license is in full force and effect. �l 1, License Class License No Date $ 2 e) Contractor Signaturza A WORKERS'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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I IT affirm under penalty of perjury one of the following declarations: 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 th performance 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date N e of Agent Phone # I 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 ogre hat, if I should becjig ome spbject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those,,prroylslo/ns. Signature of Applicant -e ` ` Z ? U DECLARATION RE9ARMNG CONSTRUCTION LENDING AGENCY - N I hereby affirm undef 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). 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 owners 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 countyo ejiter the above -identified property for inspection purposes. o Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name (�� D AC710N WDA7F BY DECLARATION OF COMPLIANCE WfTH CODE OF FOR OFRLEUSE ONLY • ••rEDE1�Q� ttE�$ t/LATIf')4fi P/QFf fiI Of TITLE40QND ,itOMD73tILE'fA03. p`!$196ftMitaDilS�'fESTO.�A1QAFtCATfON TO: • ❑ ° EPA • ° ❑ AQMD PERMlTEXFiRED � � PERMITCANCELLED • PERMdTEX7ENDED S ID SMQI 7tt'llitt' tONIS NOT A(�UCABi_E TO P❑ PB ASBESTOS "' ° ° ° ° • SMpIYA$tiAE: ° • o 0 PERNRT FtNAt CERIIFfCATEOF • • OCCUPANCYf55UED ° odo 0 00 0o r.nc