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Home My WebLink AboutH2020-0264 - PermitsCity of Newport Beach - Building Division III III 1111111111111111111111111IN1111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 2 6 4 Permit Counter Phone (949)644-3288 Job Address: 24 VIA CORALLE BIdg:1 Floor: Suite: Description of Work: MECH -CHANGE OUT (E) F.A.U. & AIC UNIT 48.5dB (LENNOOX; ML14XC1-059) *REVISED 07/1512020 Inspector Area:6 Code Edit : 2019 Legal Description: N TR 15079 LOT 34 Owner: GIVOLY DAN Contractor: Address: 24 VIA CORALLE Address: NEWPORT BEACH, CA 92657 Phone: Phone: Con State Lic: Issued Date:05/26/2020 Lic Expire: Bus Lic: Processed By: zX) Lic Exp Date OCEAN A/C & HEATING CO 28052 CAMINO CAPISTRANO #101 LAGUNA NIGUEL CA 92677 949-582-0700 278618 0212812022 BT00003631 03/31/2021 MECHANICAL Permit: H2O20-0264 Project No Inspection Requests Phone (949)644-3255 Worker's CNRsCQNSTRUCTION NOISE Carrier : EVEREST NATIONAL INS Policy No: ON0956201 Expire :03/01/2021 ON SATURDAYS FEES 4C Items Other races Boilers & Compressors Ventilation Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $ 0.00 to 100K BTU/hr: 100K BTU/hr: 1 0 $20.00 $0.00 > 3 HP to 15 HP: 1 $36.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 ;r II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 $0.00 Record Mgt Fee: Additional Fee : $31.32 InvesCheckn: to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 0 $0.00 Planto $0.00 -r 500K BTU/hr: 0 $0.00 Air Handling Units $0.00 Comm. Hood: Repair/Alter/Add: 0 $0.00 Model: 4AC16LIssuance: $35.00 1M BTU/hr: to 1.75M BTU/hr: 0 0 $0.00 $0.00 up to 10K CFM: Over 1OK CFM: 0 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DUCANE Zoning PC: $41.50 er 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $163.82 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $163.82 PFRM/TS EXPIR= 189. PAYS ASTER. ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - rriday 7:01, a.m to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. UVVrNCK-tlUILUCK UtL:LAKAI IUN 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 'mproved for the purpose of sale). ❑ 1, 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 legall, 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.htm[. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wiithS/ejildn 7000) Division 3 of the Business and Profess Ions Code, y license is in full force , and effect. �� _icense Class - ' License No Dat no-��rnr sln„�rr,�f COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP Tr>NP'HnNDRED TNQIISAND DOLLARS ($100,000(, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. YY .. __ hereby affirm under penalty of perjury one of the following declarations: 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 thl ance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: of Agent certify that, in the performance if I should become subject to lature of ADDlicant /v ,-A Policy Number Date the work for whi hermit 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 a Icers' c ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Dat�/ Goa rRQ2tION LENDING hereby affirm under n y of perjury at there i ction lending agency for the performance of the work for which this permit is issued (Section 11 . Civil C de). Ender's Name Lender's Address y my signature b ow, I certify to of th ollowing: 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 prov ed is correct. I agree to comply with all applicable city and county ord" nces and s I authorize representatives of this city or county toe a qbo I ie( Owner or relating to building construction. )party for inspection purposes. Print Property Owner's or Authorized Agent's ACTION F DECLARATION OF COMPLIANCE WITH CODE OF FEDER4LREGULA.€70r4S2ART6�3F TIi7.E404&F AQMD RULE 1403. - - - ❑ I SUBMLTTEDAStiE� I OS NOTJF,C1' 11ON ro- ❑ EPA ❑ AQMD ❑ ASBESTOS M017FICA7ION 1S NOT APPLICABLE TO PROPOSED DEMOUTIUN. SIGNATURE: FOR OFFICE USE ONLY PERMITEXPIRED PERMlTCANC€LLFD PERMITEXTENDED PERMIT FINAL 7 2�-Zo D44- imA -.-a4 CERTIFICATE OF OCCUPANCYISSUED