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HomeMy WebLinkAboutH2016-0835 - Permitswr4y City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 U Job Address: 3710 Description of Work: InspectorArea:1 Legal Description: LINE - II �II III II�II 0�I�I II�I� III �I�III I�I�I I3 IIIII III III CHANNEL PL BIdg:1 Floor: Suite: MECHANICAL (1) PACKAGE UNIT & (1) A/C TAMPER RESISTANT CAP REQUIRED (X2014-2850) GOODMAN GPG15 3705041 Code Edit: 2013 CANAL SECTION LOT 6 BILK 637 ALL -INC BET SAME & HIGH TIDE Owner: WELLS WIN & MELINDA Contractor: COPA CONSTRUCTORS INC Address: 3710 CHANNEL PL Address: 26226 ENTERPRISE COURT NEWPORT BEACH, CA 92663 LAKE FOREST CA 92630 Phone: 323-573-4055 Phone: 949-752-2525 Con State Lic: 419620 Issued Date:12/07/2016 Lic Expire: 03/31/2018 Bus Lic: BT30034154 Processed By: Lic Exp Date: 12/31/2016 rnacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $18.00 Bathroom Fan: 0 $0.00 er 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 ill/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 at Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTU/hr: 1 $18.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 �r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $137.82 Plan Check Fee: $0.00 MECHANICAL Permit: H2O16-0835 Project No: 2204-2014 e Inspection Requests Phone(949)6j4-Sjjj ^ e •ee• e e ^" em° m es•� eases m e••eme m ® e e Worker's Comp Insurance - Carrier : EVEREST NATIONAL Policy No: 7600012362 Expire :11101/2017 Fire Dampers: Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee: Model: Manufacturer: 0 $0.00 0 $0.00 0 $0.00 $0.00 $37.50 024-32 CARRIER 38HDR Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Other e•e• eeeoa• • e e e m •e • meem $0.00 $0.00 Investigation: $0.00 Plan Check: $31.32 Issuance: $33.00 $137.82 WNER-BUI=P*nECLAKAIIUry I here � re by affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below it the checture, prior have placed next to the ip. l tha I lappem(s) oaatios e031.5lB 4slrless 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 requirpt thk-applicant for le perfnit to fire a.slgned 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 ihe'Sl ress and rofeftons Codel 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 of msre than fi ve.hippdred dollars ($500). I, %owner 4 Ztaroperty, or my employees with wages as their sole compensation, will do `) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usisass and Profej�gns Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the gpfpuements are -not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or TJQv$ for the Durpose of sale). 7044, Business and Professions Code: The Contractors' State License Law does not J.3Sowner of & property, am exclusively contracting with licensed Contractors to construct the project (Section pply torn ownipt pf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). aJ &i"exempt from licensure under the Contractors' State License Law for the following reason: Iy m y:Ignature6t7EJM lacknowledge 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 oil a structure that 19fBve 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.ieginfo.ca.gov/calaw.htmi. Date signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION 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 Prof Ions Code,e,(aannd mmyy II'' jense is in full force nd effect. ,(�1��" "' license Class License No 4'j�{(a2C7 Datj2-i` ZCo Contractor SignaturQ VORKERS' COMPENSATION DECLARATION rARNING: 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 ($'I00,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 th rce of the work for which this permit is issued. Policy No. Eve 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 urance carrier and policy number are: ;arrier Policy Number Expiration Date Phone # lame of Agent :11 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 agre hat, if I should beco a ubject a workers' c/o ipen on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions. r�s,//Y (X• Das signature of Applicari!'�, )ECLARATION REGARDINO CONSTRUCTION LENDING AGENCY 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 3y 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 or I ances and state laws relating to building construction. I authorize representatives of this city or county to er he abo -ide ifs roperty for inspection purposes. GOLD— Dat 3icnature of Properly Owner or Authorized Agen Print Property Owner's or Authorized Agent's Na ACi70N I DATE PERMIT EXPIRED PERMTTFINAL CERTIFICATEOF OCCUPANCYISSUED BY Iuctwrwnv, U. LA FEDERAL REGULTIONSPART 61OFT17LEd0AND AQMORULE1403. ❑ ©UB�EDASBESTOS NOTLFICATIONTO:. WOPO ASBESTOS NOTIFLCARONIS NOT APPLICABLE TO SED`DE77T10)))) . SfGNATURE:7t ��///l/%f//