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Home My WebLink AboutH2019-0504 - PermitsCity of Newport Beach - Building Division p 100 Civic Center Drive, Newport Beach', CA 92660 Permit Counter Phone (949)644-3288 iii iiiii iiiii iiiii iiia iii iiiii iiiii iii Job Address: 311 GRAND CANAL Bldg:1 Floor: Suite: Description of Work: MECH NEW A/C UNIT ON GROUND *TAMPER PROOF CAP REQ* Inspector Area:2 Code Edit: 2016 emmm Legal Description: BALBOA ISLAND SEC 4 BLK 14 LOT 31 Owner: JAMES MARTIN Contractor: SHEAR CONSTRUCTION Address:- 311 GRAND CANAL Address: 31 BLAKEMORE DR NEWPORT BEACH, CA 92662 mmme�: ommcc ON THE WEEKEND°°m° m LADERA RANCH CA 92694 Phone: Phone: 714-615-6108 Con State Lic: 760853 Issued Date:08/20/2019 Lic Expire: 07/31/2020 0 Bus Lic: BT30049686 Processed By: �l\fie Lic Exp Date: 01/31/2020 MECHANICAL Permit: H2O19-0504 Project No : 1688-2017 Inspection Requests Phone (949)644-3255 10112 , .. M mmmm m emmm ° o Worker's Comp Insurance- eem ° ° Carrier: STATE FUND Policy No: 909580 CONSTRUCT -CON Expire :0411112020 `mm°�rQ�tS, occu 00 N L. mmme�: ommcc ON THE WEEKEND°°m° m m m ommaco mmmo" HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 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: $16.53 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model NH4A4-18lssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY & NIGHT Over 1.75M BTU/hr. 0 $0.00 VAV Boz: 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. INER-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) ction 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 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'cfthe Business and �fessions 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 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, riness 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 Movements 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 Moved 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 fly 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 Horn licensure under the Contractors' State License Law for the following reason: my signature`hAmN, '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 p,pacture that Ippve 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 �fessions Code IS available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property owner or Authorized Agent Date 'WED CONTRACTOR'S DECLARATION � 'reby affirm upaer ftalty of perjury that am licensed under provisions of Chapter 9 (commencing with 5-WC ection 7000) of Division 3 of the Business and Py&Ssions od ,and my license is in full force 11890. .. . �S ^ Zo ^ t J/ :nse Class .... License No Date f % Contractor Signature ?FAE!RS' COMPENSATION DECLARATION // tNING: FAILURE TO -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONI HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE l JdA*)MPENSAJION, DOMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,reby Affirm undiftl9oalty of perjury one of the following declarations: ,.... I have and wiN 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 IN [SrPnance of (Tia woefor 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' raunce carrier and policy number are: - Policy Number Date me of Agent -inone IF I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject tole workers' compensation laws of California, and agree I, if I should become subjgOtto _the w rkey r�; compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proviso ns. nature of Applicant /(-z^�+/PO��U/`J_ Date CLARATION REGAR ING CONSTRUCTION LENDING AGENCY ?reby affirm under pepalty of perjury 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 applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county enter th above -identified property for inspection purposes. // )nature of Prooertv Owner or Authorized ADent /; 2- _. Print Property Owner's or Authorized Agent's Name ! /� "^ - Date{ `a - Z0�l ACDON DATE / BY Dtt.LAKA race Ur LVAIV iAIYLc M rn wucur f FEDERAL REGULATIONSPART OI OFTITLE40.AND AQMDRULE9403. P€RMITEXPIRED I SUBMfTTEDASBESTOS M077FICATION TO: El EPA 0 AQMD PERMIT CANCELLED PERMITEXTENDED l3 ASBESTOS N017RCA710MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICAT€OF SIGNATURE: OCCUPANCYISSUED