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Home My WebLink AboutH2019-0163 - PermitsCity of Newport Beach - Building Division III IM11111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 1 6 3 Permit Counter Phone (949)644-3288 Job Address: 1806 PORT SHEFFIELD PL BIdg:1 Floor: Suite: Description of Work: MECH INSTIL (2) A/C UNITS @ THE REAR YARD "TAMPER RESISTANT CAP REQ" Inspector Area:4 Code Edit: 2016 Legal Description: N TR 6620 LOT 2 Owner: CLARKE GREG Contractor: R K M HEATING & AC Address: PO BOX 8161 Address: 2929 ELLESMERE AVE NEWPORT BEACH, CA 92658 COSTA MESA CA 92626 Phone: Phone: 949-413-8250 FEES Con State Lic: 405194 Issued Date:03/21 2019 Lic Expire: 05/31/2020 FurnacesBoilers&Compressors Bus Lia BT30045393 Processed Lic Exp Date: 11/30/2019 MECHANICAL Permit: H2O19-0163 Project No: 0829-2018 Inspection Requests Phone (949)644-3255 Y tltlG' jL, S 1 Worker's Comp Insurance - Carrier: EXEMPT Policy No: 91TBJFCT TO FIELD TN SPF,CTOR'S Expire: REVIEW AND APPROVAL ¢m¢o'cc ° o ° °• o 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. HVAC Items FEES ' FurnacesBoilers&Compressors Ventilation Other °° °••'° Up to 100K BTU/hr. 0 $0.00 Up to 3HP: 2 $38.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ° ° ° $0.00-- 0.00° • °Over Over100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 ¢ $0.05... Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 1. Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 a • • e ° a ° ° 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 a== Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Che�k:.°°.$33.06&••° ° Up to 1 M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CSAIBE4MISN60K Issuance: .... $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAG Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $146.06 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. )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' 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 perriflts /ecYs 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 (_) 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 rlprovements 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 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: sy 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 legall) ell 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 'rofessions 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 Property Owner or Authorized Agent 6 Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business d Pr as iq s Code, and my license is in full force nd effect. / icense Class License No Da Contrac Signature IV i VORKERS' COMPENSATION DECLARATION IARNING: FAILURS'TO SECYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF 60MPENSATIM?DAMAGES AS PROVIDEDFORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • �he••• re�byaffirm Ij'ndgr penalty of perjury one of the following declarations: .. Itaye and.wi. m ll aintain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Grmance of the'work for which this permit is issued. Policy No. ave and %P jl l"B;ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol I ufhce carrier and policy number are: `a rTdf • • • • • Policy Number Expiration Date W.6f Agent Phone # certify that, in the q rfo nce f to ork f f which this permit is issued, I shall not employ any person in any manner so as to become ubject to the workers' compensation laws of California, and afire Iat, if T should6dba ubje th o rs' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th se provisions. .... igeature �anP i Dat IECLA Ri W NG CONS ,NUC ION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ender's Name Lender's Address ymy signature below, I certify to each of the following: j I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information have rovided is correct. //'I(l/ '//1•/�' 1 agree to comply with all applicable city and co I ty or ` �e$sand state laws relating to building construction. /Y - ✓' 1 authorize represent is city or count t to f ove-identified property for inspection purposes. _ 21 ignature of Pro rty er or tho ad Agent Print Property Owner's or Authorized Agent's NaDate ACTION DATE BY DECLARATION OF COMPUANCEkNT F FORD CE US ONtY FEDERAL REGULATIONS PART 61 OF TITLE 40AND :PERMITEXPIRED AQMDRULE1403. I SUBMfTT€D ASBESTOS NOTIFICATION TO: PERMIT CANCELLED ❑ EPA PERMIT EXTENDED ❑ AQMD ASBESTOS NO7IFICA7IONIS NOTAPPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERTIFICATE OF OCCUPANCYISSUED SIGNATURE.