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Home My WebLink AboutH2021-0638 - Permits (3)City of Newport Beach - Building Division IIII�IIIIIIIIilllllllllllllllllll�llllllllllllll - MECHANICAL Permit: H2O21-0638 _ Gay 100 Civic Center Drive, "vewport Reach, CA 92660 H 2 0 2 1 0 6 3 8 Project NO : 1248-2021 Permit Counter Phone (949)644-3288 -t'1�erxu 'r HERS l/Eg-'!1[-I4,/p'3TION 6lEQ Inspection Requests Phone(949)644-3255 TIMER REQUIRED ON EQUIPMENT BETWEEN10 SHUT OFF .I /. Job Address: 824 HARBOR ISLAND DR BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (2) NEW A/C UNITS 47.5dB, 50.5dB (CARRIER; 24AHA4-30A03 & 24AHA4-36A003) W/DUCT WORK `TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM InspectorArea:2 Code Edit: 2019 Legal Description: N TR 3867 LOT 4 W Owner: KENNEY WILLIAM J Contractor: DEPENDABLE GRAHAM AC Worker's Comp Insurance - Address: 824 HARBOR ISLAND DR Address: 2952 CENTURY PLACE Carrier: SERVICE AMERICAN NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Policy No: SAMTWC0072800 Phone: Phone: 714-546-1653 Expire :0710112022 Con State Lic: 472690 Issued Date:1110812021 Lic Expire: 04/30/2022 Bus Lic: BT01013104 Processed By: r� Lic Exp Date: 12/31/2021 v HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $39.00 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: $53.07 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $204.07 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $204.07 PERMIT& EXPIRI! 18Q 11„4YS APTERiSSUANCE OR LAST VALID INSPECTION Construction Houas: N)6day,1.riOa197;00 A.1n.te 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. 0 OWNER -BUILDER DECLARATION I . ' a 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 (_) 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-Builderwill 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 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 the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProjefBions Code, R my li erise is in full force nd effect. acense License l , Class License No Date ��(�� Contractor Signamra� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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 e of the work for which this permit is issued. Policy No. have 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' rance came an policy num�re: �1 ier _ I .F'h 1 �Rolic,/NXmber Exoiration Date 'Ie of Agent i,.% certify that, in the performance o the work for which this if I should become a/lbjeptythe workers' cosatio of is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm undercpenalty 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). ender's Name Lender's Address y 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 correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or corunnr',i,Lto e r the abo%o e-id d pro rty for inspection purposes. j �1,, �A n kmature of Property Owner or Authorized Ageii li'2/,Lo�.� Print Property Owner's or Authorized Agent's Name( /y O& 7dVi7 ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY j FEDERAL RESULATIONSPEIRT B'I.OF TIJLE40 AIII ••. AQMDRULE1403.:•• PERMITEXPIRED ❑ ISIJBNTrEDA$BE4rOSNliRFelCAT14N-TO.• ❑ EPA �• •�• ••• ••• �• �• ❑ AQMD PERMITCANCELED PERMtTEXTENDED ❑ ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PROPOSEDDEMOLfTIQN.... • s •.• e • e • e • • • • n PERMIT FINAL ti %i7i CERPFICATEOF SIGNATURE:OCCUPANCYISSUED