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Home My WebLink AboutH2021-0347 - Permits1�1� City of Newport Beach - Building Division H2O21-0347 MECHANICAL Permit: H2O21-0347 t+ 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1117-2019 w;j; Permit Counter Phone (949)644-3288 _ 0ca r-�y�Rm' 0 Inspection Requests Phone (949)644-3255 "MERS PROHIBITED •®°°°•°°®°a Job Address: GOLDENROD BI Floor: Suite: � ®N HEAT i�� ° °°• Work: Description of Work: MECH (3) NEW A/C UNITS *TAMPER PROOF A/ ITS CAP REO * U EV9 PS � ° •° °°, Inspector Area:5 Code Edit: 2019 Legal Description: RESUB OF CORONA DEL MAR LOT 12 BLK 34(AND LOT 14 BILK 34 . °. Owner: JONES JEFF & SHELLY Contractor: COMFORT HEATING &A/C Worker's Comp Insurance- • °°°B°° Address: 20429 N E 31 ST ST Address: 21962 COSALA Carrier: W/C EXEMPT SAMMAMISH WA 98074 MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) • Phone: 425-557-7711 Phone: 714-335-7055 Expire: • °•• •®®°•� Con State Lic: 632774 V ��° Issued Date:06/01/2021 Lic Expire: 1213112021 ° Bus Lic: BT30005700 Processed By: ✓✓✓ ��, Lic Exp Date: 08/31/2021 HVAC Items FEES FurnacesSoilers & Compressors Ventilation Other Up to IOOK BTU/hr: 0 $0.00 Up to 3HP: 3 $63.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTUMr: 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: $54.81 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AUD36W/Alssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $201.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $201.06 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. 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 fem(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). 1, as ownerol TI a 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 Prtfet9ions 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 15rtlVents ii"r"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 T proved for the purpose of sale). • j, it 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 ownarof 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 exempbfowA licensure under the Contractors' State License Law for the following reason: By my signature.belo% 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) sel s strucure th'dt194ve 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 �itibtsjons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htm]. ijl+adlere of Property Owner or Authorized Agent Date LICEIISED GONJMCTOR'S DECLARATION Idtecaby affirm Alder Oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi S ction 7000) of Division 3 of the Business nd,Professions Co , and my license is in full force 3rldqAct. .:...: n License Class • License No Date /� Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO HU DRED THOUSAND DOLLARS ($100,000), 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 performance of the work for which this permit is issued. Policy No. I 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 insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ertify that, in the performance of the 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 agre hat, if I should beco a subject to the wo rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiony. _ / Signature of Applican Date V I/O DECLARATION REG G CON TRUCTION LENDING AGENCY I hereby affirm under nalt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Secti 3097, Civil Code). Lender's 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 nd state laws relating to building construction. I authorize representatives of this city or count t ent ab v-identifi rope or inspection purposes. Signature of Property Owner or Authorized Agent C' Print Property Owner's or Authorized Agent's Name NInDaE ACRON GATE BY DECLARATION OF COMPLIANCE tNlTN CODE OF FOR OFFICE USE ONLY FEDEtL1L REGUt1iTlflNSPARF 69 OF Tt'REdOANII AQMD RULE i4d2 PERM€7EXPIRED ❑ i SUBMITTED ASBESTOS NflItFlCARflN TO: ❑ EPA ❑ AOMD PERMITCANCELLED PERNfdTIXTENDE(7 ASBESTOS C PROPOSED DEMflLtTIflN.DONdS NOT APPLICABLE TO PERMIT FINAL CERTIFICATE OF SIGNATURE. OCCUPANCYtSSU€D _