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Home My WebLink AboutH2021-0576 - Permitsyew ,, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O21-0576 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 7 6 Project No : 2541-2019 �, .I :�. -.A �,. Permit Counter Phone (949)644-3288 atrraaz Inspection Requests Phone (949)644-3255 Job Address: 605 VIA LIDO SOUD BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (2) A/C UNITS 40.5dB & 44.5dB (GOODMAN; GSZ16-36 & 48) InspectorArea:2 Code Edit: 2019 ray Legal Description: INTR 907 LOT 2 O Owner: CAMPBELL ARGYLE/BRIDGET Contractor: BASIC AIR INC Worker's Comp Insurance - rn Address: 601 VIA LIDO SOLID Address: 1157 SALINAS AVENUE Carrier: BERKSHIRE HATHAWAY NEWPORT BEACH CA 92663 COSTA MESA CA92626 Policy No: BAWC125355 Phone: Phone: 714-469-4542 Expire :10/22/2021 .� Con State Lie: 909834 Issued Date:10/05/2021 s Lie Expire: 01/31/2022 �'j,�,/,(/ Bus Lie: ST30045172 Processed By: V -Lie Exp Date: 10/31/2021 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $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 $0.00 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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.28 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hourso rvlgrNay- Fr;da^ :00 air.1o,6:030 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. .o• aw `.. n : eee ��` DWNER-BUILDER DECLARATION I' 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 iot 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 copletion, the Owner -Builder will have the burden of proving that it was not built or mproved 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 Contraci,or 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I � nderstand 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.leglnfo.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 (commencing with S ction 7000)1 of Division 3 of the Business and Professions Code, and my license is in full force and effect. p, /J License Class License No Dat (i Contractor Signatures WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 111 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 the 7perfor nce of the work for which this permit is issued. Policy No. have and will Intain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior insurance carrier d olicy numbre: Carrier �„�. ' 1y Fyne < op ro AJgnber Expiration Date 1e of Agent certify that, in the performan of the work for which this permit is issued, I shall not employ any person in any , if I should become suAect t the workers' compensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant CLARATION REGA DING CONSTRUCTION LENDING AGENCY �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for wl 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 countyC to?n ter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Y Print Property Owner's or o as to become subject to the workers' compensation laws of California, and agree comply with those provisions. Date �� this permit is issued (Section 3097, Civil Code). AC77ON DATE BY DECLARATION OF CO FOR OFFICE USE ONLY FED€RAL REGULATIONS PART 61 OF TIRE 44ANQ• • AQMDRULE94Q4• °°. • ••• ° PERMIT EXPIRED ElISUBMITTEI;ASB.OTOSOAK7RFiCAYIQNoOi ❑ EPA • • • s ❑ AQMD:• ••• •••I PERMIT CANCELLED PERMITEXTEIDED ❑ ASBESTOS NOTIRCARONIS NOT APPLICABL€ TO PROPOSED DEMOLITION. °• •0. 0•0 •. •. •0• PERMIT HNAL CERTIFICATEOF SIGNATURE.,. OCCUPANCYISSUED e