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Home My WebLink AboutH2018-0663 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O18-0663 off. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 6 6 3. h Permit Counter Phone (949)644-3288 , Project NO a,y Fiic Inspection Requests Phone (949)644-3255 Job Address: 719 1/2 IRIS AVE BIdg:1 Floor: Suite: Description of Work: MECH/ NEW AIC "TAMPER RESISTANT CAP REQ" s 7 l Inspector rea:5 Code Edit 2016 Legal Legal Description: Owner: LONG ROBERT Contractor: ROHAN JOHN MARK Worker's Comp Insurance - Address: 719 IRIS AVE Address: 31645 VIA FLORES Carrier: SECURITY NATIONAL CORONA DEL MAR CA 92625 SAN JUAN CAP CA 92675 Policy No: SWC1145938 ° Phone: Phone: 949-310-9388 Expire :03/04/2019 ...... ° Con State Lic: 597158 ° °m°o mee°o° Issued Date:10/19/2018 Lic Expire: 06/30/2020 ° Bus Lic: BT30056894 ° ° • • ° ° Processed By: Lic Exp Date: 10/31/2018 •° ° ° • °°••°° ° 0 0 0 oeoo° HVAC Items FEES • FurnacesBoilers & Compressors Ventilation Other ° • a°`:° Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 .... $0.60 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 ° $0.6d, 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 1o0K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $16.53 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AOU36RLXF21 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: FUJITSU Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $110.53 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. IWNER-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) lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repfiir any structure, prior to its issuance, also requires the applicant for is 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 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 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 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 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). 7 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 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 oft 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.html. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm Uft penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio Code, And' 'I rise is in full force nd effe&t. loense.Class .... License No Date �a : �� Contractor Signature . II,ORtiRS' COMPENSATION DECLARATION 'ARNINGl FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU ED TH USAND DOL LA S ($100,000), IN ADDITION TO THE OSTBR COMPENSP.TION, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ftetlyoaffirm drR&f 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 provide for by Section 3700 of the Labor Code, for thf o •ance of%%w-Qrk for which this permit is issued. Policy No. •g 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' compensatior I wanae carrier-and Policy number are: '.�rji�r • .... olicy Number Expiration Date 11PUPAgent • • Phone # ]I certify that, in the performance of t r or w ch is pe is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree eat, if I should become subject to the s o ns ion visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) /y� ) ignature of Applicant Date / D / / �! ,ECLARATION REGA ING CO I L G AGENCY 17, hereby affirm under p alty of p rju that there is 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_e h of the following: I am the property owner or authorized to act on the property owner's be I have read this application and the information I have prov'ded i J I agree to comply with all applicable city and county rdin nc ndrtiftid ws rel Ing to building construction.�� `�I authorize representatives of this city or county t ent e - -i pro rty for inspection purposes. C i nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent' ameILL e AC17OlV GATE gy DECLARATION OF COMPLIANCEWiTNCODEQF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AMD PERMfT€XPIR€D AQMBRULE1403. 1 SU&MfTE€D ASBESTOS NORFICATION TO: PERMfTCA.NCELLED ❑ EPA PERMITEXT€ND€D ❑ AQMD ❑ ASBESTOS NORACARONIS NOT APPLICABLE TO PERMITFINAL PROPOSED DEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: