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HomeMy WebLinkAboutH2021-0329 - Permits,•„ City of Newport Beach - Building Division 1111111111111p11111p11111111111111p1111111111111 MECHANICAL Permit: H2O21-0329 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 2 9 P Project No : 1331-2019 F = �. Permit Counter Phone (949)644-3288 y `a¢jnaiA�> Inspection Requests Phone (949)644-3255 Job Address: 512 BEGONIA AVE BIdg:1 Floor: Suite: I I V SP ECTO K Description of Work: MECH/HEAT PUMP (3) "TAMPER RESISTANT CAP REQ" InspectorArea:5 Code Edit: 2019 Legal Description: CORONA DEL MAR BLK 530 LOT 14 Owner: MULFUR CYNTHIA & TOM Contractor: COMFORT HEATING & A/C Worker's Comp Insurance - Address: 7 ZZANO Address: 21962 COSALA Carrier: WIC EXEMPT DIAN WEL S CA 92210 MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) Phone: 503-333-4590 Phone: 714-335-7055 Expire Con State Lic: 632774 Issued ate:05/1912021 Lic Expire: 1213112021 BcsExp 0 FIELD INSPF.CTOWS' Processe y: Date: 08/31 2021 SU13JFC,1.1'0 KFVIEW ANDARPxoVA_L HVAC Items FEES , FurnacesBoilers & Co pressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over IOOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.0C 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: 3 $63.00 >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: $54.81 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AUD36W/Alssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $201.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $201.06 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. TIMERS- PR®H11NIP ON HEAT )WNER-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 1e 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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: ;y 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ;ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm ur.d.a, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, my licans n f force nd effect. VORKClass---- License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARMING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST O- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm LrJ--I penalty of perjury one of the following declarations: ] I nave and w;ll 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' q,fa Dance of she work for which this permit is issued. Policy No. 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' carrier ind Policy number are: Policy Number Date ]I certify that, in the performance of the wo r 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 agre lat, if I should become subject t he wor ' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision/s.�� ignature of Applicant Date >` - /T ' 61n 0 DECLARATION REGA D N T CTIO LENDING AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 and county ordinances and state laws relating to building construction. I authorize representatives of this city or county tov �'�} Athe e-id�ernntified property for inspection purposes. ignature of Property Owner or Authorized Agents-V/{ I �'!'1�✓� Print Property Owner AC71ON DATE BY DECLARATION OFCOMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF RRE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED PROPOSED DEMOLITION.ASBESTOS TION IS NOT APPLICABLE TO PERMIT FINAL CERTIFICATEOF StGNATURE: OCCUPANCY155UED