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Home My WebLink AboutH2021-0716 - PermitsCity of Newport Beach - Building Division ez$` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 f.{ yD ilY1Y1Y Job Address: 63 MANDRIA BIdg:1 Floor: Suite: Description of Work: MECH CHANGE OUT A/C & FURNACE InspectorArea:6 Legal Description: Code Edit: 2019 MECHANICAL Permit: H2021-0716 Project No : Inspection Requests Phone (949)644-3255 Owner: LAYMAN HARRY Contractor: AIRPLUS OF CALIFORNIA INC Worker's Comp Insurance -- Address: 63 MANDRIA Address: 411 LEROY DR Carrier: FALLS LAKE FIRE NEWPORT COAST CA 99657 CORONA CA 92879 Policy No, ELA01266701 Phone: Phone: 951-739-9501 Expire :10/0112022 Con State Lic: 910681 Issued Date:12117/2021 Lic Expire: 0212812022 Bus Lic: BT30072844 Processed By: Lic Exp Date: 09/30/2022 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other .. Up to 100K BTU/hr: 1 $22.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.06 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 ` j - 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: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee $19.14 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4Ac16L42PIssuance: $38.00 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: $52.00 TOTAL: $153.14 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $153.14 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. )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 he 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 3rofessions 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 lot 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, 3usiness 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 mprovements 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 mproved 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 rpply 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legal all 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.htmi. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 of Division 3 of the Business rofessions d-myl tense Is in —full full force Ind effect. f .icense. Class License No Date ( F� Contractor Signature YURKERS' COMFCNSATION DECLARATION DARNING. FAILURE rJ 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 THI ;OCT 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 tt e,Aormance ofthe+work for which this permit is issued. Policy No. Ive 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' rice carrier and policy number are: Policy Number if Agent Date —;I cartify that, :r. OD performance the 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 agre iat, if I should become subje o th workers' tom 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature ofApplic Date ��TI IECLARATION CTION LENDING AGENCY hereby affirm under peniPoeriury t 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 ly 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 ordina ces and state laws relating to building construction. _ f I authorize representatives of this city or county to gAter the ve-identified r ec Ion purposes. ACTION DATE - BY DECLARATION OF COMPLIANCE NRTHCODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFT17LE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL /16 29 L oi^ CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: