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Home My WebLink AboutH2017-0145 - Permits(§) City of Newport Beach - BuildingDivision `H2O17-0145' MECHANICAL Permit: H2O17-0145 100 Civic Center Drive, Newport Beach, CA 92660Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1415 HIGH BLUFF DR BIdgA Floor: Suite: �f ` a Description of Work: MECH/CHANGE OUT (2) F.A.U. & (2) A/C 51.5dB* & 47.5dB (CARRIER; 24AHA-36 & 48)'TIMER REQI IPMENT TOSHUT � c@r_ )YI/EEN 10PM & 7AM y.�®� M Inspector Area:8 Code Edit: 2016 Fad/ Legal Description: N TR 15243 LOT 15 �+! Owner: BRANDOM NEIL DAVID Address: Contractor: ALISO AIR INC Worker's Comp Insurance - 1415 HIGH BLUFF DR NEWPORT BEACH, Address: 29736 AVE DE LAS BANDERAS Carrier: LIBERTY MUTUAL ry CA 92660 Phone: RSM CA 92688 Policy No: WC2Z61036218096 =_i+ Phone: 949-589-2021 Expire :07/01/2017 Issued Date:03/17/2017 Con State Lic: Lic Expire: 526420 03/31/2018 _.�...-_ /'y�/�� Bus Lic: BT30019236 Processed By: ` / "-' Lic Exp Date: 02/28/2018 "" """' FEES rnacesBoilers & Compressors Ventilation to 100K BTU/hr: 2 $36.00 Up to 3HP: 2 $36.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Other $0.00 er 100K BTU/hr: 0 $0.00 > 3 HP to15jd2 0 $0 00 Exhaust Far: 00-0 $1 ill/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 at 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 ar 500K BTU/hr: 0 $0.00 >50 HP: Air 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $68.82 Investigation: $0.00 to 1 M BTU/hr: 0 $0.00 Handling Units up to 10K CFM: 0 $0.00 Comm. Hood: Repair/Alter/Add: 0 $0.00 0 $0.00 Model: Plan Check: $0.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Issuance: $33.00 ,r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $173.82 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $173.82 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.nr.tn 6:30 p.4.a0d Saturday from 8:00 a.m. to 6:00 p.m. )WNER-BUILULK UtI.L.AKAI IUK 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 applici_ le 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). [1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portionsBusiness and Professions Cod: The Contractors' State Lcene Law does not of the work, and the structure is not intended or offered for sale (Section 7044, rty who, through improvements are not ntend deor offered for sale. If, howleverr,, the building or improvement vement snsold fwith none year of completioln, the Ownner-Buildeoyees' or personal rfwill have therbu den of provingthat itimproves the proerty, pwas nrovied that t 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 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.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Prof ons Code, and my license is in full force and effect. Date �� Contractor Signature License Class License No WORKERS' COMPENSATION DECLARATION WARNING: 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 15100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37U6 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: f rkers' com ensation issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th I have and will maintain a certificate of consent to self -Insure or wo p ormance of the work for which this permit is issued. Policy No. by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' and w 111 intain workers' compensation insurance, as career n nalicv number are; I Date ne of Agent certify that, in the performance oft ork 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 agree t, if I should become subject to th or rs' c of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f� �� Da T nature of Applicant CLARATION REGAR NST N LENDING AGENCY :reby 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). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ow rs behalf. I have read this application and the information I have pr is correct. I agree to comply with all applicable city and count inan Be and state laws relatingto buildingconstruction. I authorize representatives of this city or count a er rope y or Inspection purposes. u e mature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name • r� a rrnu nc rnrrm rAMPF URTH COOFOF FOR OFFICE USE ONLY ACTION OATS BY FEDCRAL REGULAToNSFART 61 OFYITLE40 AND AWAD RI ILE 4403 [( ISU441TTEJASBESTOS IM771"KATIONTO: ❑ EPA ❑ AOMD ❑ .4SBS TOS NOTIflCATIONIS NOTAPPLICABLE TO PROFOSEG DEMOtl71CN. SIGNAL UPF. PERMITEXPIRED P€RMITCANCELLED PERMITEXTENDED ENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED