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Home My WebLink AboutH2021-0391 - PermitsCity of Newport Beach - Building Division III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O21-0391 d 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 9 1 Project No: 1008-2020 Permit Counter Phone (949)644-3288 `'�trra,aa Inspection Requests Phone (949)644-3255 WIDE X n DEPTH Job Address: 2612 WAVECREST DR BIdg:1 Floor: Suite: Description of Work: MECH - INSTL 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED REQUIRED FOR Inspector Area:6 Code Edit: 2019 A/C DISCONNECTS Legal Description: N TR 6113 LOT 23 Owner: PARZICK ROBERT J Contractor: 1ST CHOICE HEATING & A/C Worker's Comp Insurance - Address: 2612 WAVECREST DR Address: 20371 LAKEFORESTDR STE A-5 Carrier: OHIO SECURITY INS CO. CORONA DEL MAR, CA 92625 LAKE FOREST, CA 92630 Policy No: XWS2262377720 Phone: 9496759930 Phone: 949-305-5754 Expire :02/15/2022 Issued Date:06/24/2021 Con State Lie: Lie Expire: 0006821 ' � 8131/2021 Bus Lic: BT30064046 Processed By: Lic Exp Date: 08/31/2021 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 10oK BTU/hr: 0 $0.00 Up to 3HP: 2 $42.00 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: $36.54 Up to 1M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: EL16XCI Issuance: $37.00 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: $46.25 TOTAL: $161.79 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $161.79 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST V.414D (NSPECTmION m m m Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday frUm 8:00 a.m to 6:06 p.m s v a v e `. Flmtl s omm em au vmm mcm m v o mmo mmm v c e mac m c mom, m me uco v o mm vv vev 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 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 not 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, 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-Builderwill 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 legally sell a structure that I have built as an owner-bui[der 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.htm]. 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. // /' License Class (."� License No (Cocpzq Date Zt-7 ( Contractor Signahh;} WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO 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 THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 perXrmance of the work for which this permit is issued. Policy No. I h ve 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 insur nce carrier and policy number are: Policy Number Date ame of Agent ]I certify that, in the performance of the work for which 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 agree at, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applican "`"--- Dat 1' L�-Z DECLARATION REG NG ON C N LENDING AGENCY �T hereby affirm under penalty of perju at 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 y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 relating to building construction. I authorize representatives of this city or county to er t _ - roparty for inspection purposes. or Authorized ACTION DATE ° • • • BY r • • • • L'-�.inrw�wu v, • • FEDERAL REGULATIONS PART 61 OFTITLE40AND PERMIT EXPIRED • • o • : • ' ° • AQMD RULE 9403. ❑ ISUBMITTEDASBESTOS NOTIFICATION TO: PERMtT CANCELLED . . • • • ❑ EPA PERMIT: EXTENDED ❑ AQMD ASBESTOS N071FICA770N IS NOT APPLICABLE TO PERMITFINAL ,.�rj—Z,'L.• • a° PROPOSED DEMOLITION. CERTIFICATE OF • • • . j • • a • I1 SIGNATURE: • OCCUPANCYISSUED • • _ - • • ° Date USE ONLY