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Home My WebLink AboutH2022-0337 - Permitsvr�r, City of Newport Beach - Building Division H2022-0337 -� 100 Civic Center Drive, Newport Beach, CA 92660 µ cr Permit Counter Phone (949)644-3288 U �iraseSr� ,. Job Address: 717 NARCISSUS AVE BIdg:1 Floor: Suite: Description of Work: INSTALL (2) NEW A/C UNITS X2021-1883 AULD60W2/A Inspector Arealp Code Edit: 2019 Legal Description: CORONA DEL MAR LOT 17 BLK 740 NELY 21 FT(AND SWLY1/2 LOT 19 BLK 74 0 Owner: LINOS MICHAEL Contractor: J S S HEATING AND AIR Address: 3334 E COAST HWY #435 Address: 1469 STRAWBERRY DR CORONA DEL MAR CA 92625 PERRIS CA 92571 Phone: 714/943-1392 - Phone: 949-400-5797 Con State Lic: 927475 Issued Date:07/05/2022 Lic Expire: 01/3112023 / Bus Lic: BT30074233 Processed By: Lic Exp Date: 02/28/2023 AL; Items FEES nacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 �r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $39.00 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 it 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 �r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O22-0337 Project No: 1621-2021 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : EXEMPT Policy No: Expire : Other w:e ° - a Fire Dampers: 0 $0.00 '° $0.00 ° Gas Line: 0 $0.00 �... '° $0.06,� . Metal Fireplace: 0 $0.00 �< Record Mgt Fee: $0.00 Additional Fee: $0.00 Investigation: $0.00 Plan Check: $53.07 Model: AULD36W21Alssuance: $38.00 Manufacturer: AC PRO Zoning PC: $52.00 TOTAL: $204.07 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $204.07 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 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' Stan 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 licensum 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 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 ofi completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). LI I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cor ❑ 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 leas sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contracto Professions Code, is available upon request when this application is submitted or at the following Web site:http://ww, Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirrp ppder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 and effect. /1g License Class • • • � License No Date 9 J Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). one year prior to completion of the improvements covered by this permit, I cannot . I understand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business a�d Professions Code, and my license isinfull force -Z. Contractor Signature f_%OA W4LQ glut.. 41KER! ' 00MPENSATION DECLARATION l KING: 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 ($100,0001, IN ADDITION TO THE TUF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affrrn1t1hfle6penalty of perjury one of the following declarations: • •• L have and w,ill•aintain 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 Qrmance bftle work for which this permit is issued. Policy No. leave and wi�l9maintain 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' compensatioi iraace carrier and policy number are: rie=. • Policy Number Expiration Date ;rtify that, "the performance of the work for which this permit is issued, I shall not employ any person in any if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant CLARATION REG DI CONSTRUCTI LENDING AGENCY !reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work I 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. 1 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 count �t "enter the 18ove=t�dentifled property for inspection purposes. nature of Property Owner or Authorized Agent ✓t 41C & �e�l tl�C1t r `i®,a�ript Property Ownei o as to become subject to the workers' compensation laws of California, and agre comply with those provisions. Date "5 which this permit is issued (Section 3097, Civil Code). Authorized Sly`` n.+o ACTION DATE BY DECLARATION OFCOMPLIANCE KITHCODEOF FOR OFFICE USE ONLY FEDERAL REGUL.ATIONSPART 61 OF TITLE40ANO AQMDRULE 1403. PERMiTEKPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMtTEXTENDED PROPOSED T EMOUT ON.OS BONIIS NOT APPLICABLE 70 PERMIT FINAL (—Z /— 2 j /�--i� CER7I,FICATEOF SIGNATURE: OCCUPANCYISSUEO