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Home My WebLink AboutH2020-0267 - Permitsau City of Newport Beach - Building Division H2O20-0267 MECHANICAL Permit: H2O20-0267 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 0057-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1964 VISTA CAUDAL BIdg:1 Floor: Suite: Description of Work: MECH -CHANGE OUT A/C CONDENSOR. TAMPER RES CAP, TIMER, & .NEIGHBOR AUTH LTR REQUIRED (REPLACES H2O16-0774) Inspector Area:8 Code Edit: 2019 2*0 Legal Description: TR 5435 (L.L.84-214024) PAR 119 Owner: FABER MICHAEL Contractor: OWNER/BLDR Worker's Comp Insurance - Address: 1964 VISTA CAUDAL Address: Carrier: NEWPORT BEACH, CA 92660 Policy No: Phone: 714-396-0896 Phone: Expire: Con State Lie: Oie TIMER REQUIRED ON EQUIPMENT `°` Issued Date:05 29/2020 Lie Expire: TO SHUT OFF B ° ° ° Bus Lie: E7WEI'zN 1A P e < ,M� AND 7 Processed By: Lie Exp Date: o so i ° 0°ecc HVAC Items FEES FurnacesBoilers&Compressors Ventilation Other. Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° : $6.00 " 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.b))° Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 0 °0Ot 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 1DDK 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: $17.40 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: RCQD3621Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: RHEEM Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $113.90 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, ahcr, 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 a civil penalty of no re than five hundred dollars ($500). s owner of the property, or my employees with wages as their sole compensation, will do L_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,ss and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). d I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal re Iden a in wh' I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall) sell a structure that I have built as an owner -builder if it In s not c uct Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when thi ppli is mitt at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date—T—� LICENSED CONTRACTOR'S DECLARATt N 1 hereby affirm underPenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.. Lic$ds'c (!IDSS _�' ��_ License No - ' ' - ` Date Contractor Signature WORKERS' COMPE10SATION DECLARATION NAIJNI4QII FAILURE TO S9CURE WORKERS' COMPENSATION COVERAGE I5UNLAWFUL,.AND SHALPSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIONI3106 09 THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hareby* affirm underpena`lty of perjury one of the following declarations: 13:1.hs3ve and wig V41nttin 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 thI peJ%rgV9ee of the %%"for which this permit is issued. Policy No. ❑1, l+a"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' compensatioi n4ra7Rce farrier 0 ppYlPy number are: Cauier'... . * Policy Number Expiration Date ...0 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 to the workers' compensation laws of California, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date iECLARATION REGARDING CONSTRUCTION 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 enders Name Lender's Address y 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 pro ' d is corre I agree to comply with all applicable city and county o n n laws relating to building construction. I authorize representatives of this city or county to r t entified property for inspection purposes. L.C.,r,,.e,.f D—nrho n,.,,.er mr A,dhnrfvcd Annnf Print Prooertv Owner's or Authorized Agent's NamA— Civil Code). OCCUPANCYtSSUED SIGNATURE: ACDON DATE BY DECLARATION OFCOMPLIANCEM CODEOF FEDERAL REGULATIONS PART 61 OF 7I7LE40AND FOR OFFICE USE ONLY AQMDRULE 1403. ❑ 1 SUBMITTEDASBESTOS NO7IFICATION TO: PERMFTEXP/RED PERNITCANCELLED ❑ EPA ❑ AQMD ASBESTOS h10RFICABONISNOTAPPLICABLETO PERM11TEXTENDED PERMIT FINAL ZA PROPOSED DEMOLITION. OCCUPANCYtSSUED SIGNATURE: