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Home My WebLink AboutH2021-0079 - Permits�xsvrn4,�. City of Newport Beach - Building Division i1411I 41111111111111111111111111111111111111111 MECHANICAL Permit: H2O21-0079 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 0 7 9 Project No r Permit Counter Phone (949)644-3288 m TIMER REQUIRED ON EQUIPMENT Inspection Requests Phone (949)644-3255 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Job Address: 1612 ANITA LN BIdg:1 Floor: Suite: Description of Work: MECH/ CHANGE OUT (E) F.A.0 & A/C UNIT 52.5dB* (CARRIER; 24AHA4-60) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 1 OPM & 7AM Inspector Area:3 Code Edit: 2019 Legal Description: N TR 3800 LOT 25 Owner: FORE CHRISTOPHER/LILIA Address: 1612 ANTIA LN NEWPORT BEACHCA 92660 Phone: Issued Date:02/04/2021 Processed Bv: 5 v - Contractor: COMFORT CONTROL HVAC Address: 6592 WESTPARK PL UNIT C WESTMINSTER CA 92683 Phone: 714-273-3452 Con State Lic: 1024266 Lic Expire: 03/31/2021 �(1,oUl�tlll Bus Lic: BT3000254:6- Lic Exp Date: 03P..r;:=' 0" z�jE�n `z !� a Worker's Comp Insurance - Carrier: SECURITY NAYIONAL INS Policy No: SWC1314646 rn Expire :1210212021 HERS VERIFICATION REQ HVAC Items FEES Other Furnaces Boilers & Compressors Up to 100K BTU/hr: 1 $21.00 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 $38.00 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: $33.06 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Issuance: Plan Check: $37.00 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Zoning PC: $46.25 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $175.31 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $175.31 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 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 Irofessions 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 L) 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 reprovements 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 reproved 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: 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 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 (commencin w' h Se lion 7000) of Division 3 of the Business a Profe ns Cole, a my license is in full force nd effect. _ !tense Class License No Da Contractor Signatu CORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 0 E UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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 the e ormance of the work for which this permit is issued. Policy No. Zave 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' compensatior isurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance hew fo which this permit is issued, I shall not employ any person in any manner so as to become subject the workers' compensation laws of California, and agree that, if I should becomesu ject to wo rs' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro ions. Signature of Applicant MW Date l DECLARATION REGARYISTRLICTIONCL,"DING AGENCY I hereby affirm under pe Ity df 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 0rdin ces tale laws relating to building construction. I authorize representatives of this city or coun ente a ve--' enti 'ed property for inspection purposes. /�\ C% Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name C / I�l le� O �l ACTIDN DATE BY DECLARATION OFCOMPLIANCE KITH CODE OF G FOROFFiCEUSEOWty FEDERAL REGULATIONSPART61 OF TIILE40AND AQMD RULE 1403, PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS N071FICATtON TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMtTEXTENDED ❑ ASBESTOS NOTiFICARONIS NOTAPPLICABLE TO PROPOSEDDEMOUTION. PERMIT FINAL • �,Z. .(-Kc. CERTIFICATED€ OCCUPANCYISSUED SIGNATURE: