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Home My WebLink AboutH2021-0256 - Permitsw City of Newport Beach - Building Division Illllllll lllllllllllpllllllllllllllllllIII MECHANICAL Permit: H2O21-0256 p 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 2 5 6 F �� Permit Counter Pho9ne (949)644-3288 Project No: 2010-2019 r*rx},un+� „ - Inspection Requests Phone (949)644-3255 Job Address: 4621 ORRINGTON RD BIdg:1 Floor: Suite: Description of Work: MECH INSTALL (4) HEAT PUMPS @ THE SIDE YARDS, "TAMPER RESISTANT CAPS REO" UNITS 2,3, & 4 -A/C PRO, AUD36W/A-D(U) Inspector Area:5 Code Edit: 2019 Legal Description: N TR 3357 LOT 67 1 B��' SP LEE rr �I T Owner: WELLING GLEN & LAURI Contractor: COMFORT HEATING & A/C Worker's Comp Insurance - Address: 4621 ORRINGTON RD Address: 21962 COSALA Carrier: WIC EXEMPT CORONA DEL MAR, CA 92625 MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) Phone: Phone: 714-335-7055 Expire Con State Lic: 632774 Issued Date:04/14/2021 Lic Expire: 12/31/2021VBIECT �J> Bus Lic: BT30005700V)- ja/AND {jJzpl (}VA1• Processed �% Lic Exp Date: 08/31/2021 ' P P"a 3GPP@� m a aPGa a ca HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 4 $84.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $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,C0 ... all/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 . ,a Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigatc a $0'0QaGG , t' Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan CPteck: $73.08 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0,00 Model: AUD60WIA-D(U) Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: A/C PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $240.33 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $240.33 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. 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) (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). ❑ 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, 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 titt the 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 improved for the purpose of sale). ❑ 1, 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). ❑ I 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. Signature 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 (comme g with coon 7000) of Division 3 of the Busine and Profession ode, and my nse� full force and effect. License Class License No Dat ��IG Contractor Si lure r WORKERS' COFfy NSATION DECLARATION ✓ WARNING: 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 C(jAV t{1MPENSST", CDAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I h%ebyraffirm undel' 06%lty of perjury one of the following declarations: 131 Irtae 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 IN erformance of 1:44w%r0or which this permit is issued. Policy No. 1 hdM and will vVintain workers' compensation insurance, as required by Section 3700 of the Labor Code, lseramm carder and �nolicy number are: . .. :arriBP Policy Number ;gent of for the performance of the work for which this permit is issued. My workers' Date in`" performance of the r 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 become Subject to the wo ' co ensation rove ns of Section 3700 of the Labor Code, I shall forthwith comply with th visions./. .� ..5� „ A T O / / d . // _ / . m I I" under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is 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 nnteer t7�a above -identified property for inspection purposes. mature of Prooertv Owner or Authorized Agent�,Gl�/ !K Y%/l �%1 Print Property Owner's or Authoriz gent AC77ON DATE BY ur=u.Flttskr rrJtr ur a.�mrrurar�.c rn r� x.vve.+r� FEDERAL REGULAT IONSPART 61 OF TITLE 40ANO AQMDRULE1403 _ ❑ ISUBAflTTEDASBESTOSNOT7FICATIONTO: ❑ EPA ❑ AOMD PERMtTEXPIRED PERMIT CANCELLED PERMtTEXTENDED ASBESTOS NOTIRCA710NIS NOT APPLICABLE TO o PROPOSED DEMOLITION. SIGNATURE.,OCCUPANCYISSUED PERMIT FINAL CER77FICATEOF (Section 3097, Civil Code).