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Home My WebLink AboutH2018-0245 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O18-0245 H 2 0 1 8 0 2 4 5 y K 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)644-3288 1e'r Inspection Requests Phone (949)644-3255 ICi➢]Y'ti� Job Address: 409 MORNING STARLN BIdg:1 Floor: Suite: SUBTECTTOFIELD1NSPF.CTOWS �� Description of Work: MECH/(1) NEW A/C 37dB (SENVILLE: CS1 1 M-1 2HRFN1 -MU5W) REVIEW ANDAPPROVAL � 77-M *REVISED 0610412018` Inspector Area:3 Code Edit: 2016 Legal Description: N TR 4224 LOT 175`. Owner: OMMID LLC Contractor: ONE STOP GARAGE DOORS Worker's Comp Insurance - Address: 409 MORNING STAR LN Address: P.O. BOX 1904 Carrier: W/C EXEMPT NEWPORT BEACH CA 92660 CORONA CA 92878 Policy No: Phone: Phone: 951-545.4114 Expire: J Con State Lic: 930287 Issued Date:04/1912018 Lic Expire: 03131/2019 Bus Lic: BT300 Processed By: T7:�41� Lic Exp Date: HVAC Items FEES Other FurnacesBoilers & Compressors Ventilation 0 $0.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Up to 100K BTU/hr: 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 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 0 $0.00 $0.00 Record Mgt Fee: Additional Fee : $58.25 InvesCheckn: Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: $$0.00 Plan66 Over 500K BTU/hr: 0 $0.00 Air Handling Units CFM: 0 Comm. Hood: $0.00 Repair/Alter/Add: 0 0 $0.00 $0.00 Model: Issuance: $33.00 Up to 1M BTU/hr: 0 $0.00 up to 10K Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Zoning PC: $37.50 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $162.41 Plan Check Fee : $104.16 Fee Due at Permit Issuance : $58.25 II PERMITS EXPIRE. 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - i rida 7:OC a.m.to 6:30 F.m.and Saturday from 8:00 a.m. to 6:00 p.m. )WNER-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 for he 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 lot more than five hundred dollars ($500). 1, 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, 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 mprovements 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 mproved for the purpose of sale). - I, as gwner of1he property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply 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). 3 1 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 legall, 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. 4g icense Class License No Date // Contractor Si nature VORKERS' COMPENSATION DECLARATION J 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE DST OF COMPENSgION, 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: ($100,000), IN ADDITION TO THE J 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations a$oerovided for by Section 3700 of the Labor Code, for e�Formance of the work for which this permit is issued. Policy No. 51 have and will in in 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' compensa isurance carrier an oll y number are: is of Agent ice— I -% certify that, in the performance of the work if I should become subject to the workers lature of Applicant x, 41 this permit of Date I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat-K /— �reby affirm under penalty of pd the�a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify t ach of the following: I am the property owner or thorized to act on the property owner's behalf. I have read this applicati and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state I I authorize representatives of this city or count y�to�enter th nature of Property Owner or Authorized ADent � / wing construction. inspection purposes. _ Print Property Owner's or Grr tSL�T rA ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FLGUL &TIONSPART 61OFTI 1 EdGAND AQIND 4ULf- 1403. ❑ISIJBryrTTEDASt+EsTt'SNOTIF'CRTICNTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIACATIONIS NOT APPLICABLE TO PROPGSEGO M0L1TION. SIGNA: UFE: FOR OFFICE USE ONLY PERMITEXPIRED PERMITCANCELLED PERMITEXTENDED PERMITFINAL PVI CERTIFICATE OF OCCUPANCYISSUED