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Home My WebLink AboutH2022-0027 - Permitswnr, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIullllllllllll MECHANICAL Permit: H2O22-0027 �` 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 2 7 Project No : 0336-2020 ;[ Permit Counter Phone (949)644-3288 ,. nryrr Inspection Requests Phone (949)644-3255 ��s... HERS VERIFICATION ION RE �o Job Address: 6 POINT LOMA DR BIdg:1 Floor: Suite: -•-"" Description of Work: MECHI(2) ROOF MOUNTED A/C UNITS AC PRO; AUD60W/A-D(U) ' '"- Inspector Area:6 "Code Edit : 2019� Legal Description: N TR 7432 LOT 32 V i Owner: SADEGHI MOHSEN Contractor: CAL HVAC SERVICES Worker's Comp Insurance - V, Address: 6 POINT LOMA DR Address: 8 PANDORA Carrier: TECHNOLOGY INS CO INC �,� CORONA DEL MAR, CA 92625 IRVINE CA 92604 Policy No: TWC4019722 Phone: Phone: 949-338-8698 Expire :10/01/2022 "12-7 Con State Lie: 1032743 �^ Issued Date:01/19/2022 Lie Expire: 09130/2022 '- �/�� Bus Lie: BT30071166 Processed By: / `�' Lie Exp Date: 02/28/2022 HVAC Items FEES FurnacesBoilers & 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 1 OK 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 Hours: Monday - Friday 7:DD�.r»�>'o 6:36 p.m°:and Setwdey4rom 8:00 a.m. to 6:00 p.m. ® p A PB Y B 4 J 3 P B 0o O O O' 9'J 9Yi 9 .1WB 9 O, O C OOP �O J p �B O• i Yp 0yG B G Val BB Ji4 rNER-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) ction 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 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 fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section l, 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I 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, iness 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 rovements 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 roved for the purpose of sale). U 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 yeah prior to completion of the improv 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof( and effect�— License Class License No " Date Contractor Signatur� WORKERS' COMPENSATION DECLARATION law, Section and and my license is in full force vNARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO OLLARS ($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 ❑ I ave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Ir1dustrial Relations as provided for by Section 3700 of the Labor Code, for the per rmance of the work for which this permit is issued. Policy No. have and will intain workers' co ensation insurance, as required by Section 3700 of the Labor Code, for the pert( ranee carrier an °Icy number lier f P is r ie of Agent islAi t certify that, in the performance of the w rk for which this mit is issued, all not employ any person in any manner so if I should becoReKbject to the workers' compensation pr isions otp6ction 3700 of the Labor Code, I shall forthwith c ignature of Applicant C ECLARATION RE(ZARD1NG CONSTRUCTION LENDING AG hereby affirm under penalty of perjury that there is a constructie enders Name y my signature below, I certify to each of the following: z L I am the property owner or authorized to act on the property I have read this application and the information I have pramL( I agree to comply with all applicable city and county ordinaa I authorize representatives of this city or couT41Z enter the of Property Owner or agency for the performance of the work for which Lender's Address owner's behalf. led is correct. , is relating to building construction. property for inspection purposes. of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agre iply with those pr vis.i�ons. permit is issued (Section 3097, Civil Code). AEON DATE DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY Z41•"• • FEDE#Mb QSGULATIGNS,PART61OFTITLE40AND 1J03. PERMITEXPIRED •;%QMDQULJ! J] LStfBA PTED'AS•BES e09N0TIFICATION TO: • ❑• EFK- e e ❑ AQMD PERMIT CANCELLED ^ P€RMITEXTENDED ASBESTOSN..ONIS NOTAPPLICABLE TO 0EM0H . • + • • • • e PERMIT FINAL , CERTIFICATEOF S19NATYPE: OCCUPANCYISSUED