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Home My WebLink AboutH2021-0469 - Permitsa ++I'rrk City of Newport Beach - Building Division III 11111111p11111p1111111111111111111111111111p MECHANICAL Permit: H2O21-0469 �� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 4 6 9 Project No H � � v Permit Counter Phone (949)644-3288 ` _ � HERS VERIFICATION REQ Inspection Requests Phone (949)644-3255 Job Address: 3 ANONDALE BIdg:1 Floor: Suite: (�� Description of Work: MECHICHANGE OUT (E) F.AU. & A/C UNIT 48.5dB CARRIER; 24APB6; 48-30) Cc InspectorArea:4 Code Edit: 2019 Legal Description: N TR 15409 LOT 101 Owner: SMITH RONALD Contractor: ALISO AIR INC Worker's Comp Insurance - LU Address: 3 ANONDALE Address: 29736 AVE DE LAS BANDERAS Carrier: LIBERTY MUTUAL UL NEWPORT BEACH, CA 92660 RSM CA 92688 Policy No: WC2Z61036218091 Phone: Phone: 949-589-2021 Expire :07/0112022 C Con State Lic: 526420 '� Issued Date:08/11/2021Lic Expire: 322 e �f^�► �Y-� 4^-�� Bus Lic: BT3001D019236 ST Processed By: Lic Exp Date: 03/31/2022 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1o0K BTU/hr: 1 $22.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: D $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 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: D $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 : $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 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K 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: $153.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $153.14 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE CIR LAST VALID INSPECTION Construction Hours: Monday - FriCal 7:00 c.m.tc 6:30 p.m.ald Saturday from 8:00 a.m. to 6:00 p.m. u 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, priorto 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 Professions 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 Tot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:ltw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! 7 00 of Divislan 3 of the Business and Pr sslons Code, and my license is in full force and effect. }�p — License Class License No Date V / II �� I Contractor Signat- �� COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37a6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: TO THE 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 ynance of the work for which this permit is issued. Policy No. \-\JJ�qehave and will workers' comp ation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' surance carrier a polic number are(r 1 I n ieofAgent certify that, in the . if I should become of the work for which this permit is issued, I shall not the workers' compensation 2iyjft ..' ^r ¢ } nature of Applicant CLARATION REGARDI RUCTION LtWING AGENCY !reby affirm under pena ty of perjury that there a construction lendin ncy for the Ider's Name Lenc 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 relatin I authorize representatives of this city or co6ntyQ grnterthe atlj a rr � �ied oropo Of Date person in so y with those subject t o kerF' c \f California, and ogre �r Code, I shall forthwith comply with those rov Ions t DaW Address building construction. this permit is issued (Section 3097, Civil Code). Collini, e,Io1 -) AC77ON DATE BY D NCE WITNCODE OF FOR OFFICE USE ONLY F.6GUL,CTIONS PART O DF T1TLE 40 AND I AQM7 ROL- 1401 PERMITEKPIRED ❑ I SUL'M[TT£DA-313ES.OS NOTFICATION' TO:. ❑ £PA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑P$ELt CATIONIS NOT APPL7CADLE TO PROJD EMGJO PERMITFINAL CERTI RCATE OF SfGNA_(U•2E: OCCUPANCYISSUED