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Home My WebLink AboutH2018-0345 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O18-0345 ' off. ''` 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 3 4 5 Project No � ;� �, Permit Counter Phone (949)644-3288 9.� FEES ° 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. u Inspection Requests Phone (949)644-3255 Ventilation 30 VVIDE X 36" DEPTH Job Address: 1979 PORT RAMSGATE PL BIdg:1 Floor: Suite: oe • ° • Description of Work: MECH - A/C CONDENSOR *TAMPER-RESISTANT CAP & TIMER REQUIRED* REQUIRED FOR Inspector AreaA Code Edit: 2016 DISCONNECT Legal Description: N TR 6624 LOT 100 $18.00 A/C Owner: BYE ROLAND E Contractor: DEPENDABLE GRAHAM AC Worker's Comp Insurance - - Address: 1979 PORT RAMSGATE PL Address: 2952 CENTURY PLACE Carrier: FALLS LAKE FIRE AND CASUALTY NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Policy No: FLA000131 Phone: Phone: 714-546-1653 Expire :07/01/2018 Con State Lie: 472690 'R Issued Date:06/04/2018 Lie Expire: 04/30/2020 y Bus Lie: Processed By: Lie Exp Date: BT01013104 12/31/2018 $0.00 Wall/Floor Heaters: 0 HVAC Items FEES ° 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. FurnacesSoilers & Compressors Ventilation ° o•°000 ° oe • ° • e •°o• Other Up to 100K BTU/hr: 1 $18.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 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: $15.66 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24AHA48 Issuance: ° • •° $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER ° °oo` Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PCo°°° $37.90° TOTAL: $122.16 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $122.16 ° PERMITS EXPIRE 980 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. ° o•°000 ° oe • ° • e •°o• •• DWNER-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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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). ❑ 1, 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 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.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 Spctiiyn 70 0) of Division 3 of the Business and P ons Code, and license is in full force and effect. License Class — License No Date W16Contractor Signatu NORKERS' COMPENSATION DECLARATION lL-% NARNING: 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 ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: � have and will maintain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the e mance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: is of Agent certify that, in the pi if I should become Iature of ADDlicant hereby affirmandei endeAe Name "' Policy Number Date I D key�f .. ":a :ha-pecRi t a-issued$sball-not employ any person in any manner so as to become subject to the work rs' c mpensation laws of California, and agrec lorke ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, DaPbX UL L f< wdcTToN LENDING AGENCY 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 Address hem the pt'opet'ty owner or authorized to act on the property owner's �.I.have read this application and the information I have I I,agree to�c6mpYy with all applicable city and r finances and I,dhthorize representatives of this city oy,60fKto, nter thpab6ve-ic ACVON PERMIT FINAL CERTIRCATE OF OCCUPANCYISSUED Is relating to building construction. property for inspection purposes. Print Property Owners or Authorized Agent's Na BY DECLARATION OFCOMPLfANCEtMTHCODEOF FOR OFFICE FEDERAL REGULATIONS PART 61 OF TITL.E40AND AQMDRULE1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSEDDEMOLITION, SIGNATURE: