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HomeMy WebLinkAbouth2022-0270 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-31 88 (�H 2���� 0���� 2���� 2��� 0���� 2���� 7���� 0 MECHANICAL Permit: H2O22-0270 Project No : 1279-2018 Inspection Requests Phone (949)644-3255 cc Job Address: 41 BEACON BAY BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (3) DECK MOUNTED MINISPLITS (MITSUBISHI; MXZ-4C36NA2-U1 & MXZ-5C42NA2-U1) i InspectorArea:2 Code Edit: 2019 Legal Description: R BK 9 PG 42 PAR 41 ff k Owner: TODD MICHAEL Contractor: TRUE HOME HEATING A/C Worker's Comp Insurance - Fa� Address: 41 BEACON BAY Address: 4 FARADAY Carrier: TRAVELERS CASUALTY NEWPORT BEACH, CA 92660 IRVINE CA 92618 Policy No: UB9S6828382126G Phone: Phone: 949-382-6337 Expire :12/01/2022 Con State Lic: 11125317 Issued Date:05/26/2022 Lic Expire: 04/3012023 Bus Lic: BT30064629 Processed By: Lic Exp Date: 10/31/2022 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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: 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: 3 $66.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $57.42 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to I BTU/hr: 0 $0.00 up to 10K CFM: 13 $195.00 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: $408.42 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $408.42 PERMITS EXPIRE 180 DAYS AFT€R ISSUfj(JCE Q,R LAS ,VALID INSPECTION Construction Hours: Monday - Friday 7.09a.m.No 6:90;).ma2nd SWdre�ii?from 8:00 a.m. to 6:00 p.m. °. ... °o °o ° o 0 IWNER-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 structures prior to its issuance, also requires the applicant for is 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 'rofessions 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 U all of or U 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 nprovements 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 nproved 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). 7 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 legaill ell 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.html. ;ignature 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 Sectiop. 000) Division 3 of the Business rofessi Code, and my license is nd effect. icense Class License No Date L/ 2l(/ Contractor Signat PORKERS' 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 HUNDRED 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'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 th erfolmance of the work for which this permit is issued. Policy No. have and will laixjain workers' com���RRReee��[sation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' (once carrier an dlicy number arI ) a� (12 `L •i„ 4n�mr Nl Expiration Date of Agent 3[ certify that, in the performance of the wor hich thi . Is issued, I shall not employ any person in any manner so as to become subject totheworkers' compensaI n laws of California, and agre tat, if I should become subj t to the wor ' c sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseOpr vi ' ns. �J/& lignature of Applicant aEX�C �� )ECLARATION REGA50IRTC CTION LENDING AGENCY hereby affirm under p alty of perjury that 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 elf. I have read this application and the information I have provide correct. I agree to comply with all applicable city and county ordina ws relating to building construction. I authorize representatives of this city or county to' nt-identi property for inspection purposes. („ Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name a I� ACTION HATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY • • • • FFEDEI"A! REGULATMV491442T 51 OF TITLE40AND A QM11RUL41,03. • . • • PERMfT EXPIRED . : • [I - / $U$MrMED•ASEE:iT�OS-NOTIFICATION TO:: EPA• ❑ AQMD PERMITCANCELLED PERMITEX7€PfDEO / ❑ ASBESTOS N07IRCATIOM IS NOT APPLICABLE TO • P�O.9EEE3DE1�iO�NiON.•• SIGIfAT(PE: PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED •e • • so• se