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Home My WebLink AboutH2021-0390 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O21-0390 a G� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 9 0 Project No : 1507-2020 Permit Counter Phone (949)644-3288 t�. Inspection Requests Phone (949)644-3255 -. � ar.V) &r _ Job Address: 2707 BLUE WATER DR BIdg:1 Floor: Suite: GQ 1e�G`a Description of Work: MECH -4 HEAT PUMPS. TAMPER CAPS REQUIRED �D FC'Vov- R1' -RESISTANT ®tA A InspectorArea:6 Code Edit: 2019 `. Legal Description: TR 6385 LOT 43 AND POR OF LOT 42 Owner: LAKE Contractor: GRAVES M H INC Worker's Comp Insurance - Address: 10601 CALM HILL CIR Address: 5852 MULLER ST Carrier: OAK RIVER INSURANCE SANTA ANA CA 92705 BELL GARDENS CA 90201 Policy No: MHWC232915, Phone: Phone: 562-833-3703 Expire :01/01/2022 Con State Lie: 241731 Issued Date:06/24/2021 Lie Expire: 03/31/2022 �( Bus Lie: BT30034436 Processed By: `d ti Lie Exp Date: 04/30/2022 �f ® HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 0 $0.00 Up to 3HP: 3 $63.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1o0K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $38.00 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: $87.87 Up to I BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AC030KNZDCHAA Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: SAMSUNG Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $272.12 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $272.12 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 fresn e'Od a.m; to 6.` Cv p.m. o 3 o a o 0 �9U p _ 3 �O 3 B- 40i f ♦ 0W •a¢ ¢¢• 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 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 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 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 U 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). ❑ lam exempt from licensure 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 legally sell 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 thAapplicablew, on 7044 of the Business and Professions Code,is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent eLICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) Division 3 ofthe Businese,and monce and effect.License Class License No Date 7// Contractor SignatuWORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 5eKprmance of the work for which this permit is issued. Policy No. JI ve 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' compensation 1sd nce carrier and policy number are: trier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the per4toth of or which this permit is issued, I shall not employ any person in any manner so as to become subject to the worke s' com nsation laws of California, and agree iat, if I should become scom ro ' ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �fIignature ofApplicant DateyKIECLARATION REGATION LENDING AGENCYhereby affirm under 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 prope owners behalf. I have read this application and the information I have p ided I correct. I agree to comply with all applicable city and county orfbanceYlind state laws relating to building construction. I authorize representatives of this city or county to r the e-identified property for inspection purposes. Iignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na Date Za AC77ON DATE BY DECLARATION OF COMPLIANCE YNTH CODE OF FOR OFRCE USE ONLY • �.. ..• FEDERAL REGULATIONS PART 51 OF T17LE40AND PERMITEXPIRED . • . • • AQMD RULE 1403_ • • "' ` • ❑ ISUBMITTEDASBESTOS NOTIFICATION TO:. PERMIT C4NCELLED • . • • • • • • ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS NOURCARON IS NOT APPLICABLE TO PERMIT FINAL /p-3-2Z •%.$j., •• PROPOSEDDEMOITIOM CERTIFICATEOF OCCUPANCYISSUED c c• • e •e o SIGNATURE: