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Home My WebLink AboutH2021-0472 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O21-0472 ti it, A 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 4 7 2 Project No : 2309-2019 Permit Counter Phone (949)644-3288 r a Inspection Requests Phone (949)644-3255 .QXZED Job Address: 1611 KINGS RD BIdg:1 Floor: Suite Description of Work: MECH - INSTL 4 AC CONDENSERS. Inspector Area:3 Code Edit : 2019 Legal Description: N TR 1219 BLK E LOT 44 Owner: STREIFF KIMBERLEE Address: 1611 KINGS RD NEWPORT BEACH CA 92663 TAMPER -RESISTANT CAPS REQUIRAE®M OXA Contractor: Address: Phone: Phone: Con State Lic: Issued Date:08/12/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: SUNWEST AIR CONDITIONING 1660 BABCOCK ST COSTA MESA CA 92627 949-650-5061 431394 09/30/2021 BT30062959 04/30/2022 Worker's Comp Insurance - Carrier: CYPRESS INS CO Policy No: SUWC140785 Expire :04/01/2022 VAC Items FEES Other irnacesBoilers & Compressors p to 100K BTU/hr: 0 $0.00 Ventilation Up to 3HP: 4 $88.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 ver 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 lall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 p to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 ver 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $76.56 p to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: MXZ-8C60NA2 Issuance: $38.00 p to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI ver 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $254.56 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $254.56 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE,OR LAST VALID INSPECTION Construction Hours: Monday - r. inlay 7:00 a.m.to 6:30 p_m and Saturday from 8:00 a.m. to 6:00 p.m. UILDER 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) iection 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 to 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). 1, 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, Iusiness 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). 1 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 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). I am exempt from Iicensure under the Contractors' State License Law for the following reason: Iy 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 legall, 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.gov/calaw.html. 'ignature 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 S 0 ivis 3 of the Business and Prof ssions C a -and my license is in full force nd effect. icense Class License No Date Contractor Signature IORKERS' COMPENSATION DECLARATION ARNING: 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 1$100,000I, IN ADDITION TO THE OST 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: 7 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, forth dance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date ame of Agent Phone # ]I 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 worker' comnsation laws of California, and agre lat, if I should become ��suyybj the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // 1 // ignature of Applicant_ W DaVyA`/�%`��/y . 7 ECLARATION REGAkbW 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, Civil Code). ender's Name Lender's Address y 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 count t h eve=idcT'f Pied property for inspection purposes. ignature of Property Owner or Authorized Aged 7 Print Property Owner's or Authorized Agent's Name X Date e ACTION DATE BY ULLLAr I IUIV UP wMPLIAMLL Yin IN LOUL Ot- FOR OFFICE USE ONLY FEDERAL REGILATIONS PART 6f OFTITL.E40AND AQMD PULE%463. - .. PERMIT EXPIRED ❑ I S,1Bw11TTED7.SBESTOS ttJOT7FICATIOK TO: ❑ EPA ❑ AQMD' PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICARONISNOT APPLICABLE TO PROPOSED=MCLITION. PERMIT FINAL -1Z.'Q, CERTIFI'CATEOF SIGNATURE: OCCUPANCYISSUED