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Home My WebLink AboutH2020-0690 - PermitsCity of Newport Beach - Building Division Illlullllllllllllllllllllll'''I�I�I�IIIII'''il + 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 0 Permit Counter Phone (949)644-3288 GoYw(uru�Y, uy MECHANICAL Permit: H2O20-0690 Project No : 1753-2020 Inspection Requests Phone (949)644-3255 Job Address: 18 CORMORANT CIR BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (E) A/C 53dB* (YORK; YCG421321S) *TIMERREQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & TAM ( *REV_ jSED0.4/0712021 �" InspectorArea:3 Code Edit: 2019 Legal Description: N TR 12529 LOT 9 Owner: VOSS MELANIE J Contractor: Address: 18 CORMORANT CIR Address: NEWPORT BEACH, CA 92660 Phone: Phone: AUTH AGENT: Con State Lie: Issued Date:11/25/2020 Lie Expire: 949-721-8585 Bus Lie: Processed By: Lie Exp Date: OWNER/BLDR Worker's Comp Insurance - AUTH AGENT: Carrier: PAT SIMONIAN Policy No: 949-721-8585 Expire O/B VJ M 0 Q X HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1o0K 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: $18.27 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: YCG42132151ssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $122.52 Plan Check Fee: $122.52 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFT9R ISSIJANgE OR Lff T V,&LID INSPECTION Construction Hours: Monday- Friday',7:00&M.to §:3Y01p.m.an&gaturday from 8:00 a.m. to 6:00 p.m. e * • > s c s m .Y m m Ys •.• -m Y • Y } YY a m F t G fy Y Gvm 6E wB C ® OOY O•• 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). Dwner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 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 ants 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 for the purpose of sale). wrier 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 n 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). xempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my p fsdnal residence in which I mus ve resided for at least one year 'or to completion of the improvements covered by this permit, I cannot legal sell a structure that I have built as an owner- builder if' ha no been constructed in its entir by licensed contractors. I understa d that a copy of the applicable law, Section 7044 o th uisI ass and Professions Code, is available upon request wh t "a li ti n is sdbmitled or e f wing Web site:http://www.leginfo.ca. ov/calaw.html.� Signature of Property Owner or Authorized Agen Dat LICENSED CONTRACTOR'S DECLARA N 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 Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 3108 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm -under penalty of perjury one of the following declarations: 7 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 thi erformance of the work for which this permit is issued. Policy No. 71 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' compensatiol isurance carrier and policy number are: :arrier Policy Number Expiration Date Tyne of Agent Phone # I certify that, in the pert nna ce of a work for which this p it 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 rat, if I should becom je to t workers' compensation rovisions of Section 3700 of the Labor C de, I shall forthwith comply with those provisio s.. lignature of Applicant D�jA )ECLARATION REG RDING CONSTRUCTION LENDING GENCY 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 (Section 3097, Civil Code). Ender's Name Lender's Address ly 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 informati n 1 have pr vided is correct. ^ y } P. I agree to comply with all applicable city an oun o anc nd state laws relating to building construction. P" i I authorize representatives of this city or cc t t ove-identified property for inspeclio purposes. - ii nature of Property Owner or Authorized Aced roperty Owner's or Authorized Agent's Name ACTION GATE BY DECLA ..IONOF COMPLIANCE MTH CODE OF it FOR OFFICE USE ONLY PERMIT EXPIRED PSIMU HULIt )aur ... I SUONTjEdASBPStOS° N4tTIFICATiON TO:. PERMIT CANCELLED • ❑•'LPA • ` P€RMITEXTENDED ❑ AQM0 El ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PERMITFINAL - . v R4CpQ3F�D 9EVOjYIj010.°,' CERTIFICATEOF OCCUPANCYISSUED fi1G16QTl;R .`: ` `•