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Home My WebLink AboutH2017-0344 - PermitsCity of Newport Beach - Building Division III III 11111p1p111111p1111111p1p1111111111111 o U 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 3 4 4 µ t Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O17-0344 Project No: Inspection Requests Phone (949)64-11!% Job Address: 12 ODYSSEY CT BIdg:1 Floor: Suite: Description of Work: MECH NEW AIC UNIT *TAMPER PROOF CAP REQ* (H2O17-0270) **CHANGE OF CONTRACTOR & EQUIPMENT** DELTA 1 - EQUIPMENT & CONTRACTOR Inspector Area:3 Code Edit: 2016 Legal Description: TR 7817 LOT 1 UNIT 121 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER eoo• e eeo m mmocoe m m m o Q ' i o•He ym o i"�ismmoj 0o m e mmmom O O °emO pC. m m U meemem m o m Owner: YANNI DANIEL Contractor: THOMSON AIR CONDITIONING Worker's Comp Insurance - Address: 12 ODYSSEY CT Address: 21205 JUAN AVE UNIT A Carrier: EMPOYEE SERV GROUP NEWPORT BEACH, CA 92663 FurnacesBoilers & Compressors HAWAIIAN GARDENS, CA 90716 Policy No: RWCC64375751 Phone: Phone: 562-201.3014 Expire :03/01/2018 Other Con State Lie: 959811 $0.00 Issued Date:07/06/2017 Lie Expire: 04/30/2019 0 $0.00 Fire Dampers: 0 Bus Lie: BT30055107 $0.00 Processed 0 Lie Exp Date: 05/31/2018 0 $0.00 oe0000 •me e o m m emeo� em HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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: 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: $0.00 Up to 1 M BTU/ r: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 36AO03 Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER 24AHA4 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $33.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $33.00 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) lection 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 to permit to file i siWed 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 Cotlg)•gtJRat 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 of more than five hundred dollars ($500). ee•e • ••• I, a�ownery�die property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 hpTpvefnents are hot 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 nJ�roved for the• pdrpdge of sale). :1 %Vowner of 69 property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ry tv an owngf-of fgperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J apfexempt frortlicensure under the Contractors' State License Law for the following reason: y m y s''vnature 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 R a 1ccture 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 ••••• 4ofessi8ns Code, Is available upon request whIs appl ca 1 b ae h followin Web site:htt ://www.le info.ca. ov/calaw.html. / NjoMMI of Property Qyvner or Authorized AgenJJ}ra C -�`9 p g g Dat .I£EMED C(2aSRACTOR'S DECLARATpO hereby affirm under penalty 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. icense Class License No Date Contractor Signature ✓ORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 the fiance of the work for which 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' carrier and policy number are: Policy Number Date me of Agent —enone s I certify that, in the performance of the ork for which this per Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref t, if I should become subject w e co s' rrD visions Section 3700 of the Labor Code, I shall forthwith comply with those pro is'ons. nature of Applica _ ! Date %�%x/`� CLARATION RE ARD CO TRUCTION LENDING AGENCY —r /� ;reby affirm under alty 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). 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 city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to a ov a lfi d�roperty for inspection purposes. �% i mature of PrODertv Owner or Authorized ADenOC ��f� __ Print Property Owner's or Authorized Agent's Nam.,K J t'5�,n ACTION GATE BY DECLARATION OF COMPLIANCE WITH CODL: 01- lII FE ERAL REGULATIONS PAR 1 OF TITLE40AND I FOR OFFICE 6 I PERMITEXPfRED I I I I PERMITCA.NCELLED I I I PERMIT FINAL CERURCATEOF OCCUPANCYfSSUED ID RULE 1403. t SUBMITTED ASBESTOS NOTIFICATfON TO: ❑ EPA AQMD ASBESTOS NORFI CAT70NIS NOT APPLICABLE TO