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Home My WebLink Abouth2021-0163 - Permits,o City of ivic Center port Beach ortB"acnB Building Division 111011111��1111��1111111111111111$ Permit Counter Phone (949)644-3288 r`�wrraN'�` Job Address: 1842 PORT SHEFFIELD PL BIdg:1 Floor: Suite: Description of Work: MECHIINSTALL (1) A/C 45.7dB (DAY&NIGHT: INH4AA8AKA) *REVISED 01/26/2022 Inspector Area:4 Code Edit : 2019 Legal Description: N TR 6620 LOT 8 Owner: PURDY COURT B Contractor: D L S HEATING & A/C Address: 1842 PORT SHEFFIELD PL Address: 8542 LARTHORN DRIVE HUNTINGTON BEACH CA 92646 NEWPORT BEACH, CA 92660 Phone: Phone: 714-231-8002 Con State Lic: 584220 Issued Date:0212512021 Lic Expire: 0113112022 Bus Lic: BT98040420 Processed By: Lic Exp Date: 1213112022 FEES ✓AC Items irnacesBoilers & Compressors Ventilation Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 D to 100K BTU/hr: 100K BTU/hr: 0 0 $0.00 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 ver fall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 0 $0.00 $0.00 eat Pumps & Package Units >30 HP to 50 HP 0 0 $0.00 $0.00 Down Draft Fan: Residential Hood: 0 $0.00 p to 100K BTU/hr: 500K BTU/hr: 0 0 $0.00 $0.00 >50 HP: Air Handling Units Comm. Hood: 0 $0.00 ver p to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 $0.00 p to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: ever 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $122.52 Plan Check Fee : $122.52 MECHANICAL Permit: H2O21-0163 Project No : 0465-2020 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE FARM Policy No: 92GOK7865 Expire:0110612023 Fire Dampers: Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee : Other $0.00 $0.00 $0.00 $0.00 $0.00 Investigation: Plan Check: Model: I N 4A560 G KC I s s u a n ce: Manufacturer: DAY & NIGHT Zoning PC: Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSU AN•C€ OR LWV41-M INSPECTION Construction Hours: Monday- Friday 7:b0 am ..to 6:80 p.m.and Sattir*y from 8:00 a.m. to 6:00 p.m. • ° ° • e • ° °a o 0o aa• ° ° o 0 0 e°• a®e ® e o° em eaa ' 0 +. U $0.00 $0.00 $0.00 $18.27 $37.00 $46.25 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 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 L) all of or L) 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 improved for the purpose of sale). improvements 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 ❑ 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 ❑apply 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legall sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. 7044 of the Business and Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION to 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 P ofessions de, and m a is in full force and effect. II' ft/OR a Class License No Datel�`� NORKERS' COMPENSATION DECLARATION Contractor Signatur YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT 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 ATTORNErS FEES. hereby affirm under penalty of perjury one of the following declarations: ;C �(ry d 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 of the work for which this permit is issued. Policy No. and will pa ntain 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' compensa carrier and P*y numb Lran —., of Agent Date JI Phone # certify that, in the peg work or ' this per ed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of. California, and agre mat, if I should become skers' pensation pr v ro f Section 3700 of the Labor Code, I shall forthwith comply with those provis1ions. ignature of Applicant / /� DECLARATION REGARCTION LEN G AGENCY Dathereby affirm under pent there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). =_nder's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the prope owner's behalf. I have read this application and the information I hav rovided is c Tact. I agree to comply with all applicable city and county ordinances an state laws o building construction. I authorize representatives of this city or county to e r e abo -identified prope or inspection purposes. gnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam N Sb1 GG �S�/�c Date` AC77ON DATE 8Y 11 DECLARATION OF COMPI rAN17F e al rnrla nr PERMIT FINAL OCCUPANCYISSUED Zr I9ERAE'REGLALATIONSRA"41 OF TIRE4at ND.. FUH OFFICE USE D Rd4E 1403; 1:1 NPAV7 7A9BE•STV A077FICATION TO, ❑ AQMO ❑ ASBESTOS NO77FICAROAf IS NOT APPLICABLE TO • if20P47.SFyDDEMf7� T3�(�. • • s • • s e o ccc coC c