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Home My WebLink AboutH2018-0359 - Permitsv City of Newport Beach - Building Division H2018-0359 $" 100 Civic Center Drive, Newport Beach, CA 92660 H ``g Permit Counter Phone (949)644-3288 c`�d;WIC f« Job Address: 2900 QUEDADA BIdgA Floor: Suite: Description of Work: MECH AIC UNIT *TAMPER PROOF CAP REQ* Inspector Area:8 Code Edit: 2016 e Legal Description: N TR 7167 LOT 1 •ems FEES Owner: COOMBE JOHN M Contractor: AIRWEST A/C & HEATING INC Address: 2900 QUEDADA Address: 1886 SO SANTA CRUZ ST NEWPORT BEACH, CA 92660 Ventilation ANAHEIM CA 92805 Phone: 415-310-0970 Phone: 714-978-7877 e Con State Lic: 733715 Issued Date:06/11/2018 Lic Expire: 03/31/2019 $0.00 Bus Lic: BT30057337 Processed By:-� Lic Exp Date: 05/31/2019 MECHANICAL Permit: H2O18-0359 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: NORGUARD INS Policy No: AIWc857477 Expire :11/1412018 .mm. e •ems FEES 0 0 mommoo �mees e • o n „�e e Ventilation • o e mm n Other o m Up to 100K BTU/hr: e . m $0.00 Up to 3HP: e• ee•mo e s o es000 0 oe000n m o m o oe• o m m > 3 HP to 15 HP: 0 $0.00 ooe000 om m 0 0 0 0 omoo eo e $0.00 HVAC Items FEES FurnacesBoilers & Compressors 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 $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: $0.00 Investigation: $0.00 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: ASX140418K Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMANA Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $104.16 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $104.16 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Flours: 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 applicaKle item(al 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 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner gill e0rpperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to gn ownertf Pibperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). a' •MAI kxemptfrbV Rgpnsure under the Contractors' State License Law for the following reason: ly joy lignaturebeloMl acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally all a stricture thatl have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Tofetslons Code.is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. jifttu4p. of ProPtdy'OVner or Authorized Agent ate 10ENSED CONTRA.CTOR'S DECLARATION hereby affirm underye� ally of perjury that I am licensed under provisions of Chapter 9 (commencing7ERTO coon 7000) of Division 3 of the Business an Prof ssio ode, and my license is in full force ad e$facl. LgepSP.Class • License No Dat% I Contractor Signatur DO;ZKGRS' CORORF61SATION DECLARATION ABNII IG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLORIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE BST OF OOMPENSAVION, 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 )rmance 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' compensa rance carrier and policy number are: Policy Number Expiration Date of Agent I certify that, in the pert man of he wo k for which this permit is issued, I shall not employ any person in any manner so as to become subjecT61""110 rkers' compensation laws of California, and agree t, if I should becomes IT t the orke ,nsR1i^^ r„p visions of Section 3700 of the Labor Code, I shall forthwith comply with those pro nature of Applicant Date CLARATION REG fRDING CONSTRUCTION LENDING AGENCYf / :reby affirm underpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S ction 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 owner' behalf. I have read this application and the informatio/1h ve p id is act. I agree to comply with all applicable city and cor nance a d at elating to building construction. I authorize representatives of this city or countpte the ab v -i en ' o erty for inspection purposes. Z10*/,10//nature of ProDertv Owner orAuthorized AaentPte" Print Property Owner's or Authorized Agent's Na /7/1XTZ/G} D4 Q/ /E GS4PLI) �llllllllllllllllll[L'IA�� 17d:7t�fYtP�;4v'iPts7ye�- OCCUPANCYISSUED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO. ❑ EPA ❑ AOMD ❑ ASBESTOS NOTIFICATTONIS NOT APPLICABLE TO PROPOSEDDEMOUTION. SIGNATURE.