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Home My WebLink AboutH2022-0275 - PermitsCity of Newport Beach - Building Division III III IIIIIpIII111111111111111111111111111p1111 MECHANICAL Permit: H2O22-0275 5 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 7 5 Project No: Permit Counter Phone (949)644-3288 9u �r µma Inspection Requests Phone (949)644-3255 Job Address: 3223 CLAY ST Bldg:1 Floor: Suite: Description of Work: MECH - C/O FAU. INSTALL NEW A/C CONDENSER. TAMPER -RESISTANT CAP & TIMER REQUIRED InspectorArea:3 Code Edit: 2019 Legal Description: Owner: DEINERT-PETERSON JENNIFER Contractor: ALPS A/C & HEATING INC Worker's Comp Insurance - Address: 3223 CLAY ST Address: 1895 S SANTA CRUZ ST Carrier: INS OF THE WEST NEWPORT BEACH CA 92663 ANAHEIM, CA 92805 Policy No: WSD506354500 Phone: Phone: 7142633-8892 Expire :12/25/2022 Con State Lic: 667953 aV�� Issued Date:05127/2022 Lic Expire: 04/30/2023 D%E Bus Lic: BT30047511 TIMER REQUIRE 1U P J& AND I A.M- Processed By: �` Lic Exp Date: 07/30/2022 N TO SHUT OFF BE�EE k 4 � , E �-�„ �IN� aLa Ups HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $22.00 Up to 3HP: 1 $22.00 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 : $19.14 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: EL161XCI-024 Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK 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: $52.00 TOTAL: $153.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $153.14 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Fe ak 00 a meto 6°c30 pA.,anoi Saturday from 8:00 a.m. to 6:00 p.m. 0 0 0 000 c c o 0 o c o 0 cc ooe a a ea oo o o _ 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 -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). 1 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). 7 1, 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). 1 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 ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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. lignature 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 Section 70 0) of ivision 3 of the Business and Professio 9 , y Icnnse Is In U orce nd effect. �e `gs >„r„ _ Date on .icense Class License Nor _ tractor Signatur VORKERS' COMPENSATION DECLARATION �..Ua� "` ...... IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE EIS LAO. AND SHALL SUBJECT AN EMPLOYER`TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L4ROR CODEANTERkST,: AND=ATT.ORNEY'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 the e rmance of the work for which this permit is issued. Policy No. `khve 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 Isur ce carrier and policy number are: flier Policy Number Expiration Date me of Agent Phone # certify that, in the performance of the Weik for which this perm' ' hall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subject to the wo ers' comp provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision . nature of Applicant Date CLARATION REGARD[ ST ON LENDING AGENCY areby affirm under penalty o erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address 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 corr t. I agree to comply with all applicable city and county ordina5pas and state laws relating to building const -- I authorize representatives of this city or county to enter th by e-Identified pro ection purposes. / ` (_ _ ®�i(�j _ ! nature of Property Owner or Authorized Agent � ]' _ Print Property Owner's or Authorized Agent's Name 14"4 Date/ ACTION DATE BY DECLARATION OF COMPLIANCE WTH CODE OF FOR OFRCE USE ONLY REStit•4TIO1YSPAR11j O f Jt7LE40AND ,D, E'41f3.A PEftMLT EXPIRED fER4i- �DkS8EST(iSNDIIFICALTION TO:•PERMITCANCECLED ❑• • EPA • • . ❑ AQMD PERMtTEXTENDED ❑ ASBESTOS AIOVRCARONIS IVOT APPUCA13LE TO PROPOSEDGEMCUTION. s•, °, • • • • e PERWITFINAL S Z`L CERIiFICATEOF S16NATjIRE• ° • e s OCCUPANCYtSSUED