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Home My WebLink AboutH2018-0638 - Permits�ww,yykr City of Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIIIIIIIII 100 Civic Center Drive, Newport Peach, CA 92660 H 2 0 1 8 0 6 3 8 H Permit Counter Phone (949)644-3288 ` ` C'�+�IYIIY� S Job Address: 1816 NEWPORT HILLS bifE RE dg:l door. `- Suite. Description of Work: MECH -A/C CONDENSOR *TAMPER -RESISTANT CAP REQUIRED* Inspector Area:4 Code Edit: 2016 Legal Description: N TR 7031 LOT 71 Owner: CHU CLEMENT Y Contractor: ALPS A/C & HEATING INC Address: 1816 NEWPORT HILLS DR E Address: 1000 E HOWELL AVE #B NEWPORT ACH, CA 92660 ANAHEIM CA 92805 Phone: 949-720-091 Phone: 714-633-8892 Con State Lic: 667953 Issued Date:10/11/2018 Lic Expire: 0413012019 Bus Lic: ST30047511 Processed By: Lic Exp Date: 06/30/2019 AC Items FEES •nacesBoilers & Compressors Ventilation to 100K BTU/hr: 1 $19.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 3r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 iI[/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 3t Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 3r 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 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O18-0638 Project No : 1492-2018 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : FALLS LAKE FIRE Policy No: FLA00731700 Expire :10/19/2018 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: $16.53 Investigation: $0.00 Plan Check: $0.00 Model: EL16XC1-60issuance: $35.00 Manufacturer: fI.- I%ws' Zoning PC: $40.0( TOTAL: $129.53 _ Plan Check Fee : $0.00 Fee Due at Permit Issuance : $129.53 PERMITS EXPIRE 180 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. IWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reason(s) is,di�ateL Leluw Jy the che,:kmar:t(s) I have placed next to the applicable items) !action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, cr repair cny 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 (L:hapter 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 U all of or U portions of he work, and tiie structure is i,ot 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, throcgh-emp:oyees' c- personal eff^rt, builr'.s 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 comple•irr, the n vger-Fvjlder will nave the burden of proving that it was not built or n roved for the purpose of sale). 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business a e, and my license is in full force nd effect. �O f r go!cerise Class License No at t ontractor Signatw CORKERS' 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 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: 0ve 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 fiance 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 compensatio tran)carrier and policy number are: Policy Number Expiration Date Name of Agent I Phone # certify that, in the performance o or wh' mI Is issued employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become sub' h ompensation prov' ' Section 3700 of the Labor Code, I shall forthwith comply with those provisions. eT f Signature of Appli /�r Da ��9 !Ly / DECLARATION REG - NSTRUCTI — NDING AGENCY i I hereby affirm under enalty of perjury t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 " c I agree to comply with all applicable city and county o as and st aW e a wilding construction. I authorize representatives of this city or county t� entif" operty for inspection purposes. �ae �p� Signature of Property Owner or Authorized A�ent� Print Property Owner's or Authorized Agent's Name vt uLDate Il ACTION DATE BY DECLARATION OF COMPLIANCE NITNCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE 40AND AQMD RULE 1403, PERMIT EXPLRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS N017RCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL ?'3 CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED