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Home My WebLink AboutH2021-0473 - Permits9w �,h City of Newport Beach - Building Division IIIIiIIIIIIIIIIIIIIIIIlIIIIIlIiIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O21-0473 c+' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 4 7 3 Project No : 0801-2020 4 % Permit Counter Phone (949)644-3288 rar,.iu;� _, Inspection Requests Phone (949)644-3255 Job Address: 125 26TH ST Bldg:1 Floor: Suite: .,� Description of Work: MECH - INSTL 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS I �(� %tM� RS InspectorArea:1 Code Edit: 2019 V Legal Description: NEWPORT BEACH CITY BLK 26 LOT 23 Owner: SERRA BRIAN & VICKI Contractor: Address: 125 26TH ST Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:08/12/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: SUNWEST AIR CONDITIONING Worker's Comp Insurance - 1660 BABCOCK ST Carrier: CYPRESS INS CO COSTA MESA CA 92627 Policy � N' 140785 949-650-5061 4 22 4313394 0/2021V09I3 CONSTRUGTI BT30062959 04/30/2022. x ON SATURDAYS AC Items FEES •nacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 :r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 ;r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $172.28 Plan Check Fee : $0.00 ether Fire Dam s$0.00 Gas Line:i®" ® 0 $0.00 $0.00 $0.00 Metal Fireplace: 0 $0.00 Record Mgt Fee: $0.00 Additional Fee : $0.00 Investigation: $0.00 Plan Check: $38.28 Model: MXZ-4C36NA2 Issuance: $38.00 Manufacturer: MITSUBISHI Zoning PC: $52.00 Fee Due at Permit Issuance: $172.28 PERMITS EXPIRE 180,DAYS•AFTF•13 IS J114NCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m.,j0 6VO p.r4.a'gd*.Sjturday from 8:00 a.m, to 6:00 p.m. 0 9 ' % • O O Y Oa p 4 00 P O N Gv. tr O W 0 Owb C D c . C O O O O O WH Y-u tl w 4� BE'• vd8 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 U 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 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 improved 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 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 legal) 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70'�f D' ision 3 of the Business and P sions Code my license is in full force and effect. - License Class License No Date �v L% Contractor Signatur$ WORKERS' COMPENSATION DECLARATION WARNING: 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 ($1UD,DDO(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 th p rformance 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' compensatio ins rance carrier and policy number are: rrier Policy Number Expiration Date Name of Agent Phone # ❑I 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 worke compensation laws of California, and agre that, if I should become su the wor mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican� DateV DECLARATION F 3ARD�IG CONSTRUCTION LENDING AGENCY ✓� I hereby 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). Lenders Name Lender's Address By 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 co tified property for inspection purposes. y� Signature of Property Owner or Authorized Agety to, a above= - Print Property Owner's or Authorized Agent's Name G Dat ACTION DATE BY 13ECEARATfON OF COMPLfANCE l+trfTH CODE OF FOR OFFICE USE ONLY •Atd9�1 EY�LA7�flMSPA�i61Ck•TIREdOAND.. PERMITEXPIRED • �OArATF`•DAS�.S'iOT NQR�CATtON TO:. ❑ AQMO' • PERMIT CANCELLED•� PERMtT.Eh'TNDED ❑ ASBESTOS NOTIRCATtON75NOTAPPLICABLETO PR6$t�SEDA�.;ffl{J. • s • , SiGNt'°•iUR� o ° � � � ' '' PERMIT FINAL (� CERT1FfCATE DF OCCUPAfJCYfSSUED co on.. c