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Home My WebLink AboutH2020-0348 - Permits4�'xrokr City of Newport Beach - Building Division III III MECHANICAL Permit: H2O20-0348 a»' .,.$ ,{ *�� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 3 4 s Project No F s „ ,,,,,i Permit Counter Phone (949)644-3288 ra ci `i Inspection Requests Phone (949)644-3255 rlrYfl$Ny& Job Address. -a876- RIVOLI BIdg:1 Floor: Suite: Description of Work: MECH - *8 Units 3075-3082* ROOF -MOUNTED A/C CONDENSORS & FAU, LIKE FOR LIKE. LOWER DB LEVEL THAN (E) UNIT. Inspector Area:4 Code Edit: 2019 Legal Description: N TR 15584 LOT 5 FEES Owner: NEWPORT BLUFFS LLC Contractor: AMTECH HEATING & AIR INC Worker's Comp Insurance - Address: 550 NEWPORT CENTER DR Address: 20 TRUMAN SUITE 210 Carrier: FALLS LAKE FIRE & CASUALTY CO NEWPORT BEACH, CA IRVINE CA 92620 Policy No: FLA01312600 Phone: 0 Phone: 800-882-3019 Expire :12/20/2020 $160.00 Con State Lic: 1003704 $0.00 Issued Date:07107/2020 Lic Expire: 04/30/2021 0 $0.00 Bus Lic: BT30060143 0 Processed By: Lic Exp Date: 08/31/2020 $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 8 $160.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 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: 8 $160.00 >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: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CA15NA024136000 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $355.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $355.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID ldVsSPECTIQN Construction Hours: Monday- Friday 7:00 a.m.to 6:30 p.m.and Satu(rdgy frprn 8:(30 a.r i (0 6:00 N.ng Ob O LO O L O OGS, O O G(.O 00 O m G c c e a o o e m o om o e o m c mm c moa occ c c me ecm coc IWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable [tem(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 pursuantto 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 ]!censure 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 of more than five hundred dollars ($500). 1, as owner Of the property, or my employees with wages as their sole compensation, will do U 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 nprovements 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). 7 1, 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). I I am exemptfrom licensure underthe Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except far 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 ell a structure that I have built as an owner -builder N 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://vw .leginfo.ca.govfcalaw.htmL signature of Property Owner Or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 nd effect. '7 CPQ .]cense Class License No Date 7 / �� Contractor Signatur VORKERS' COMPENSATION DECLARATION 5UW5CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO REST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: DOLLARS ($100,000), IN ADDITION TO THE 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 ICE of the work forwhich this permit is issued. Policy No. 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' compensa carter and policy number aro: Policy Number of Agent Date I 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 agree I, if I should become subject to thth/ey�yo�Ir r 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. [nature of Applicanty L//4- /�S Oat, V 7/7�ZlI Z/Ji :CLARATION REGARDING CONSTRUCTION EN NG AGENCY sreby affirm under penalty of perjury that the is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, 1 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 city and county ordinances and state laws relating to building construction. 1 authorize representatives of this city or county to enter*y&ye-idgntified property for inspection purposes. A_ ✓n nA40 4 /`i.� -71-1 AC77ON DATE BY PERMITERPIRED • • • ••• • • • • PERAPTCANCELLED PERAAITEXTENDED • e PERMITFINAL CERTIFICATEOF OCCUPANCYfSSUED �.� ••• ••• ••• i•� .•• ❑ ) SUB01T ED ASBESTOS NORFICATfON T0: ❑ EPA ❑ AQMD ❑ ASBESTOSNOTIRCABONISNOTAPPLICABLETO PROPOSEDDEMOUT/OX SIGNATURE: