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Home My WebLink AboutH2021-0396 - Permits (3)ye�twPriCity of Newport Beach - Building Division H2O21-0396 G� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 t S+Jt;JECT TO FIELD TN< REVJEWAND�p' Job Address: 410 29TH ST BIdg:1 Floor: Suite: Description of Work: MECH (4) NEW A/C UNITS *TAMPER PROOF CAP REQ* InspectorArea:7 Code E Legal Description: LANCASTERS ADD Owner: CANNERY SAIL HOUSE Address: 428 OLD NEWPORT BLVD NEWPORT BEACH, CA 9266 Phone: Issued Date:06128/2021 Processed (3 AIR INDUSTRIES INC Address: ( 2120-SSTATE-COLS-Eb-E-BtVii--- ff�ANAHEIM CA 92806 Ph x 71 ^1i48 M r EN )0� Co tate c I(- 1�4d/2 .3 r ic:30075 Lic_Exp Date: 05/31/2022 nacesBoilers & Compressors : V4ntilation to 100K BTU/hr: 0 $0.00 ". U i to 3HP: 4 $84 00 Bathroom Fan: 0 $0.00 :r 100K BTU/hr: 0 $0.00 P "c0X OQ > HU(o3 Exhl.ust Fdn: 0II/Floor Heaters: 0 $0.00 it Pum s& Packa a Units > 5 HP 5Q' $0 0? -> 0 HP 0"" Ott c Ran _" 0 gg $0.00 to 100K BTU/hr: 0 $0.00 > 0 HP: (O`.0 001 tReqdential Hood: 0 $0.00 er 500K BTU/hr. 0 $0.00 A r Handling Units Cor6m. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 - u tQQ IIildQ� CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 �r`� BKQFM n $0 00 Supplemental Fee: $0.00 er 1.75M BTU/hr: 0 $0.00 V Box: 0 $0.00 -- MECHANICAL Permit: H2O21-0396 Project No : 2849-2017 Inspection Requests Phone (949)644-3255 N NOISE ®� SATURD ITis W A�kcer''s�s��CImp1 @urance- c�4i�MRE, 6MP Polic No:9017366 EieWf%/ZKC 100% refund to whom: INSPECTOR Othe Fire Dampers: 0 $0.00 $0.00 .ems sine: 0 $0.00 $0.00 Metal Fireptace=- Record Mgt Fee Additional Fee $0.00 Invesgation: $0.00 Plan heck: $73.08 Model: 4A7L6060AIssuance: $37.00 Manufacturer: AMERICAN STAND ...----.._.__... _._--_-Zoninh PC: $46.25 TOTAL: $240.33 - --"' 'Plan -Check Fee: $0.00 .. Fee Due at Permit Issuance: 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 iteml(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. Anyryiolation 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.0 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 completion, the Owner-Builderwill have the burden of proving that it was not built or improved 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 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 belov. 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, 1 cannot legall 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 law, Section 7044 of the Business and ;FrjSasaions Cnue is zvailable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htm]. Signature of Roperty Owner or Authorized Agent Date LI 1EKSED CONTRACTOR'S DECLARATION II hereby affirm uider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000 of Division 3 of the Business an Professions de, and m e Is in fu orce aad eJact. 'Lice.T..e Class _ License No Da �O Contractor Signature WORKERS' COMPENSATION DECLARATION AAK11.G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS ($100,D001, IN ADDITION TO THE nnST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABORCODE, INTEREST, AND ATTORNEYS FEES. hereby affirm'Inde• penalty of perjury one of the following declarations: 1 ha,re 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 pici-cc,nance, of J,c wurx for which this permit is issued. Policy No. C"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 I rance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work 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 agree that, if I should become s/pbect to the workers' compensation pes�' /rov/Dyof Section 3700 of the Labor Code, I shall forthwith comply with those pro/wi.s/tons. Signature of Applicant) ( / / Datd/y l O O DECLARATION REGAf DfNG COYSTRUCTIOWtENDINGAGENCY Ivy` I 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 (Seddon 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 and state laws relating to building construction. I authorize representatives of this city or co to enter ove=d � ied rty for inspection purposes. Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Na ^�� YC �� ate b O� ACTION DATE BY DECLARATION OF COMPLIANCEIMTH COOEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART tit OF TtTLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION T0: ❑ EPA PERMIT CANCELLED ❑ AOMD PERMIT EXTENDED ASBESTDEMOLIOSp�AT]ON(S NOTAPPLICABLE TO PERMIT FINAL CERTIFICATEOF SIGNATURE:. OCCUPA7`•lCYfSSUED