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Home My WebLink AboutH2022-0070 - PermitsCity of Newport Beach - Building Division III 111111111111111111111111111111111111111111111 e r 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 7 0 Permit Counter Phone (949)644-3288 u _ S Job Address: 2421 16TH ST E BIdg:1 Floor: 6 Suite: 5 Description of Work: MECH/CHANGE OUT (E) A/C UNIT 37 dB (GOODMAN; GSX140431K) Inspector Area:3 Code Edit: 2019 Legal Description: N TR 15935 LOT 69 Owner: BARMETTLER Contractor: PLATINUM REPAIR INC Address: 2421 E 16TH ST#5 Address: 11647 SWINTON AVE NEWPORT BEACH CA 92663 GRANADA HILLS, CA 91344 Phone: Phone: 818-435-4442 Con State Lic: 991373 Issued Date:02/11/2023 Lic Expire: 03/31/2022 d �{i Bus Lic: BT30069872 Processed By: ' , 1 - Lic Exp Date: 11/30/2022 MECHANICAL Permit: H2O22-0070 Project No Inspection Requests Phone (949)644-3255 � Worker's Comp Insurance - Cl) Carrier: STATE COMP j Policy No: 9092354 Expire :03/14/2022 0 } HVAC Items FEES Furnaces Boilers & Compressors Ventilation 0 $0.00 Other $0.00 Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $39.00 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 : $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $33.93 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 1OK 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: $162.93 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $162.93 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m.to 4n.30 p rr.and 5;pturday from 8:00 a.m. to 6:00 p.m. )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 ie 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 Cade) 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Usiness 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). D I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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:htip://w .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 ) of Division 3 of the Business and Professions Code, d t II fo is effect. c- 120 / Q' 3 73 icense Class � License No ( Da e F Z Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: 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 OST 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: I 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 thI erformance of the work for which this permit is issued. Policy No. At have and wi Intain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pe%JJmit is jj'sssued. My workers' compensatior Isurance carr' r nd n jj�� 7r p .3/ / `%�z- :arrier S � n _' % �/POIOIluA`mber VQ ! Z S Expiration Date lame of Agent,z.- L 1S- ►I r \AJ(/i Phone # Ul certify that, in the performance of the work for which thi rmit issued, I shall not em loy any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subj ct to the workers' pensaii6n prgv' i6ns of o the Labor Code, I shall forthwith comply with those pr vlsl ns. Signature of Applicant , / �-- Date Z-V /Z `Z DECLARATION REGA I �O TRUCTION NDI 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 (Section 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 county tq entQr the above--iden V iV ied property for Inspection purposes. \ 2�� Z Signature of Property Owner or Authorized Agent V �Gc-�c- !G-r✓/ �J fle-Iyf Print Property Owner's or Authorized Agent's Name Datp,� AC77ON DATE BY DE LARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGUf ATIONS PART 51 OF TIRE 40 AND IQ,✓ID Rt,Ll- 1491 PERMIT EXPl,RED ❑ I SUBMITTEO ASBESTOS NOTIFICATION TO:. ❑ EFA ❑ AQMO PERP41T CANCELLED PERA41TEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DFMOLITION. PERMIT FINAL 2 On- CERTIFVCATECF OCCUPA,NCYrSSUED — S,`GNATUFEc_--