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HomeMy WebLinkAboutH2022-0048 - Permits (3)rr�,.wac,,tA. City of Newport Beach - Building Division H2O22-0048 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 33 SEABROOK COVE BIdg:1 Floor: Suite: Description of Work: MFR MECH - R/R A/C UNIT AT COURTYARD. TAMPER RESISTANT CAPS REQUIRED. Inspector AreaA Code Edit: 2019 Legal Description: TR 9676 LOT 11 UNIT 78 OF PROJECT LOCATED ON AP 442-361-31 TOGETHER Owner: SOLOWAY KAKIN Contractor: Address: 33 SEABROOK COVE Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:01/28/2022 Lie Expire: (��/� Bus Lie: �7 Processed By: + Lie Exp Date: NORTON ERICK HEATING & A/C 21371 FLEET LANE HUNTINGTON BCH CA 92646 949-355-2473 575335 08/31/2023 BT30076089 07131/2022 MECHANICAL Permit: H2O22-0048 Project No : 2598-2021 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: WIC EXEMPT " Policy No: (NO EMPLOYEES) Expire HVAC Items FEES Other Furnaces Boilers & Compressors Up to t00K BTU/hr: 0 $0.00 Ventilation Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 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 $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: Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $33.93 $38.00 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: GSx14(0601K) Issuance: Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: GOODMAN Zoning PC: $52.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 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 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 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 Iicensure 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). ❑ 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, 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 im roved 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). :1 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: 3y my s;gnaturc Sclwj ! 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 legalll sell a ^tructure 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 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 Cwner or Authorized Agent Date LICENGED CCP'TRACTOR'S DECLARATION I hereby affirm under rienalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions e, and my lie nse is in full force ano enrect. 'Z -� ,_ices ise Class License No S ��� Date -X "' Contractor Signature X �NURRERS' CQMIPF-NSATION DECLARATION NARNING: FAILURE TO SE(,URE 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 =7 CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tirrahy affirm ender penalty of perjury one of the following declarations: ZI 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 the Derformance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which t 's 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 t, if I should become subject to the workers' co ion provisiorys of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant (� iti7/-�(�— Date CLARATION REGARDING CONSTRUC N LENDING AGENCY areby 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). lder's Name Lender's Address 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. - _ J I - 2Cr ' 2'2 I agree to comply with all applicable city and county ordinances and state laws relating to building construction.�✓hwC.C�'�C�" I authorize representatives of this city or county to enter the above -identified property for inspection purposes. pr < ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 01 OF Tl TL.E40 AND AQMD RULE 1403. PERMIT EXPORED ❑ 1 SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERM)TCANCELLED PERMiTEXTENDED P OPOSED DEMOLTOCN.UON(S NOT APPLICABLE TO PERMIT FINAL 03/z0 2 L Y CERFI,FICATEOF SIGNATURE: OCCUPANCYfSSUEO