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Home My WebLink AboutH2020-0687 - Permits�w�„ City of Newport Beach - Building Division III 1n111p1p11111111p11111111pn11111111111111 MECHANICAL Permit: H2O20-06 i' ,. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 6 5 I Project No - 0540-2018 n. n Permit Counter Phone (949)644-3288 c�r� ��,a Inspection Requests Phone (949)644-3255 Job Address: 4645 CAMDEN DR BIdg:1 Floor: Suite: , Description of Work: MECH (4) NEW HEAT PUMPS'TAMPER PROOF CAP REQ' R E T - Inspector Area:5 Code Edit: 2019 - - - - Legal Description: N TR 3357 LOT 127 , Owner: MAI MICHAEL THANG & CHAULINH Contractor: BRYCE HEATING & A/C Worker's Comp Insurance - Address: 4645 CAMDEN DR Address: 2122 NO QUINCE AVE Carrier: HARTFORD INS CO. s CORONA DEL MAR, CA 92625 RIALTO CA 92377 Policy No: 72WECABlFHU Phone: Phone: 949-929-1741 Expire :02107/2021 Con State Lic: 669545 Issued Date:11/23/2020 Lic Expire: 05/31/2021 , '„• Bus Lic: BT30065119 Processed By: /\� Lic Exp Date: 11/30/2020 ' 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 $0.0 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 I 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: 4 $84.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.0 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $73.0 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 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAIKIN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $462 TOTAL: $240.33 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $240.33 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 1 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 ofl+m 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 pe'nalty 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 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 IlmyDroved for the Purpose of sale). LI 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 &poly 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). v I am exempt rom rensure 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 legall Sill a s'ructure 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 a41aw,' 70441 ofthe Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://wwvy.leginfo.ca.gov/calaw.html. Signature of Propel ry Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm u.lder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith ection 7000) of Division 3 of the Business a a y li Rs€s in full force and erfect. _ /VOi�� Contractor SignaturW L.calst I llass License No Date WORKERS' COMPENSATION DECLARATION WANNING:,'AILURE Trl S':CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000J, IN ADDITION TO THE CO. T CFCOMPENSATION, Da MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby 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 tht Rerformance of the work for which this permit is issued. Policy No. ave 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 sur ce carter and policy number are: arrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performanc f th wOr r w ' 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 beco bject the rs' co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro is ns. Signature of Applican Date1/t 23 DECLARATION REG I ONSTRUCTIO DING AGENCY I hereby affirm under p alty of perjury that t is a construction lending agency for the performance of the work for which this permit is issued (Secion 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 orre I agree to comply with all applicable city and cou ty ordinapdes nd at law sting to building construction. J I authorize representatives of this city or coun o enter e a Id ifie rty for inspection purposes.23 N Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam !f Ea' Cew- D e AC70N DATE RY DECLARATION OF COMPLIANCE INITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPfRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NORTICATiONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED