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HomeMy WebLinkAboutH2021-0656 - PermitsCity of Newport Beach - Building Division H2O21-0656 100 Civic Center Drive, Newport Beach, CA 92660 5 n. Permit Counter Phone (949)644-3288 �'�L.IYi11�f�Yh Sob Address: 2601 BUNYA ST BIdg:1 Floor: Suite: Description of Work: MECH CHANGE OUT (2) A/C UNITS *TAMPER PROOF CAP REQ* Inspector Area:4 Code Edit: 2019 Legal Description: N TR 4893 LOT 63 Owner: STEWART TONY Contractor: ZALAR HOMES Address: 2601 BUNYA ST Address: 8146 PAWTUCKET DR NEWPORT BEACH, CA 92660 HUNTINGTON BEACH CA 92646 Phone: Phone: 714-853-9696 Con State Lic: 1071867 Issued Date:11/1712021 Lic Expire: 12/31/2022 Bus Lic: BT30074051 Processed By: Lic Exp Date: 01/31/2022 MECHANICAL Permit: H2O21-0656 Project No : 0912-2021 Inspection Requests Phone (949)644-3255 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: 2 $44.00 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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A41ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY & NIGHT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.28 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(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 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). 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). I 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 Ihe" 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.html. Mg.ILIJre of Pmpertv Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I Fereby affirm order penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine sslons o e, and-rny lice ' ' ull force ana effect. i License Class_ License No Date /1 (7 1Z1 Contractor Sign _ WORKERS' COMPENSATION DECLARATION wARNiNG: FAILUNF'1 O 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 CCFT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. liI he�eby affirm under penalty of perjury one of the following declarations: I have an6 wih 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 tht perfaraance 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' compensation insurance carrier and policy number are: Policy Number 1e of Agent Date cemfy 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 agre t should becomes lect tot anon prov Section the Labor Code, I shall forthwith comply with those provisIlens. / Signature of Applicant �_-/ _� Datel A//� / DECLARATION REG TRUCTION LENDING AGENCY _ — I 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, 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 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 cou er a above -id tifie rty for inspection purposes. Signature of Property Owner or Authorized. Print Property Owner's or Authorized Agent's Name 'T:)PL1L) 2 `% Dat // 7 � ACTION DATE BY DECLARATION OF COMPLIANCE INITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL WUrvry CERT1FiCATEOF It I SIGNATURE: OCCUPANCYISSUED