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HomeMy WebLinkAbouth2021-0354 - Permits�rA City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 5 4 Permit Counter Phone (949)644-3288 i7 a a , Job Address: 1801 SABRINA TER BIdg:1 Floor: Suite MECHANICAL Permit: H2O21-0354 Project No: 0384-2020 Inspection Requests Phone (949)644-3255 Description of Work: MECH/INSTALL (4) A/C UNITS 38dB, 43.5cIB, 42.52dB & 40dB (MITSUBISHI; PEAD-A36AA7 & PEAD-A30AA7) Inspector Area:2 Code Edit: 2019 Legal Description: N TR 2813 LOT 111 Owner: ARONOFF BARRY Contractor: URBAN MECHANICAL Worker's Comp Insurance - Address: 151 KALMUST DR STE H10 Address: 10621 BLOOMFIELD #25 Carrier: WESCO INS CO e�g COSTA MESA CA 92626 LOS ALAMITOS CA 90720 Policy No: W WC3486885 &y Phone: Phone: 714-614-2446 Expire :0910912021 Con State Lie: 594181 p Issued Date:06/03/2021 Lie Expire: 05/31/2022 Bus Lie: BT30005613 Processed By: Lic Exp Date: 08/31/2021 0� HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 4 $84.00 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 1OOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 - Additional Fee: $63.75 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $73.08 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 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: $46.25 TOTAL: $304.08 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $304.08 PERMITS EXPLIZE J4QDAYS.4FT&R ISSUANCE OR LAST VALID INSPECTION Construction Hours: Mondaf - FrLday7fU0-a.t.n.10 6:$03xM.4nd Saturday from 8:00 a.m. to 6:00 p.m. Y® i i :. ®` o . °.0 1 0 1 e�,° 6°1 mue 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 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 1, 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, 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). 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 legally 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. signature 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 Sectio 000 of Division 3 of the Business and rofessio an I' se i 'n full force nd effect. 9 l. icense Class License No Date ` Contractor Signature 1IORKERS' COMPENSATION DECLARATION F Jr 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. AIWby affirm under penalty of perjury one of the following declarations: and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ce of the work for which this permit is issued. Policy No. and wil ma ain workers' compensation insura�c�e, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa carrier � d p lice num e� r e: 1 ; Date me of Agent Phone # certify that, in the performance of t e hich is pepe itis d, I shall not employ any person in any manner so as to become subject to the workers' co pen ation laws of California, and agret t, if I should become u 'ect to thew mp do wsio ection 3700 of the Labor Code, I shall forthwith comply with those provisio f nature of Applicant Date CLARATION REGA A CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is corre I agree to comply with all applicable city and county ordinances an I s t "Ing construction. I authorize representatives of this city or county o e r the abov -id le P�' riffs lion purposes. �., L3 matureof Property Owner or Authorized Agent C' rtl'�roperty Owners or Authorized Agents Name i IA { � Da i(G ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDEV4 K&VLATM PAV 6f QP T7RC 40 AND AQMEINW LEf401 PERMITEXPIRED ❑ ItLAiMC&EDAS43EETO$JYO*17FJC$Ti9)21TO_ El - EPA ❑ AQMD' ❑ ASBESTOS NORTICARONISNOTAPPLICABLETO PROP0SEii11E9C1JTV% u ee ee e o no e e PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERT7FICATEOF SIGNATURE.. OCCUPANCYISSUED