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Home My WebLink AboutH2022-0239 - Permitsst.p City of Newport Beach - Building Division H2O22-0239 MECHANICAL Permit: H2O22-0239 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1081-2021 -, Permit Counter Phone (949)644-3288 �'rz4+"v Inspection Requests Phone (949)644-3255 1� 3'7r7rT1 FRI Job Address: 1411 LINCOLN LN BIdg:1 Floor: Suite: Description of Work: MECH: INSTALL (2) A/C UNITS @ SIDE YARD. *TAMPER RESISTANT CAPS REQUIRED* InspectorArea:3 Code Edit: 2019 Legal Description: N TR 3851 LOT 23 Owner: OLSON NICHOLAS Contractor: RANCHO VIEJO A/C & HEATING Worker's Comp Insurance - Address: 1411 LINCOLN LN Address: 22596 COTTONWOOD CIR Carrier: NORGUARD INSURANCE •° ° NEWPORT BEACH, CA 92660 LAKE FOREST CA92630 Policy No:RAWC2322712 • ',e•�� Phone: 9496420857 Phone: 949-212-4870 Expire :01/01/2023 Con State Lic: 745018 m ° Issued Date:05/09/2022 Lic Expire: 1113012023 Bus Lic: BT30031040 °•'•'� '°°-y° Processed By: Lic Exp Date: 03/31/2023 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $78.00 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: $67.86 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 124ANS(48)lssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $235,86 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $235.86 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. )WNER-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). 7 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). 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). I am exempt from licensure under the Contractors' State License Law for the following reason: Sy my signature below lecknowledge 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 all a structure that T 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 1Z&44`sTc:1s CodE70 a%ilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/ca[aw.html. 3ig.nature of Property-@wner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm unclear penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions e, and my license is in full force .kens'VClass � License No Dat22 Contractor Signature 40k4C6RS' CCUISEMSATION DECLARATION 1ARAIIr39: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ,ND"GROOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 6'stry affirm uorier.penalty of perjury one of the following declarations: a--r hAi.e and Mi mglgtain 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 ieKan"ance of *e worlafor which this permit is issued. Policy No. S-t,ave 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 isurance carrier and policy number are: tamer Policy Number Expiration Date Jame of Agent Phone # :11 certify that, in the performance of theAcensation h 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 agree hat, if I should become subject to the woprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applican Date )reby affirm under penalty of perjury t4there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 own behalf. I have read this application and the info rmation I have provide c rrect. I agree to comply with all applicable city and county ordinanc state laws relating to building construction. I authorize representatives of this city or count nter b - tified property for inspection purposes. y to e (nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART BI OF TITLE40 AND AQMD RULE f401 ❑ ISU6MITTEDASBESTOSNO71FICATIONTO: ❑ EPA ❑ AQMD PERMITEXPfRED PERMITCANCELLED P€RMtTEXT€NDED ❑ ASBESTOS NOTIRCAITONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE. PERMIT FINAL CERTFFICATEOF OCCUPANCYISSU€D