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Home My WebLink AboutH2022-0312 - PermitsCity of Newport Beach - Building Division 111111111111IIIIIIIIIIIIIIIIIIIII�IIIIII1111II a s 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 3 t 2 Permit Counter Phone (949)644-3288 u � ��+i rriiu�'ig. 1%S Job Address: D I N W L �4_L , BIdgA Floor: Suite: Description of Work: MECH CHANGE OUT (2) HEAT PUMPS *TAMPER PROOF CAP REW Inspector Area: - Code Edit: 2019 Legal Description. TR 5878 (L.L.84-214031) PAR 18 Owner: MILIK MICHAEL Contractor: Address: 2111 VISTA ENTRADA Address: NEWPORT BEACH, CA 92660 Phone: 310-822-3770 Phone: ___Q_Q ate Lic: Issued Date:06/22/2022 _ Lic Expire: Bus Lic: Processed By: Lic Exp Date: SEASIDE A/C AND HEAT ING 32959 CALLE PERFECTO UNIT C SAN JUAN CAPISTRANO CA 92675 949.496-3639 736214 08/31/2022 BT30018420 01/31/2023 MECHANICAL Permit: H2O22-0312 Project No : 0991-2022 Inspection Requests Phone (949)644-3255 /Alsp I Worker's Comp Insurance - Carrier : INS CO. OF THE WEST Policy No: WVE504960902 Expire :07/21/2022 RMJF CT TO P1M1»5P8CT`DY,'1 REVJEW AN1}A+pF,OVAL, HVAC Items FEES L Other •�- FurnacesBoilers & Compressors Up to 100K BTU/hr. 0 $0.00 Ventilation Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.03, , , , 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 0 $0.00 Record Mgt Fee: Additional Fee : $0.00 $0.00 Investigation: $0.00 Up to 100K BTU/hr: 2 $44.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Plan Check: $38.28 Over 500K BTU/hr: 0 0 $0.00 $0.00 Air Handling Units up to 10K CFM: 0 $0.00 Comm. Hood: Repair/Alter/Add: 0 $0.00 Model: AULD601ssuance: $38.00 Up to 1 M BTU/hr: Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Zoning PC: $52.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $172.28 Plan Check Fee : $172.28 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. 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 (_) 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 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 Iegalli 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. leg info. ca.gov/calaw.html. Signature of Prorinrly Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I herein: affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7000) of Division 3 of the Business a d Professions Code d I nse is in full force and effoct. 7 Lcen�e Class' License No Date Z—' Z `Contractor Signatur NORKERS' COMPENSATION DECLARATION M9RNIEG: FAILUR- TO -SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E'100,000(, IN ADDITION TO THE JOLT OFCOMPENSiWlON;UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm,uflder,p,�nalty 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 th, )f?rformance of the work for which this permit is issued. Policy No. ha�3 and will mah,tain 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' compensatior n re carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for w this rmit 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 subje t to the /s/�i�Rp�provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applica� /kf. Da t ?— DECLARATION RElliiiS}f4G CONST T O END NG 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 (n 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 at reti to building construction. I authorize representatives of this city or cou y mer the a ie ro y for inspection purposes. Signature of PropertyA Owner or Authorized entZC Print Property Owner's or Authorized Agent's Nam? Dat^ ACTION DATE 8Y DECLARATION OF COMPLIANCE M TH CODE OF FEDERAL REGULATIONS PART 01 OF TITLE 40 AND AQMDRULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO; ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE; FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL a —A 5-.2 T3 CERTIFICATEOF OCCUPANCYISSUED