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HomeMy WebLinkAboutH2022-0247 - Permitswa City of Newport Beach - Building Division III 111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O22-0247 ir- 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 4 7 Project No 6 �; '.�^ Permit Counter Phone (949)644-3288 V. 'ri3ssxu'•;4t ' Inspection Requests Phone (949)644-3255 a � Job Address:446 MORNING CANYONRD BIdg:1Floor: Suite: Description of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* TIMER REQUIRED ONE QUIPMENfi;s:`� Code Edit : 2019 TO 1HUT OFF LegalInspeDe cripa:5 Legal Description: BETWEEN 10 P,M. AND 7 A.ki ° a Owner: BRIGHTON NICK Contractor: OASIS AIR CONDITIONING Worker's Comp Insurance - Address: 446 MORNING CANYON Address: P O BOX 937 Carrier: INSURANCE CO OF THE WEST NEWPORT BEACH, CA 92660 SAN JUAN CAP CA 92693 Policy No: WSD5045393 Phone: Phone: 949-420-1321 Expire:12/31/2022 Con State Lic: 767272 Issued Date:05/11/2022 Lic Expire: 08/31/2023 Bus Lic: BT30072724 •° °°`°il+ Processed By: Lic Exp Date: 07/31/2022 ++ °°•+ HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $19.14 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 124ANSIssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $131.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $131.14 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. DWNER-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 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 rot intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that itwas not built or improved for4lle gurpose of sale). ... I, jas owner of tt�e property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not aspy-10 an wVnir o property who builds or improves thereon, and who c➢ntracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). II am exempt from licensure under the Contractors' State License Law for the following reason: By mrignature 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 selPa structure jiat6jave 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 Rrofa55ions Code, is Available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date WGIEUSED C(314T ACTOR'S DECLARATION 1 bPr2►y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith ection 7000) of Division 3 of the Business a d Profes 'ors Code, and my license is in full force argdlgf[wt. . I ,5- (� - ZZ �icense;Class • • License No Date Contractor Signatu V11 ERS' COMP,gNSATION DECLARATION ?#ARf IVQ:*FAILURMO ScCtiRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CO%T OF COMPENSA115N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 thi performance of the work for which this permit is issued. Policy No. have 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' compensation Vsuralrree carder and policy number are: Policy Number Expiration Date of Agent I certify that, in the perfor ante of a 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 agree It, if I should become ect to th Nor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prow 'bns. ^ Inature of Applicant Q oat :CLARATION REGAF(DING CONSTRUCTION LENDING AGENCY ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se Lion 3097, Civil Code). rider's Name Lenders Address 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 counp ordinances and state laws relating to building construction. I authorize representatives of this city or count en t above -identified property for inspection purposes., mature of Property Owner or Authorized Agent Q� Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE MI-H CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE 4403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD'. PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS N077RCA170MIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERMITFINAL -'L —ZZ CERT7FICATE OF SIGNATURE: OCCUPANCYISSUED