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Home My WebLink AboutH2021-0661 - Permits (3)..'r City of Newport Beach -Building Division III IIIIIIIIIIIIIIIIIIIIIIIIIIIiI11III1IIIIIII1III1 {, 100 Civic Center Drive, Newport Beach, CA 92660 4 . Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O21-0661 Project No Inspection Requests Phone (949)644-3255 9��jjjjjj ��-� Job Address: 1705 BAY AVE E BIdg:1 Floor: Suite: Description of Work: SFR MECH REPLACE (2) FURNACE, (2) ROOF MOUNTED A/C UNITS Inspector Area:1 Code Edit: 2019 b Legal Description: BALBOA TR EAST SIDE ADD BLK 26 LOT 3 ALL-INC ABAND ST ADJ ON N-(AN D Owner: COLLINS PAULINE Contractor: OASIS AIR CONDITIONING Workers Comp Insurance - Address: 1705 E BAY AVE Address: P O BOX 937 Carrier: INSURANCE CO OF THE WEST NEWPORT BEACH CA 92661 SAN JUAN CAP CA 92693 Policy No: WSD5045393 Phone: Phone: 949-420-1321 Expire :12/31 /2021 Con State Lic: 767272 Issued Date:11/1812021 Lic Expire: 08/31/2023 Bus Lic: BT97027460 Processed By: Lic Exp Date: 11/30/2021 ., HVAC Items FEES J. 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 10oK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $38.28 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 126CNA042Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT 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 7:00 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' Stale 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). [11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, 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). ❑ 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 1 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 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 a d Pr o Co d my license is I force and effect. '-icense Class License No Date J' Contractor Signature WORKERS' COMPENSATION DECLARATION w_1RNIHG: 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 COJT 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: 01 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 performance of the work for which this permit is issued. Policy No. and will 'naintain 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' carrierand policy number are: -.e of Agent _ certify thot, in Y:c . if I should becon Policy Number Date work forwhich 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 "ker4;c_ R¢trla(ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A t ignature of Applicant Date ECLARATION REGAXD—rITG CONS RUCTION LEN G AGENCY T 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 ender's Name Lender's Address y 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 r es and state laws relating to building construction. I authorize representatives of this city or c nt n e above,idertdfied-p r Inspection purposes. ignature of Property Owner or Authorized Agent Property Owner's or Authorized Agent's Name Civil Code). a-C4 ACTION DATE BY DECLARATION OFCOMPLIANCE WITHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AOMD RULE 1403, PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL (Z- Z .- Z4 WZ CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED