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Home My WebLink AboutH2022-0329 - Permitsrgwr�jj,� City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O22-0329 o it, 10o Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 3 2 9 Project No : 1025-2021 s ` `v. Permit Counter Phone (949)644-3288 4 ">••^�, Inspection Requests Phone (949)644-3255 �'ae�rrauN�x Job Address: 2304 CLIFF DR BIdg:1 Floor: Suite: Description of Work: MECH (2) NEW HEAT PUMPS *TAMPER PROOF CAP REQ*'�8 2019- Inspector Area:3 Code Edit: n Legal Description: N TR 919 BLK 4 LOT 5 Owner: GONTERMAN JASON Contractor: BASIC AIR INC Worker's Comp Insurance - Carrier: PREF PROF - - Address: 2043 WESTCLIFF DR Address: 1157 SALINAS AVENUE COSTA MESA CA92626 Policy No: ON1196401 NEWPORT BEACH CA 92663 Phone: 714-469-4542 Expire:10/22/2022 - - Phone: 626.497-7208 Con State Lic: 909834 Issued Date:06/29/2022 Lic Expire: 01/31/2024 Bus Lic: BT30045172 Processed By: Lic Exp Date: 10/31/2022 HVAC Items FEES Other Furnaces Boilers &Compressors Ventilation 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Up to IOOK BTU/hr: 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 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 0 $0.00 Metal Fireplace: 0 Record Mgt Fee: $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 0 $0.00 Down -Draft Fan: $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 Up to 100K BTU/hr: 2 $44.00 >50 HP: Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0,00 RXTQ048AVJUA Plan Check: Issuance: $38.28 $38.00 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 0 $0.00 Repair/Alter/Add: $0.00 Supplemental Fee: 0 $0.00 $0.00 Model: Manufacturer: DAIKIN Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: Zoning PC: $52.00 Over1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 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. TIMERS PROHIBITED ., wuC AY PI IMPS ER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (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 (_) 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). 1, as owner o° fhe 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 nt 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 exemy f-m licensors under the Contractors' State License Law for the fallowing reason: By m, signati e 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, 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 Frofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date L:'CENSED CQ-NTRACTOR'S DECLARATION I hereby affirm under}penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w'th Section 7000) of Division 3 of the Business a Professio Code, and my license is in full force c6D effect. - Li.:Er,se Class License No Date 2� v� Contractor Signature k✓:.hFERS' COM7)2NSATION DECLARATION NARNIN6: FAILURE TO SEjURE 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 '09' nr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hPrehy affirm Jnder ponalty 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 the 3erformance 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' Lance carrier and policy number are: Policy Number Expiration Date of Agent 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 workers' compensation laws of California, and agre It, if I should beco a object tq th orkers' coBpe.psation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro is! n5�.^_ / -1 Mature of Applica Date Y'�2�t ! ✓�' :CLARATION RE RDIN ONSTRUCTI WCENDING AGENCY ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec ion 3097, Civil Code). rder's Name Lender's Address 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 ou ty ordinances and state laws relating to building construction. I authorize representatives of this city or coon t ao bov -identified property for inspection purposes. /,t1 / 1 Inature of Property Owner or Authorized Agent _ Print Prooertv Owner's or Authorized Anent's Namc / X ACTION PERMVT E ZED PERMIT CANCELLED PERIv97,T EXTENDED DATE I BY PERMITFINAL CEYTtFvCATE OF OCOJPANCyISSUED OF TI TLE 40 AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NORFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: