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Home My WebLink AboutH2021-0680 - Permitskw1�r,�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII ,b°r G,a, 100 Civic Center Drivc, ! wpod Beach, CA 92660 H 2 0 2 1 0 6 8 0 ,;? n Permit Counter Phone (949)644-3288 'ft c � ��.rs,yH�h HERS VERIFICATION REQ MECHANICAL Permit: H2O21-0680 Project No : Inspection Requests Phone (949)644-3255 Job Address: 9 VIA BREZZA BIdg:1 Floor: Suite: Description of Work: MECH REPLACE (2) A/C UNITS @ THE SIDE YARD "TAMPER RESISTANT CAPS REQ" REPLACE (2) FURNACES InspectorArea:6 Code Edit: 2019 Tiene�p��or w 1z Legal Description: Owner: LEWIS ZAN Contractor: Address: 9 VIA BREZZA Address: NEWPORT BEACH CA 92657 Phone: Phone: Con State Lic: Issued Date:12/01/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: CA HEATING & AC 13425 MONTEGO DR POWAY CA 92064 949-232-3100 885562 10/31/2022 BT30016990 10/3112022 Worker's Comp Insurance - Carrier : MARKEL INSURANCE Policy No: MWC018328101 Expire :03/27/2022 YINISPECT0101 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to I OOK BTU/hr. 2 $44.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 I, Over 1 OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $39.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.0) 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 : $53.07 Investigdiion: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AOVE-48/6OCN41- Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $248.07 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $248.07 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 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(:.) 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 Iicensure 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). ❑ 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 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). ❑ I am exempt from Iicensure 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:llwww.leginfo.ca.gov/caiaw.html. 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 Busines and Professions Code, and my license is in full force and effect. �_ License Class License No L18[e �d -�' Contractor Sig re NORKERS' COMPENSATION DECLARATION IARNING. FAILUR-- TO JECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSAI ION, UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herehy affirm under penalty of perjury one of the following declarations: 1 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 igrformance of the work forwhich this permit is issued. Policy No. have and wi,, a,a,ntain 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' 'a,lce carrier and policy number are: 36''na —- dame of Agent . _ — Policy Number Date certify that, it the performance of the work for which 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 ag [, If I should oecomP subject to the -workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosse/ppprovisions. nature of Applic ate CLARATIO14 GA ING CONSTRUCTION LENDING AGENCY J ` Ireby affirm under pen Ity 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). 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or c u y to ent above -identified property for inspection purposes. nature of Property Owner or Authorized Ag�t .- Print Property Owner's or Authorized Agent's N m �j/ct%r� 04"L 4 2�y ate la ACTION DATE BY DECLARATION OF COMPLIANCE KgTN CODE OF FOR OFFICE USE IINLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMDRULE 1403. PERMITEXPfRED ❑ 1 SUBMITTED ASBESTOS N017FICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED NOTIFICATION❑ASO IS NOT APPLICABLE TO PROPOSED DEMOLITION.CERTIFICATEOF PERMIT FINAL Fo1, SIGNATURE: OCCUPANCYISSUED