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HomeMy WebLinkAboutH2021-0396 - PermitsCity of Newport Beach - Building Division H2O21-0396 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r'acrrnY�`�� Job Address: 4ja 29TH ST BIdg:1 Floor: Suite: Description of"Iltork: MECH (4) NEW A/C UNITS *TAMPER PROOF CAP REQ* Inspector Area:1 Code Edit: 2019 Legal Description: LANCASTERS ADD LOT 17 BILK 225(AND LOTS 18 AND 19 BILK 225 Owner: CANNERY SAIL HOUSE Contractor: QUALITY AIR INDUSTRIES INC Address: 428 OLD NEWPORT BLVD Address: 2120 S STATE COLLEGE BLVD NEWPORT BEACH, CA 92663 ANAHEIM, CA 92806 Phone: Phone: (714) 718-2946 Con State Lie: 1052628 Issued Date:06/28/2021 Lie Expire: 04/30/2023 TT Bus Lie: BT30075259 Processed By: B`+ Lie Exp Date: 05/31/2022 MECHANICAL Permit: H2O21-0396 Project No: 2849-2017 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE COMP Policy No: 9017366 Expire :0710412022 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 4 $84.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1 OOK BTU1hr: 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 HE 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: $73.08 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4A7L6060Alssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMERICAN STAND Over 1.75M BTUIhr: 0 $0.00 VAV Box: 0 $0.00 Zoning PE; _ $46.25 TOTAL: $240.33 Plan Check Fee : $240.33 Fee Due at Permit Issuance : $0.00 ' .. 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. L ICATE 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) �I(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). LJ 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 im roved 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 legal) 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 Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE :DST 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 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 `ormance 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' compensa Trance carrier and policy number are: Policy Number of Agent Date certify that, in 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ender's Name Lender's Address 'y my signature Le1uw, I certify to each of the following: I am the prope.ty jwner or authorized to act on the property owner's behalf. I have read :I,i. application and the information I have provided is correct. I agree to cimply xith all applicable city and county ordinances and state laws relating to building construction. I authorize rep,esentatives of this city or county to enter the above -identified property for inspection purposes. ignature of Propa.t; Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Civil Code). ACRON DATE By DECLARATION OFCOMPLIQNCE 4YITHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIRE 40 AND ~�P,71T EXP7RE0 AQMD RULE 1403, ❑ / SUBMITTED ASBESTOS NOTIFICATION TO: El EPA ❑ AQMD EW4ITCANCELIF0 kkJ PERMIT EXTEN1XO i ❑ ASBESTOS NOTIRCATIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. P{PMIT FIN4L Z Z CERURCATE OF OCCUPANCYISSUED SIGNATURE: