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Home My WebLink AboutH2018-0629 - PermitsCity of Newport Beach - Building Division III 111 11111111 MECHANICAL Permit: H2O18-0629 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 6 2 9 Project No: 0343-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1320 BALBOA BLVD W BIdg:1 Floor: Suite: Description of Work: MECH/ NEW A/C "TAMPER RESISTANT CAP REQ" Inspector Area:1 Legal Description: TR 234 LOT 6 Owner: BE HRISTINE Address: 20 W BAL OA BLVC NEWPORT B ACH CAI Phone' 714-287-7931 Date:10/09/2018 3 ELY 30 FT -_" -,�.• ate: on ram } � r----<JQ 4MJUWE CONSTRUCTION INC Address: 6186 BEACH BLVD K O6 Ph 7 LJ CoG1487111f,' .Lic E Bus Lic: BT30063301 nacesBoilers & C presso ., Ventilation to 100K BTU/hr: 0 $0.00 3H 1 $19.00 Bathroom Fan: 0 'r 100K BTU/hr: 0 $0.00 3 $ st Fan: II/Floor Heaters: 0 $0.00. P to 0 $ tc an: 0 at Pumps &Package Units >30 HP to �a Down -Draft Fan: to 100K BTU/hr: 0 $0.0 >50 HP: k tar .9D Residential Hood: 0 ;r 500K BTU/hr: 0 $0.0 I Ir Handling Units Comm. Hood: 0 to 1M BTU/hr: 0 $0.0 Q �to�01<CFM: 0 $0.00 Repair/Alter/Add: Repair/Alter/Add: 0 to 1.75M BTU/hr: 0 0.0 Over 10K CFM: 0 e: 'r 1.75M BTU/hr: 0 $0.0 --Yg TOTAL: $110.53 $0.00 �Q Plan ifrrlnsurance- Polior ompUARD INS CL No: JCW88371 ED 6 4W1 y"0% re -fund to whom: REVIEW $0.00 Fire Dampers: Gas Line: ArKtion St@rt@Ci) $0.00 Model: $0.00 Manufacturer: 0 $0.00 0 $0.00 �y0 $6.06 i` $o.o° AJ036JCJ5CH/AA SAMSUNG (OIL—Insp. 6tlltlalS: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday -Friday 7:00 a.m.fo 6:30 p.m -and Saturday from 8:00 a.m. to 6:00 p.m. DINSPFC,T( R1S APPROVAL ° 0000ca 0 • n 0000 •00000 P � Other °•°• $0.00• ••°° ° 0000 Investigation.' $O.Op°,,,.� PlanChsok;Pe°$16.$3 ° Issuance: $35.01f4°° 00 0 0 m 0 0 ooP• Zoning P� ° $40.00 :1 $110.53 UWNEK-13UILUtK UtI:LAKAI IUN 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 applicajit 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 per-ilty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business andProfessionsCode: 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 im 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 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 improvementscoveredby this permit, I cannot legall) 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 Section 7000) of Division 3 of the Business and Pro�si s ode, and y license is in full force and effect. �+ _ r/ License Class License No Date `7 X Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU ED THOUSAND DOLLARS (Et00,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm pPgPr.*nalty of perjury one of the following declarations: ❑ 1 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 th ce of.Ag Wbik for which this permit is issued.' Policy No. .... e nd willlrlaintain 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' compensatiol vsu6anc carrier and Dolicv number are: Policy Number Date amewf Agent vnone iF 1Pcer4fy thatla iFie.performance a work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat,lAl should become s 'e o th worke compens provisions ofSection 3700 of the Labor Coda, I shall forthwith comply with those pro\visions. igflatuse of ADDWc rl D t ^ � / �r� ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereb•K',affirmuBdespenalty perjury that there is a construction le r the performance of the work for which this permit is issued (Section 3097, Civil Code). srr&fls Nam e• ' gency foLender's Address my signature below, I Wrlify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I haveread this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinap4 anyl state Is I authorize representatives of this city or county to a bov-identiflgf ACTION PERMIT FINAL CERTf6ICATEOF OCCUPANCYISSUED DATE I / BY relating to building construction. )party for inspection purposes. Print Prooertv Owner's or Authorized FEDERAL REGULATIONS PART 61 OF TIILE40AND AQMD RULE 1403. ❑ 1SUBMITTEDASBESTOS NOTIFICA7/ONTO: EPA ❑ AQMD ❑ ASBESTOS N017RCA170MIS NOT APPLtCABL.E TO PROPOSEDDEMOLITION. SIGNATURE: