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Home My WebLink AboutH2021-0273 - PermitsCity of Newport Beach - Building Division III 11111111111111111111111111111111111111111111 ' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 6 2 7 3 Permit Counter Phone(949)644-3288 Job Address:. 4 CAPE ANDOVER BIdg:1 Floor: Suite: Description of Work: MECH REPLACE HEAT PUMP AND AIR HANDLER "TAMPER RESISTANT CAP REQ" InspectorArea:3 Code Edit: 2019 Legal Description: N TR 15012 LOT 6 Owner: BATSON BARBARA J Contractor: Address: 4 CAPE ANDOVER Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:O 2212021 Lic Expire: Bus Lic: Processed B : Lic Exp Date: SOCAL AIRFLOW PROS 29616 AVENIDA DE LAS BANDERAS RSM CA 92688 949-303-5525 1010956 01/31/2023 BT30055229 04/30/2022 MECHANICAL Permit: H2O21-0273 Project No: Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE FARM INS Policy No: 92GQE9186 Expire :02/1 TWERS PROHIBITED. o�aa ON HEAT RUQ m.ee • ° " C 0 •°` 9 e o n 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. HVAC Items FEES °"' ° "^• FurnacesBoilers & Compressors Ventilation Other e Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.6,13° 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: 1 $21.00 >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: $31.32 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 1 $15.00 Repair/Alter/Add: 0 $0.00 Model: 4A61-9036A1000A Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMERICAN STANDA Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $150.57 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $150.57 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. DECLARATION I hereby affirm under penally 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 he 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 lot more than five hundred dollars ($500). 1, 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, 3usiness 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, mprovements 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). 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 Ipply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 yell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.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 Sec'on 7000 of Division 3 of the B ' s and Pro salons Code ansa is in full force Ind effect. ..... / .!cerise Class'-. •+ • License No �aj,4 �2 Contractor Si a e Y0Rk,ERS'-00rPENSATION DECLARATION /X\W IARNING: FAILURE }OSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000(, IN ADDITION TO THE K iSTbF COMPENSAf10N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ypder•penalty of perjury one of the following declarations: 9.1 have and wNl 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 rfd ante of tire work for which this permit is issued. Policy No. +, ave and w01'Mailtain 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 trier and policy number are: :adrle� • " Policy Number Expiration Date I"911y that, ahthep;rformance of lh 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 egret I, if I sho become subject to the wo ars' Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with t visions. natu a of App icant Dale f Z/ CLA T1 EGAR ION LENDING AGENCY rroby a Irm un at penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code). rder'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 vided is correct. I agree to comply with all applicable city and count rdin nces and state laws relating to building construction. p I authorize representatives of this city or county to enter h -I entified property for inspection purposes. nature of Prooertv Owner or AuthwW r AA ant Print Prooertv Owner's or Authorized Acent's e AC77ON L --DATE BY JUC:ULsuwr run ur LurerLtAIVUE rrr r IT uv c ur tun urrrLt uatlimmw FEDERAL REGULATIONS PART 61 OF Tf7LE40AND AQMD RULE 1407 PERMITEXPIRED ❑ ISUDMtTT€DASSESTOSNOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERM€TEXTENDED ❑ ASBESTOS NORTiCARONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL Z CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: m 'm C) S' 2 cn 'D 'C _ K - N ;U / C7 C7 7 N O (5' (a O a ci (D o ;u ?S. a N tio.� ° Nom. --o q ❑nd;MR Er 2 d. 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