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Home My WebLink AboutH2019-0738 - PermitsCity of Newport Beach - Building Division III I1IIIIII111IIIIIIIIIIIIIIII111IIIp1IIIIIIIII a 100 Civic Center Drive, Newport Beech, CA 92660 H 2 0 1 9 0 7 3 8 Permit Counter Phone (949)644-3288 r �`�i..Fk4]LL511 Job Address: 2 ALMANZORA BIdg:1 Floor: Suite: Description of Work: MECH A/C UNIT C/O ON GROUND *TAMPER PROOF CAP REQ* Inspector Area:6 Code Edit : 2016 ° Legal Description: N TR 15467 LOT 1 FEES Owner: SADEGHZADEH-ERAGHI Contractor: PLATINUM REPAIR INC Address: 2 ALMANZORA Address: 11647 SWINTON AVE NEWPORT BEACH, CA 92657 GRANADA HILLS, CA 91344 Phone: Phone: 818-435-4442 O U Con State Lie: 991373 Issued Date:11120/2019 Lie Expire: 03/31/2020 1 $20.00 Bus Lic: BT30069872 Processed By: T-(1 I V \ Lie Exp Date: 11/30/2020 MECHANICAL Permit: H2O19-0738 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE COMP Policy No: 9092354 Expire :03/14/2020 HVAC Items ° FEES n c. nn r °o , FurnacesBoilers & Compressors Ventilation ° O U U04'UO° 090000 U � U U O p 000000 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 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 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: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $17.40 Up to 1M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $113.90 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $113.90 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. LDER 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) action 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 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 )fessions 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 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 >rovements 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 >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 )ly 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: my signa"et lial9w 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 legalh 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 Ife%sions Cod�eilsaavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. na[ure of Mopert}. Owner or Authorized Agent Date XVSED CQNTRACTOR'S DECLARATION rreby affirm Underepenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) f Division 3 of the Business a?UNDREDTHOUSAND o d „tGL6RIe is in full force I Affect. •..• ,', gqs@ Class License No Date Contractor Signature lRKERS'CgIjIII�ENSATION DECLARATION WA:FAILURE, AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE, DOLLARS ($100,000), IN ADDITION TO THE IT OF COMPENSA*rION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. r°eti affirm Alpr.p'Rnalty of perjury one of the following declarations: 44eve and will mi'Intain 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 th rmt>nce oftne wor for which this permit is issued. Policy No. OY ..*- 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' compensatiol Irkince carrier and policy number are: :arrier, Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the perfor ance a for ch this permit is issued, I shall not employ any person in any manner so as to become subjec�tlotr he workers' Z4zg ensation laws of California, and agre >at, if I should become a lett t e pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro,s. ignature of Applicant Dat iECLARATION REGA NG CON T UC DING AGENCY hereby affirm under pe ally of perjury that there is a construction lending agency for the performance of the work for which this permit is ism d (Section 3097, Civil Code( Ender's Name ( Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized t0 act on the pro erty owner's b Half. I have read this application and the information I hav rovide is Ire I agree to comply with all applicable city and county rdine a ate laws relating to building construction. I authorize representatives of this city or county to a-ide ' ied-pfMperty for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NameZ�ax-- ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODE OF FOR OFFICE USE rY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE1403. - PERMtTEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AOMD PERMUCA:NCELLEO PERMIT EXTENDED El ASBESTOS NONFICARONIS NOT APPLICABLE TO PROPOSED. DEMOLITION. PERMIT FINAL .-/J"2( CERTIFPCATEOF SIGNATURE:O'CCUPANCYISSUEO