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Home My WebLink AboutH2018-0569 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O18-0569 t`t 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 5 6 9 Project No : 1105-2018 . T Permit Counter Phone (949)644-3288 qx�s sInspection Requests Phone (949)644-3255 Job Address: 2401 MESA DR BIdg:1 Floor: Suite: �� Description of Work: MECH/C/O FAU, ADD A/C & DUCTING "TAMPER RESISTANT CAP REQ" 7,y,� C To X2018-1407 Inspector Area:8 Code Edit: 2016 Legal Description: N TR 6407 LOT 38 Owner: MCALLISTER ANDREW Contractor: A C XPERTS HEATING & AIR Worker's Comp Insurance - Address: 2620 N BLVD UNIT B Address: 19185 ECHO PASS ROAD Carrier: W/C EXEMPT „°. NE ORT BE , CA 92663 TRABUCO CANYON CA 92679 Policy No: ' o, Phone: 9 -683-9203 Phone: 949-521-3226 Expire: Con State Lic: 915801 ° Issued Date. 9/12/2018 Lic Expire: 05/31/2019 Bus Lic: BT30060115 5U13JFCT TO FIFLiii° `° ° Processed By: Lic Exp Date: 08/31/2019VIEWDA� S7�PF,CT �P ® `°Q VAL ° HVAC Items FEES e . i FurnacesBoilers&Compressors Ventilation Other Up to 10oK BTU/hr: 1 $18.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 .. ° $0.66`°° 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 ° $0.06060 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: $15.66 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $46.98 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 1 $18.00 Model: ASX14-0481K 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: $187.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $187.14 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. 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 t*applicant 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 Businoss End 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 penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements are pot, 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 improved+fortFie'purpose of sale). ❑ I as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business andProfessionsCode: The Contractors' State License Law does not apply town 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 ani exempt from licensureunder 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 improvements covered by this permit, I cannot legally 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.html. Signature of Propert Owner or Authorized Agent Date LICENSED CONT • CTOR'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 Pr ons Code, and my license is in full force Lijensg Class License No �� 25U � Date Contractor Signature, AVRKERS' COMPENSATION DECLARATION NP.RNINgk FAILURF•%WORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 305E OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. *hereby affirm under penally of perjury oneofthe following declarations: 1 j;Ile and vtlf mafhtain 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 the SSyFor fiance of the -work for which this permit is issued. Policy No. f7�• I*I•ha a and wil: wwlniain 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' compensation §LV9 arrler dpClic number are: n �7 ( /1 •ar' r Ca3 ' � Policy Number��C�'YC4�7 j/ Expiration Dat "I ame of Agent 3�-�-��— �S Phone # 75U� _. b :11 certify that, in the performance of the won for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become subje he work s ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignature of Applican Dat )ECLARATION RE ARDING CONSTRUCTION LENDING AGENCY hereby affirm unde penalty of perjury that there is a 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 3y 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 1 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 to ante ab�ov�Idn7n'f��Pied property for inspection purposes. A..+k ^_.0� ,.e n .., .,e.... .l.od e,1 A,.e�r\ /1 / v v�T ,a o.. %, n,. —e. ... n„N,..d�en A—F. nl:�Mlr.1 11 ACTION DATE BY DECLARATION OF COMPLIANCEtMTH COOEOF FOR OFFICE USEONLY FEDERAL REGULATIONSPART fit OF TITLE40AND AQMO.RULE 7403. PERMITEXPIRED ISUBMITTEUASBESTOSNOTiFICARONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED [3 ASBESTOS PROPOSED DEMOLITRONIS NOT APPLLCABLE TO PERMITFINAL �^ CERTIFfCATEOF OCCUPANCYISSUED SIGNATURE: i } f co, Z��-�_�� Q (DD 0 a p y <D r+ 00 `� O N C1 w NS 0 N CD N 0 O O 1 A yCD CD 0 p o a p �• Y co y. t4 it N *