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Home My WebLink AboutH2021-0575 - Permits0 w,"rs, City of Newport Beach - Building Division IIIII I IIII IIII I IIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2021-0575 U 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 7 5 Project No : 1448-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 476 MORNING CANYON RD BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (3) A/C UNITS 35.1dB, 31.2dB, 21 (MITSUBISHI; MXZ-4C36NA2, MXZ-5C42NA2) Inspector Area:5 Code Edit: 2019 Legal Description: Owner: CORY CHARLES Contractor: Address: 16632 HALE AV STE 125 Address: IRVINE CA 92606 Phone: Phone: Con State Lic: Issued Date:10/04/2021 Lic Expire: Bus Lic: Processed By:avwc;i�_Lic Exp Date: PMR CONSTRUCTION Worker's Comp Insurance - 2061 FAIRWEATHER RD Carrier: STATE COMP SANTA ANA, CA 92705 Policy No: 9266341 p-3 1 d1 714-231-7272 Expire :12/2112021 716745 12/3112021 BT30053615 0 01/31/2022 Do HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 10oK BTU/hr: 0 $0.00 Up to 3HP: 3 $66.00 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: $57.42 Up to 1M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK 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: $213.42 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $213.42 PERMITS EXPIRE 80 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.cl.to rti:30 ;.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). D 1, 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, 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). 7 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi refEsSi ode, and my licen a is in full force nd effect. icense Class License No Da XIl0l _egl Contractor E ature VORKERS' COMPENSATION DECLARATION 1ARNING: 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), 1 DITION 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 thl Werf>¢%rdence of the work for which this permit is issued. Policy No. ave and will r ntam workers' co ensation 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 lsurance carrier art pXiicy number ar� r^ Carrier t Pd� Nr�mf��r" Expiration Date Name of Agent Y S� Phone # I certify that, in the performance of the wor 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 agre that, if I should become c to lhyworkerrsLcompe sation p ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DateX ll�/J z��-u Z, DECLARATION RE NG C CTION LEND AGENCY-� I hereby affirm under p y of perjury that there is a constr do nding agency r the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop rty owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county nces and state laws relating to building construction. I authorize representatives of this city or coun er the boveAf p b rty for inspection purposes. �/ l ^ _ _ Signature of Property Owner or Authorized Agent uY ff 'd � 'nt Property Owners or Authorized Agent's Name>iL. ArJLf9 L � . 1�-GtbA''t Date ACTION DATE 8Y ECLARA.ION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONL FELER4-' REGULATIONS PART 61 OF I- ,LE 40 AND AQMD RUr.E 44V PERMIT EXPI RED ❑ ISLBMITi ELA�BtS)OSM)77�IC6T'ONTO: 0 EFA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ PASBESTOS CSLD JEMJLfTILN.nON 15 NOT APPLICABLE i0 PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED If SlGN.4TtiRE;