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Home My WebLink AboutH2017-0236 - Permits�Fl City of Newport Beach - Building Division IIIIIIIIIIIIIOIIIIIIII11IIIIIIIIIIIIIIIIIIIIII „i 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 2 3 6 Permit Counter Phone (949)644-3288 �r Job Address: 1729 IRVINE AVE BIdg:1 Floor: Suite: Description of Work: MECH/CONDENSER (2) "TAMPER RESISTANT CAP REQ" X2016-4019 Inspector Area:3 Code Edit: 2016 Legal Description: NEWPORT HEIGHTS LOT 238 FOR OF LOT Owner: SABO WIS Address: 17,ZWfRVINE AVE WPORT BEACH, Phone: Issued urnacesBoilers & Compressors p to 100K BTU/hr: 0 $0.00 ver 100K BTU/hr: 0 $0.00 (all/Floor Heaters: 0 $0.00 eat Pumps & Package Units p to 100K BTU/hr: 0 $0.00 ver 500K BTU/hr: 0 $0.00 p to 1M BTU/hr: 0 $0.00 $0.00 p to 1.75M BTU/hr: 0 $0.00 ver 1.75M BTU/hr: 0 $0.00 92660 Contractor: Address: Phone: Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: MECHANICAL Permit: H2O17-0236 Project No: 1792-2016 Inspection Requests Phone (949)644-3255 � �m pz� mp T 0X TRAN BAD Worker's Comp Insurance - 2521 W AVENUE 31 Carrier: STATE FUND LOS ANGELES CA 92265 Policy No: 9119789 .... 818-335-2366 Expire :12/08/2017 ...... ° ° • ° •, 849538 11/30/2018 BT30057415 12/31/2017 • a... s SUBJECTTOFI LrYt10SPFC!T61-'i, REVIEW AN,)-APJ R() vV L° °; FEES Ventilation Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 > 3 HP to 15 HP: 2 $66.00 Exhaust Fan: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Over 10K CFM: 0 VAV Box: 0 TOTAL: $132.42 Other Fire Dampers: 0 $0.00 $0.00 Gas Line: 0 $0.00 $0.00 Metal Fireplace: 0 $0.00 Record Mgt Fee: $0.00 Additional Fee: $0.00 Investigation: $0.00 Plan Check: $57.42 Model: VS4BE-036KA Issuance: $0.00 Supplemental Fee: $9.00 Manufacturer: AIRTEMP $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $132.42 PERMITS EXPIRE 130 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. 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, priorto 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). ❑ I, as owner 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, 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 the burden of proving that it was not built or improved for the purpose of sale). LJ 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 exemp{{om iicensure under the Contractors' State License Law for the following reason: By my jignature%Mv 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 legalh se9 a structure-thic I tllIve 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, isevailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. VWa%m of Property Owner or Authorized Agent Date LICENSED CCWTPACTOR'S DECLARATION I kerebyr affirm %cler plinalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,- d my license is in full force andaftect. m _ GiGe496 Class . �. �. 1 2 License No g q `� 3 Date 2. % Contractor Signatur waRK�RS' COMPENSATION DECLARATION / 4(4PVM&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 WSW OF WMPEN§ftl(pNrQ1MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby pffirm under pE'halty of perjury one of the fallowing declarations: rave 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 Ob onof tht work for which this permit is issued. Policy No. 51 ha once of 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' compensatioi inSur ce carrier and policy number are: rier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work for which this p mit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre t, if I should become subject to rkers' compensate provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `� I ! nature of Applicant Da5 /z/ 7 CLARATION REGA G CONSTR ION LNG AGENCY :reby affirm under p natty of perjupf that ther6 is a construction lending agency for the performance of the work for which this permit is isZed (Section 304, Civil ode). 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 owners 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 I relating to building construction. I authorize representatives of this city or cou ty abov/_Oder " property for inspection purposes. mlurn of D—rin, nuro nr Print Prnncrhi ntwner'e nr Aulhnrivcd Ancnt'e AC77ON DATE 8Y DECLARATION OF COMPLIANCEMTN CODEOF FOR OFFICE USEONLY 1� *1 FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403. 0:4 LM6 sos 8 OCR,' PERMITEXPIRED ❑ I SUOMFTTEDASSESTOS NO71F7£ATION TO: ❑ EPA ❑ AQMD PERMITCA.NCELLED PERMITEXTENDED ❑ ASBESTOS M077FICA170MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL R CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED