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Home My WebLink AboutH2018-0395 - Permits0City of Newport Beach - Building Division IIII�III�f II�III'III�IIlII�11�II II�IIllIII MECHANICAL Permit: H2O18-0395 c� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 3 5 Project No: `� Permit Counter Phone (949)644-3288 c� ff Inspection Requests Phone (949)644-3255 Job Address: 220 30TH ST BIdg:1 Floor: Suite: Description of Work: CIO HEAT PUMP & AIR HANDLER 53cIB* (GOODMAN; GSZ14-0361 K) (BRINMAR SOUND BLANKET AND DECIBEL READING REQUIRED AT FINAL) Inspector Area:1 Code Edit: 2016 Legal Description: LAKE TR BILK 129 LOT 10 Owner: PARIKH BHUPESH Contractor: ASSOCIATED HEATING & AIR INC Worker's Comp Insurance - u� Address: 2229 KNOLLCREAT PL Address: 1320 #B N HANCOCK STREET Carrier: NATIONAL LIABILITY FIRE INS ° )O°COC WESTLAKE VILLAGE CA 91361 ANAHEIM CA 92807 Policy No: V9WC974009 ° Phone: Phone: 714-777-8833 Expire :02101/2019 Con State Lic: 608210 ° Issued Date:07/05/2018 Lic Expire: 12/31/2018 ° Bus Lic: BT30064679 e ° o `e"...... o Processed By: _1.-._ Lic Exp Date: 10/31/2019 . ° 90 C "OQ<CO HVAC Items FEES :••" FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 " $0.050°... " Over 1OOK 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 1OOK BTU/hr: 1 $16.00 >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: $26.10 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 1 $12.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $126.60 Plan Check Fee : $126.60 Fee Due at Permit Issuance: $0.00 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. )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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 got more than five hundred dollars ($500). 7 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 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 n roved 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). 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, 1 cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm CAW 06nalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000) of Division 3 of the Business and rofessions Code, and my license is in full force gc�tilt . icense•Class .:.,.: License No Date /r 2-r¢ /el Contractor Signature VQRK€RS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE QST OF COMPENI)ITIV, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hrlf@Vaffitm urtAr p®nalty of perjury one of the following declarations: ]d -have and•,vili 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 thl as�r'N f,crmance ofihe Urk for which this permit is issued. Policy No. and wig' 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 isuranee carrior•andyolicy number are: Rib? • Policy Number Expiration Date R*bf Agent" • • Phone # I certify that, in the pert rmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agree I, if I should be ject t 'compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provi ons. .nature ofApplicant Dal Ile CLARATION REGA DIN SONS ON LENDING AGENCY areby affirm under nalty ry that there is a construction lending agency for the performance of the work for which this permit is issue (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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicablecity and count ordinances and state laws relating to building construction. 1 authorize representatives of this city or county t ant ve-identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name �- t Dat I! ACTION DATE BY DECLARATIONOFCOMPLIANCE TNCODEOF FOR FRCEUSEIINLY FEDERAL REGULATIONS PART 61 OF TITLE PERMIT EXPIRED AQMD RULE 4403. ❑ I SUBMITTEDASBESTOS NOIIFICATION TO: PERMIT CANCELLED ❑ EPA PFRR41TEKTENDED ❑ AQMD ASBESTOS M077RCAHONIS NOT APPLICABLE TO PERMITFINAL — PROPOSED. DEMOLITION. CERTiFICAT€OF OCCUPANCYISSUED SIGNATURE'