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Home My WebLink AboutH2022-0023 - PermitsCity of Newport Beach - Building Division H2O22-0023 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e e _i I 1r�✓T1/ e � MECHANICAL Permit: H2O22-0023 Project No Inspection Requests Phone (949)644 2255 ' T� Job Address: 121 44TH ST Bldg:1 Floor: Suite: TAMPER RESIST CAPS - Description of Work: MFR MECH (2) AIC UNITS AT SIDE YARD, RELOCATE (1) TO ATTIC FURNACE, C/O (1) CLOSET FURNACE, DUCTWORK. REQUIRED. 0' ' z InspectorArea:1 Code Edit: 2019';" ' Legal Description: RIVER SECTION BLK 44 LOT 22 � , , Cn -a3aa+� Owner: MILNE ROBERT D Contractor: YES R & M INC Worker's Comp Insurance - Address: 2432 GREENS AVE Address: 11131 ESSEX DRIVE Carrier: STATE FARM FIRE & CASUALTY HENDERSON, NV LOS ALAMITOS, CA 90720 Policy No: 92J1 H7640F m Phone: 7024569777 Phone: 949-673.4455 Expire :10/03/2022 m -` Con State Lic: 829377 Issued Date:02/1512022 Lic Expire: 06130/2022 m z Bus Lic: BT30054750 �j Processed By: +✓ Lic Exp Date: 04/30/2022 HVAC Items FEES FurnacesBoilers & Compressors Ventilation 0 $0.00 Other $0.00 Up to 100K BTU/hr: 2 $44.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 1 $11.00 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: $124.41 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 2 $44.00 Model: AULD(36&60)W2 Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Zoning PC: $52.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $357.41 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $357.41 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. OWNER -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. Professinns Code) o, toat 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 POL ino,e than five hur. J.ed dollars ($500). Q 1, as owner of toe 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, Fsus,ness 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-Builderwill have the burden of proving that it was not built or t-np'oSeti for the purpose of sale). 0 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 appy 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). El I am exempt from licensure under the Contractors' State License Law for the following reason: Hy 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 sell a st, ucture !hat' It, ve 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 ?. cfcEs:ons Code, is available upon request when this application is submitted or at the following Web site:http://wvvw. leginfo. ca.gov/calaw. MITI, S'c'1sfUte of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ?� Z - I S-z. Z License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: 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 COST 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: —1 1 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 the )erformance 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' ranee carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance of the 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 agre, t, if I should become subject t e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C nature of Applicant_Date e!S;-Z S� CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ent a bove-identified property for inspection purposes. ,rtf. J nature of Property Owner or Authorized Agent X I � Print Property Owner's or Authorized Agent's Name �U_I '(!' �r ' I � Date AC77OeN DATE By DECLARATION OF COMPLIANCE INITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIRE40AND AQMD RULE 5403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFFCATEOF OCCUPANCYISSUEO SIGNATURE:.