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Home My WebLink Abouth2022-0331 - Permits{I City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O22-0331 o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 3 3 1 Project No µ, ? Permit Counter Phone (949)644-3288 0d: r'rraaaz. Inspection Requests Phone (949)644-3255 Job Address: 10 MONTEREY CIR Bldg:1 Floor: Suite: Description of Work: MECH CHANGE OUT FURNACE Inspector Area:6 Code Edit: 2019 Legal Description: NTR7511LOT 3 ° Owner: PILLSBURY MAURICE Contractor: ALPS A/C & HEATING INC Worker's Comp Insurance- Address: 10 MONTEREY CIR Address: 1895 S SANTA CRUZ ST Carrier: INS OF THE WEST CORONA DEL MAR, CA 92625 ANAHEIM, CA 92805 Policy No: WSD506354500 Phone: Phone: 714-633-8892 Expire:12/25/2022 Con State Lic: 667953 Issued Date:06/30/2022 Lic Expire: 04/30/2023 Bus Lic: BT30047511 Processed By: Lic Exp Date: 07/30/2022 00 C J{+JOG.° Y ° HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to I OOK BTU/hr: 1 $22.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTIJ/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 1OOK 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: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK 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: $0.00 TOTAL: $60.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $60.00 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. ✓NER-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) !ction 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 ifessions Code) or that he or she is exempt from Iicensure 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, >iness 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 Ay 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 Iicensure under the Contractors' State License Law for the following reason: my signVRrbb@igw 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 legallt I a structurel142t 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 fissions C"I is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. neture oTr000Wify Owner or Authorized Agent Date TENSED CQNTRACTOR'S DECLARATION -Code, - stebeC�ffir. un.;epenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti15) n 70 ) of Division 3 of the Busi�ry�sa o essions Code, and my license is in full force Jjeff en9e Class" License No Date "Ll Contractor Signature ?EtKERS'.COMFENSATION DECLARATION • VOO IQG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP IT U ORED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. P r44 affirm nndgttienalty of perjury one of the following declarations: I �jve and Mwlll 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 forntance oltheo4k for which this permit is issued. Policy No. CEve 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 urance carrier and policy number are: Policy Number of Agent Date I certify that, in the performanc f the work for whit ermit is issued, I shall not employ any person in any manner so as to become subject to thor r; compensation laws of California, and agre fat, if I should become subje o t worker pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi.s(i'oons. /n Ik{//1y,/,i/✓/!—�/J)v� ignature of Applica Date/1 lY ✓ iECLARATION RE RUCTION LENDING AGENCY hereby affirm unde D 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 y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property o er's behalf. I have read this application and the information I have prow Wed is correct. I agree to comply with all applicable city and coudi nces and st ws relating to building construction. I authorize representatives of this city or county tolenter ntified property for inspection purposes. 'signature of Property Owner or Authorized APrint Property Owner's or Authorized Agent's Name Da ACTION DATE By DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATIONTO:. ❑ EPA ❑ AQMD PERJIIT CANCELLED PERMiTEXTENDED ❑ ASBESTOS N07IRCA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL -/�-Z, CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED