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Home My WebLink AboutH2021-0406 - PermitsCity of Newport Beach - Building Division H2O21-0406 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 12 DRAKES BAY DR BIdg:1 Floor: Suite: Description of Work: MECH - INSTIL NEW A/C CONDENSER. TAMPER -RESISTANT CAP & TIMER REQUIRED Inspector Area:6 Code Edit: 2019 Legal Description: N TR 7844 LOT 90 Owner: TAGHDIRI KAMRAN Contractor: P R HEATING & COOLING Address: 12 DRAKES BAY DR Address: 12082 9TH ST CORONA DEL MAR, CA 92625 GARDEN GROVE CA 92840 Phone: 949-290-9330 Phone: 714-488-8528 Con State Lic: 1007628 Issued Date: Lic Expire: 09/30/2021 Bus Lic: BT30075801 Processed By: Lic Exp Date: 0713012022 MECHANICAL Permit: H2021-0406 Project No : 2388-2020 Inspection Requests Phone (949)644-3255 INSFP' ECTOF1 Worker's Comp Insurance - Carrier: EXEMPT Policy No: NO EMPLOYEES Expire : HVAC Items FEES Furnaces Boilers & 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 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: $19.14 Up to I BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4A7A6061J1000B Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMERICAN STND Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $131.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $131.14 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. OWNER -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 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 L) all of or L) 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 Pooly 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). ' nm exempt from licensure under the Contractors' State License Law for the following reason: By m,, 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) se;; 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 uareuy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wl h Section 7000) of Division 3 of the Business a Professs Co and my license is in full force a.1L a'ect. '.1cer-3 Class License No Date ! Ur Contractor Signature ✓✓ORKERS' COMPENSATION DECLARATION M:.RNINS. 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 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: I ha,.e 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 3erformance of the work for which this permit is issued. Policy No. I 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' urance carrier and policy number are: Policy Number Expiration Date ne of Agent Phone # -certify that, m the perfo ante of the work for which this permit is issued, I shall not employ any person in any manner so as to become subje t to the workers' compensation laws of California, and agree I. if I shouldbbecom u lect to t 0 keys' omppensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pre is ons. - natureofAplicant r.C. Date CLARATION REG*RDIRWONSTRUCTION LENDING AGENCY Imby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sect n 3097, Civil Code). 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 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 o ty ordinances and state laws relating to building construction. �/ /+ I authorize representatives of this city or cou t o enter the-' 'entJed property for inspection purposes. (/ notriro of ❑r, n. r n,. mr nr A,db.rio nno„II /� _1 / ori�f o.,...on„ rn., ee - A„*H-A o A,.o V. ra-.,, )( (AU(, I Gh� ( lll/.�Pj✓Gn�lf� ACTION DATE BY DECLARATION OF COMPLIANCE VWTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403- PERMIT EXP9RED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMUCANCELLED PERMITEXTENDED El ASBESTOS NOTIRCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL - vT /- IC-1` CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: 0 0 L Y C � UI V D4 IG N C � � N O) C L � � O m .O L L v L O Y T E C � 10 a o no N C a 0 7 Yc_ G � N N � U > U! O C � � T W U O � L C — � � uY O Y LO N T C C a u f0 J OU C> C f0 � 0 � i L N C N C v 3 u � N � N O E = VU ci L aJ