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Home My WebLink AboutH2020-0529 - Permitslv City of Newport Beach - Building Division 1111111111111111111111111111111p011111111111111 .. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 2 9 F Permit Counter Phone (949)644-3288 Job Address: 21171 NEWPORT COAST DR BIdg:1 Floor: Suite: Description of Work: COMM REPLACE 5 ROOFTOP A/C UNITS AND 5 INDOOR FANCOIL UNITS. "BANK OF AMERICA" Inspector Area:7 Code Edit: 2019 Legal Description: P BK 316 PG 27 PAR 2 Owner: IRVINE CO Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:10/08/2020 Lie Expire: Bus Lie: Processed By: Lie Exp Date: MECHANICAL Permit: H2O20-0529 Project No : 1689-2020 Inspection Requests Phone (949)644-3255 INS It ECTUOf I.% o s 0060 M3 MECHANICAL Worker's Comp Insurance - 600 A WEST TAFT AVENUE Carrier: INS OF THE WEST °• ORANGE CA 92865 Policy No: WSA5049385 • t { m 714-628-1308 Expire :07/01/2021 0° ° 4 U m 786760 ° 10/31/2020 BT30069612 to 11/30/2020 m • c m {@ momm @ m mc�m m t{@ccm e n mm•moo m . , mmm@mo ° mmoo�� HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $42.00 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 $114.00 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: $227.07 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 2 $30.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 3 $75.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $571.32 Plan Check Fee : $273.32 Fee Due at Permit Issuance: $298.00 PERMITS EXPIRE 160 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 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 (_) all of or U 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 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 owr1E'i o4paoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ® I amexempt from licensure under the Contractors' Slate License Law for the following reason: 83?40sjgnatur%6aI&N 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 %tructure that I'llave 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,ds available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Prope ,4Dwner or Authorized Agent Date 6I'C.EIISED COATRACTOR'S DECLARATION PherAtty affirm urglet penalty of perjury that I am licensed under provisions of Chapter 9 (commencinN Vlh Section 7000) of Division 3 of the Business a Professions Code, and my license is in full force 6iearse Class License No Date V U Contractor Signature NJORI(ERS' C(JMPMSATION DECLARATION RARNING;FAILURPTO SECDRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ;0,SJ J)g pOMPENSAt, dAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '.51pip,3y affirm LVM§??gpalty of perjury one of the following declarations: J. *..i I have and well mantain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the )r$formance of the work for which this permit is issued. Policy No. 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 al•`ce carrier and policy number are: Tier Policy Number Expiration Date ne of Agent Phone # 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 tot workers' compensation laws of California, and agree I, if I should becoa bject t he rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro sio . nature of Applicant Date CLARATION REGAPDkNG CONSTRUCTIO NDING AGENCY Ireby affirm under p nal of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se d) 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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable cityand ou y ordinances and state laws relating to building construction. I authorize representatives of this city or coun t enter he, above -identified property for inspection purposes. Q LuLCk _5(41�15U U 8 nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Date ACTION DATE By DECLARATION OF COMPLIANCE MTHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART Of OF TIILE40AND AQMO RULE 1403. PERMITEXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXT€NDED ❑ ASBESTOS NOTIFIC4170MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL G CERTIRCATE OF OCCUPANCYISSUED SIGNATURE: