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Home My WebLink AboutH2017-0428 - PermitsCity of Newport Beach - Building Division H2017-0428 MECHANICAL Permit: H2017-0428 o 100 Civic Center Drive, Newport Beach, CA 92660 Project No: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1826 TRADEWINDS LN BIdg:1 Floor: Suite Description of Work: MECH REMOVE AND REPLACE DUCTS FEES Inspector Area:3 Code Edit: 2016 Veftfilistion Legal Description: N TR 3763 LOT 96 Other to 100K BTU/hr: 0 $0:010 Up to 3HP: 0 $0.00 Bathroom Fan-, 70 10-0 FJre Pe�rrlpers':� 10 $0.00 �(R]�TII ar 100K BTU/hr: $0.,00 Owner: ELLIS JEFFREY "LEt'' /,--7Contrator: ME HOMESERVICES r Wdirke mp Insurance - Exhaust Fan: 0; ';0,."0b Gas Line: Address: 1826 TRADEWINDS LN Addresi: 965 RIDGE LAKE BLVD.SUITE'201 Carrier: LIBERTY INS CO 0 $0.00 , NEWPORT BEACH, CA,92660"- -� Mp I" 'MPHIS;�'�TINZ#'!2'O " 11 . -4 Policy No: WC7 1508631 63, .... 0 $0.00 Phone: Phone- , .'s-951-278-9744 1"" .1ro .Expire,., Iovi'6 7 >30�11P*fbl5e HP—l'b ' , I I :00 C h St �416io7i 0 to 100K BTU/hr: 0 �&Lic- >50flp.�� Jl 0 9.,90 Residential Hood: 0 $0.00 Additional Fee: Issued Date:08/0912017 L 661 ! Z0 0 $0.00 -'A" Handling Air glUftks 0,. BT30053474 $0.00 Plan Check: Processed By: Lic Exp Date: 112/31120,11 $0.06" $0.00, up to 1 OK CFM: Over 10K CFM: 0 0 $0.00 $0.00 Repair/Alter/Add: I- Supplement . al Fee: $18.'Od Model, $0.00 Man'tifecture'r-'''' Issuance: $33.00 AL; Items FEES macesBoilers & Compressors Veftfilistion Other to 100K BTU/hr: 0 $0:010 Up to 3HP: 0 $0.00 Bathroom Fan-, 70 10-0 FJre Pe�rrlpers':� 10 $0.00 $0.000 ar 100K BTU/hr: $0.,00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0; ';0,."0b Gas Line: 0 $0.00 $0.Qff 0 0 ill/Floor Heaters: 0 $0.00 >JqHPnto.3QHP-,- -0-, r- attic Fan '_ I �02 $9,00 0 $0.00 at Pumps & Package Units >30�11P*fbl5e HP—l'b ' , I I :00 Down -Draft Fan: 0 $O.DO Record Mgt Fee: 0 to 100K BTU/hr: 0 $0.00 >50flp.�� Jl 0 9.,90 Residential Hood: 0 $0.00 Additional Fee: 0 �_o Investigation: $0.00 gr 500K BTU/hr: 0 $0.00 -'A" Handling Air glUftks 1 Comm. Hood: 0 $0.00 Plan Check: $0.00 to 1M BTU/hr: to 1.75M BTU/hr: a 0 $0.06" $0.00, up to 1 OK CFM: Over 10K CFM: 0 0 $0.00 $0.00 Repair/Alter/Add: I- Supplement . al Fee: $18.'Od Model, $0.00 Man'tifecture'r-'''' Issuance: $33.00 ar 1.75M BTU/hr: 0 $0.00 1YAV,13ox:,_ '0- - 0.60 Zoning PC: $0.00 TOTAL: $51.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $51.00 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. WNER-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 Ie 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 rofessions 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 Dt more than five hundred dollars ($500). 7 I, as owner of the 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, usiness 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 iprovements 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 iproved 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 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 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legall s11 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm uAr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professions Code, and my license is in full force gd effec=. BRse•glass • • • License No 116te 1. Contractor Signa re IQRK9RS' COMPeNSATION DECLARATION &RAP" FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATLONr DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �ereby affirm undat penalty of perjury one of the following declarations: 3•I•Vye and y(iff %air;ain 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 00 W: mce of thaws* for which this permit is issued. Policy No. ave•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 Su ncecarrier-a11d-OD3cv number are: VLe[ _ Policy Number Expiration Date ww4f Agent ' "' Phone # •• I certify that, in the performance of w ich this PermiLtiLisaued, 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 soul ecome sub je provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr Islons. nature Applicant CLARATION REG CONSTRUCTION LENDING AGENCY areby 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, Civil Code). lder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act onthe property o behalf. I have read this application and the information I h d is I agree to comply with all applicable city a u nces and aws relating to building construction. I authorize representatives of this y or u -identified property for inspection purposes. tL9,k mature of Property Owner orA rued A ent Print Pro ert Owner's or Authorized a 's Name Date AC77ON DATE BY DECLARATION OF COMPLIANCEiATH CODEOF FOR OFFICE UE NLY FEDERAL REGULATIONS PART 61OF TITLE46AND PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO, ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCAFIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIRCATEOF SIGNATURE. OCCUPANCYISSUED