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Home My WebLink AboutH2020-0589 - Permitsgwrr>� City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 of a 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 8 9 H Permit Counter Phone (949)644-3288 m NO CONSTRUCTION WORK Job Address: 3811 RIVER AVE BIdg:1 Floor: Suite: A p� Description of Work: MECH/INSTALL (1) A/C UNIT 46.5B (MITSUBISH; MXZ-5C2SATURDA ry S *HIGH DENSITY AREA Inspector AreaA Code Edit: 2019 Legal Description: RIVER SECTION BILK 138 LOT 8 MECHANICAL Permit: H2O20-0589 Project No : 1501-2018 Inspection Requests Phone (949)644-3255 Owner: BARRETT JEFF -d --URBAN MECHANICAL25 ---�-I - Comp Insurance Address: __ 3 es�: �WWorker's NEWPORT BEAH, C692g6-l� LOS ALAMIOTOS CA�0720 If appli"PolicytNa: WWC84 6 85 Phone: ate: 14-2446 Expi�e-�.Oltt2Q24- d I UU %0 1 efU%" Con ate Lic: 594181 ,. -. -->-, __ ❑ 80e�p OT' LJ Issued Date:10/14/2020 Lic Expire: 05/31/2022 Bus Lic: BT30005613 i0 whom".- Processed By: `JA t .Lic Exp Dater 08131/2021 - __, ._. nacesBoilers & Compressors to 100K BTU/hr: 0 $0.00 3r 100K BTU/hr: 0 $0,00 II/Floor Heaters: 0 $0.00 3t Pumps & Package Units to 100K BTU/hr. 0 $0.00 :r 500K BTU/hr: 0 $0.00 to 1M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 :r 1.75M BTU/hr: 0 $0.00 vencranon -- Upto:; HP: - -,-I >3HPto15HP: 0 >15 HP to 30 HP: 0 0HPto50HP 0 50 HP "-- 0 'r Handling Units - 127 00 tfatiiroom Fan: $0.00 Exhaust Fan: $0.00 Attic Fan: $0.00 Down -Draft F $0.0d'� gsldential Hdod "Comm. Hood: " Over 101( A SC I t .'00 Supplemental Fee: VAV Box: 0 $0.00 Note: TOTAL: $122.52 0 $0.00 Fire Dampers: 0 $0.Q0 0 $0.00 Gas Line: 0 $0.00 0 $0.90 Metal Firepl e: � .� $0.0 0 $Q.A COLT ee 0 $6.b1'6 C "' al � $0.00 0 I\ 6Ad''`'MBd lI: , I Issuance: $0.00 Manufacturer -�. Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Fridoy 7:E0 a.m.to 6:3(Tp.m.5h%` Saturday from 8:00 a.m. to 6:00 p.m. Other $0.00 $0.00 Investigation: $0.00 Plan Check: $18.27 $37.00 Zoning PC: $46.25 $122.52 IWNER-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 is 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 nprovements 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 nproved for the purpose of sale). „ I, as owner of the property, am exclusively contracting with licensed Contractors to constru - e on racto ' State License Law does not pply to an owner of property who bull or a projects with a licensed Contractor pursuant to the Contractors' State License Law I am exempt from licensure under a Contractors' State Lic for f all In reas ly my signature below I acknowledge at, a Q{ my personal re d nc I i h I n e resi at bast one y r e ri of the improvements coo red lay this pe mit, I cannot legally ell a structure that I have built as an net Id&Te 1Pit hasrro!-b s r c ds entirety by licensed contractors. I und�e�rystand that a cop of the a gl'cable Jaw, S cti n 704!M1 of the Business and Orofessions Code, is available upon re uest when this application is su mitted or rt the following Web site; http //www. IeginflL.-1 .0@*4Dyr II I. Q� �0 rerun signature of Property Owneror Author ad A Dat .ICENSED CONTRACTOR'S DE hereby affirm under penalty of perjury hat a I nsbd under provisions of Chapter 9 (commencing with Section 7000�of �i (qt" Business an my m f ce and effect. .icense Class -: License o Date ' Contractor Signature VORKERS' COMPENSATION DE LARATION IARNING: FAILURE TO SECURE WORKERS' C PEN3JrTION COGEI(AGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMIN�f(. PE 1 TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LARS ($100,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES ASJPROVI ED F IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES _ hereby affirm under penalty of peg�u�ry e of he folio" declarations 2 have and will maintain a ceTA+fica of elf -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 700 of the Labor Code, for th, a ce of the work for which fiis rmit is issued. Policy No. r e and will ma��'rryytam worker'', co pen sation//nsurance, as required by Section 3700 of the Labor n or t erjormance of the work for whi h Is agrmit is is Lied.- My workers' compensatior rance carrier and Dolicv numb�are .-rein v1 A _ -� B e...., i N @ n .ice o r n r 3 9 - ne of Agent .j 1r,,.1 "g certify that, in the performance -th w fo not employ any,person in any manlier so as to become subject to the workers' co ens to %:;of California, and I, if I should becom s ject to I w mp a ction 3700 of the Labor Code, I shall forthwith comply with those P ov' ons. ' nature of Applicant CLARATION REGA DI CO TR C N Ireby affirm under penalty of perjury t there is a construction lending agency for the performance of the work for which this per find gmisuiH fats 3 ider's Name —.._ m signature below, I certify to add , Y 9 fy ho the olowing: �- •-^''_ I am the property owner or authditae on a property owners behalf. I have read this application and the information I have provided 1 Wn 1 agree to comply with all applicable city and county ordinan eWelbuilding construction.authorize representatives of this city or count to nter fiinspection purposes. c nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name e �i ACTION DATE BY DECLARATION OF COMPLIANCE MTHCODEOF FOR OFFICE USE ONLY FECE04L REGULATIONS PART 61 RF TIRE 40AND 6QMn r7ULE 1403. PERMIT EXIDWO ❑ I SUEMI;TCDASBEST( IS ^dOT)FICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFiCATIONIS NOT APPLICABLE TO CCOPOSED DEMOLITION. PERMIT FINAL CERRFICATEOF SIGNATURE. OCCUPANCYISSUED