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Home My WebLink AboutH2018-0351 - Permits (3)Ewty, City of Newport Beach -Building Division III 11111111p11111p111111��11111111111111111111 MECHANICAL Permit: H2O18-0351 .'t 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 3 5 1 Project No vPermit Counter Phone (949)644-3288 y iti> Inspection Requests Phone (949)644-3255 Job Address: 2312 LAUREL PL BIdg:1 Floor: Suite: ,\ Description of Work: MECH/ A/C "AS BUILT" (TAMPER RESISTANT CAP REQ) InspectorArea:3 Code Edit: 2016 Legal Description: N TR 1188 LOT 9 Owner: STERN CHRIS Contractor: OWNER/BLDR Worker's Comp Insurance - Address: 2312 LAUREL PL Address: Carrier NE RT ACH, CA 92663 Policy No: Phone: 3 -741-1507 Phone: Expire Con State Lic: O/B Issued Da :06/0612018 Lic Expire: Bus Lic: Processed Lic Exp Date: SUBJECT TO FIELD INSPFC-TOR REVIEW AND APPRL?N4NE HVAC Items FEES Furnaces Boilers & C pressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0A0 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 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $18.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $15.66 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24ANB6 ? Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $122.16 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $122.16 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. INNER -BUILDER 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(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 L•ar 1e 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). I, as owner of the properly; 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, 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 nproved for the lourpose 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 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 legal) ell a structure that I have built as an owner -builder if it as not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the 13usi ss and 'rofessions Code, is available upon request wh plication is sutlOni o the following Web site:http://www.leginfo.ca.gov/calaw.html. / 6s iignature of Proper:y Owner or Authorized Agent Date 9 .ICENSED CCP[TrtACTOWS DECLARATIO her?h" affirm urft, 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. .I-ensa Class License No Date Contractor Signature VOF;%ERS' COMPENSATION DECLARATION L,RNING: FAILURE TO RFCJRE 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 '.osr O- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. hereby affirm vrid^r penalty of perjury one of the following declarations: ::Ijve 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 fo= nce of the work for which this permit is issued. Policy No. 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' Li-3.; carrier and policy number are: Policy Number of Agent Date tify 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). 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 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 county fq enter thq��o en�fi d property for inspection purposes. r iqnature of Property Owner or Authorized Agent [jam ,/ Print Property Owners or Authorized Agent's Nam CA Cis 14-erYN_ Da ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TFR_.E40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NORFICAIIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED