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Home My WebLink AboutH2021-0430 - PermitsCity of Newport Beach - Building Division III III 111111111111111111111111111111111111111111 MECHANICAL Permit: H2O21-0430 100 Civic Center DCive, Newport Beach, CA 92660 H 2 0 2 1 0 4 3 0 Project No Permit Counter„ Phone (949)644-3288 �:'Araus Inspection Requests Phone (949)644-3255 TIMER REQUIRED ON EQUIPMENT TO SHaT-OFF offNEEN is P th AND 7 A.M. Job Address: 4827 DORCHESTER RD BIdg:1 Floor: Suite Description of Work: MECH/CHANGE OUT (E) A/C UNIT 59.4dB (CARRIER; 24AHA4-60) z InspectorArea:5 Code Edit: 2019 FEES Legal Description: N TR 3519 LOT 38 - FurnacesBoilers & Compressors Owner: WYLE DAVID/CARMEN Contractor: WHITE MECHANICAL INC Worker's Comp Insurance - 9 6 i Address: 4827 DORCHESTER RD Address: 27221 BURBANK Carrier: TRAVELERS CASUALTY C CORONA DEL MAR, CA 92625 Up to 3HP: FOOTHILL RANCH CA 92610 Policy No: B3R5812182026G 0 $0.00 Phone: Phone: 949-716.8379 Expire :10/0112021 Over 100K BTU/hr: 0 Con State Lic: 822474 0 $0.00 Exhaust Fan: Issued Date:07/2212021 Lic Expire: 08/3112021 $0.00 Wall/Floor Heaters: Bus Lic: BT30055645 >15 HP to 30 HP: 0 $0.00 Processed By: Lic Exp Date: 06130/2022 0 $0.00 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 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: 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 - Frida�,7:00 a.m A Yi°6,�6A.mo fdP 'diarday<frlotmn &,00 a.m. to 6:00 p.m. 00 0 � o c. ces 1, cuu ou � V tV IJ U1� 0 11 "ID al l UUU UU U(/(, UUU UV(, L1/c. U V 4 O UOU UO IWNER-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 items) lection 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 ie 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 of 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, 'usiness 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 nprovements 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 nproved for the purpose of sale). 7 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: ''y 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 legal 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://w .leginfo.ca.gov/calaw,html. '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 7000) of Division 3 of the Business and Professions o e, - I �� n ull-folne- nd effect. 'ZI� icense Class License No Data)(Contractor Signat YORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED. OST 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: 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 rmance of the work for which this permit is issued. Policy No. have andfwill\{{nnaintain workers' compensation rance car r and policy ngM-5V are: C_ to of Ager N..fp' Y W � certify that, in the performance of the work for which this if I should become /a bject to the worker at lature of Applicafkl by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date is issued, I shall not employ any person in any manner so as to become subjeppppct totheworkers' compensation laws of California, and agre of Section 3700 of the Labor Code, I shall forthwith comply with those prs. ;reby affirm un$Kr penalty of perjury thaFIhere is a construction lending age- Ider's Name my signature below, I certify to each of thefo owls 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 Is I authorize representatives of this city or county to enj rthe above-ideri AC77ON DATE EXPfRED I PERMIT:EXTE DECD I 1 If I / //7 of the work for which this permit is issued (Section 3097, Civil Code). Address IJ AQMD ASBESTOS NO INS PAST 6s Of TITLE40ANt} �G;6'hqACATION TO: eao e Vt K#Vlf! tE1VAL "W d�►� �m�l•t(�'.A��l uuKk".tri �tlrv. ••a CERTIFICATEOF V 'fFt • o e m :o OCCUPANCYISSUEd : : .; dt>aRml> • a - J • a o• m • IS NOT APPLICABLE TO