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Home My WebLink AboutH2019-0697 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O19-0697 c� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 6 9 7 Project No : 2557-2017 9I Permit Counter Phone (949)644-3288 Furnaces Bolles & Compressors `^+axrt.,�s`" - Inspection Requests Phone (949)644-3255 ' Job Address: 2001 BAYADERE TER BIdg:1 Floor. Suite: Other Description of Work: MECH - 4 AIC CON DENSORS (TAMPER-RESISTANT CAPS REO'D) $0.00 InspectorArea:5 Code Edit: 2016 2 $40.00 Legal Description: - N TR 2813 LOT 177 0 $0.00 Fire Dampers: Owner: HAYWARD GREG & MADELINE Contractor: C C C C HEATING & AC INC Worker's Comp Insurance Address: 1 CORPORATE PLAZA STE 110 Address: 606 E LINCOLN AVE Carrier: SECURITY NATL INS NEWPORT BEACH CA 92660 ORANGE CA 92665 Policy No: SWC1126232 Phone: 949-756-8393 - Phone: 714-637-7021 Expire :1111112019 Con State Lic: 451863 $0.00. Issued Date:11105/2019 Lic Expire: 01/31/2020 $0.00 Bus Lic: BT30029124 $0.00 r" j. Processed By: Lic Exp Date: 09/30/2020 p��e�� gUg�+q� HVAC Items FEES Furnaces Bolles & Compressors Ventilation Other Up to 100K BTU/hr. 0 $0.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $72.00 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: $97.44 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4TTL6036Al Issuance: $35.00 Up to 1.75M BTU/hr. 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Feer $0.00 Manufacturer: TRANS Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $285:94 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $285.94 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 fain 6 66"a.m. to 6:04 p.m. E' c ooc 00 `o L p q � Q9 ot` u n GO L ` 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 asigned 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 (_) 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 theburdenof 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). ❑ 1 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 residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent - Date Ole LICENSED CONTRACTOR'S DECLARATION I 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 Profess! d m is in full force and effect License Class License No Dat Contractor Signat re WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES, CIVIL FINES UP ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the work for which this permit is issued. Policy No. - 1 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' compensatio su ncarrier and policy number are: !er Policy Number Expiration Date Name of AgentPhone # I certify that, in the performance of the work for whic mit is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should. become subject to the ers' sation to - oPSaction 3700 of the Labor Code, I shall forthwith comply with those provisions.. / Signature of Applicant Da DECLARATION REGA@0R6-t,9W5TRUCTJ9lT LENDING AGENCY I 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 (S ction 3097, Civil Code).. Lender's Name Lender's Address By 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 at g to building construction. - 1 authorize representatives of this city or county to a ter led erty for inspection purposes. 5lonature of Property Owner or Authorized Aoentl� / Print Property Owner's or Authorized Agent's Name J c Date U01111Tr7t7 PERMIT CANCELLED PERMITEXTENDED DATE BY FEDERAL REGULATIONSPART 0T OFTITLE40AND AQMU.RULE9803: ❑ I SUDMfTTEDASBESTOS NOIIFICATION T0:. ❑ EPA AQMD ❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSEDDEMOLITIAN SIGNATURE: