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HomeMy WebLinkAboutH2019-0713 - PermitsCity of Newport Beach -Building Division MECHANICAL Permit: H2O19-0713 o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 7 1 3 Project No: Permit Counter Phone (949)644-3288 ) Inspection Requests Phone (949)644-3255 NSTRUC I ION NOISE Job Address: 901 VIA LIDO SOUD BIdg:1 Floor: Suite: NO V4 7 Description of Work: MECH C/O (5) A/C UNITS ON ROOF AND (5) FURNACES *TAMPER PROOF CAP REQ* InspectorArea:1 Code Edit: 2016 Legal Description: TR 907 LOT 313 AND LOT 314 Owner: HERBERT GAVIN Contractor: OASIS AIR CONDITIONING Address: 901 VIA LIDO SOUD Address: P 0 BOX 937 NEWPORT BEACH, CA 92660 Ventilation SAN JUAN CAP CA 92693 Phone: Phone: 949.420-1321 Con State Lic: 767272 Issued Date:11/13/2019 Lic Expire: 0813112021 Up to 3HP: Bus Lic: BT97027460 Processed By: Lic Exp Date: 11/30/2019 ON THE WEEKEND Worker's Comp Insurance - Carrier : NATIONAL LIBILITY INS Policy No: V9WC854146 Expire :12/31/2019 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 5 $100.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 3 $108.00 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: $215.76 Up to 1 M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 124ANSIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $540.26 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $540.26 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. OWNER -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 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 is 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 (_) all of or L) 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 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 improved for the purpose of sale). 11 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 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://v w .leginfo.ca.gov/calaw.html. 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 wi action 7000) of Division 3 of the Business` ofe ions C e.-aRa li nee is in full force and effect. License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN Y'S FEES. hereby affirm under penalty 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 IN oermance of the work for which this permit is issued. Policy No. Pfo 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' compensatior nsNince carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # certify that, in the 0r ance of the work for which t it is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation laws of California, and agref t, if I should beco u e workers' a ensation prove ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio V I3 ' nature of Applican Date CLARATION REGA DING CONSTRUCTION -LENDING LENDING AGENCY ;reby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( action 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 owners behalf. I have read this application and the information I have provided is correct. 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