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Home My WebLink AboutH2021-0170 - Permits9City of Newport Beach - Building Division MECHANICAL Permit: H2O21-0170 $ `100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 1 7 0 Project No: 2770-2019 a Permit Counter Phone (949)644-3288 r'w,m,*' Inspection Requests Phone (949)644-3255 Job Address: 227 ORANGE ST BIdg:1 Floor: Suite: Description of Work: MECH -NEW A/C CONDENSOR (ON DECK). TAMPER -RESISTANT CAP REQUIRED InspectorArea:1 Code Edit: 2019 Legal Description: N TR 772 BILK 8 LOT 4,� Owner: MOORE MICHAEL & VICTORIA Contractor: � SKY HEATING AND COOLING r� Worker's Comp Insurance - oililail• .il,• „•, o Address: 227 ORANGE ST Address: 769 N GLASSELL ST Carrier: NORGUARD INSURANCE • - • ;, • • NEWPORT BEACH, CA 92663 ORANGE CA 92867 �3 T" Polio No: SKWC222780 • o Phone: 9492893829 Phone: 714-883-0623 b irt:02/01/2022 • ,, Con State Lic: 1045281� � ,�-�oQ •p•ilail Issued Date:03/01/2021 Lic Expire: Bus Lic: 12/31/2021 11 r,�v_ •ilil�oo •••••a Processed By: BT300659 Lic Exp Date: 02/28/2022 • woe:a: HVAC Items FEES •iil0• FurnacesBoilers & Compressors Ventilation Other Up to 1o0K BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 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: $18.27 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: A0VE-48CN1-M14L Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM:, 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $122.52 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $122.52 PERMITS EXPIRE 18D 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. )WNER-BUILDER DECLARATION 1 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 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 not 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 (_) 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 -Builder will 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 Iicensure 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 legal Sally structufifAl Chave 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 Pr944sions Code, iravailabie upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. Signature of gropertt Owner or Authorized Agent Date LdCENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)lof Division 3 of the Business and Prof my license is in full force ally €,..... hi>;01'fse se Class • • License No Date ,y/�%C�7�,� Contractor Signatu INVKKERS' OOMPIFNSATION DECLARATION ffARNAG: FARURPIO%%CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON UND D THOUSAND DOLLARS ($100,000(, IN ADDITION TO TH pOSL®F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm ygd%penalty of perjury one of the following declarations: Me and LilT nfaintain 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 tl lie rmance of the work for which this permit is issued. Policy No. _ I)' ve and wil?fti%Fntain 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' compensati( insur Ice Garner and policy number are: Vier Policy Number Expiration Date le of Agent Phone # certify that, in the performance of the wor 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 agrec If I should become subject to a or pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi iony., j1, fZ, lature of Applicant Date\X/4/ ., ....-, . hereby affirm under pen ty o edury 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 behalf. I have read this application and the information I have provided is cprrect. I agree to comply with all applicable city and county ordinances kI s 'laws relating to building construction. I authorize representatives of this city or cou to e r if' d property for inspection purposes. w�� :ionature Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Y /U (I of A Date AC71ON DATE BY DECLARATION OF COMPLIANCE(MITH CODE OF FOR OFFICEUSE ONLY FEDERAL REGULATIONSPART 61 Of TITLE40AIVD AQMDRUL:E1403 PERMITEXPIRED ❑ ISUBETTEDASBESTOSNO71FICATIONTO: ❑ EPA ❑ AQMO PERMIT CANCELED PERMITEXTENDED ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL ( CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED