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Home My WebLink AboutH2021-0245 - Permitsrr City of Newport Beach - Building Division H2O21-0245 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 t'a ceai4w'�. Job Address: 7 ULTIMA DR BIdg:1 Floor: Suite: Description of Work: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* Inspector Area:6 Code Edit: 2019 Legal Description: Owner: KARIGAN ANDREW Contractor: PLATINUM REPAIR INC Address: 7 ULTIMA DR Address: 11647 SWINTON AVE NEWPORT BEACH, CA 92660 GRANADA HILLS, CA 91344 Phone: Phone: 818-435-4442 Con State Lic: 991373 Issued Date:04/07/2021 Lic Expire: 0313112022 Bus Lic: BT30069872 N Processed By: Lic Exp Date: 11130/2021 MECHANICAL Permit: H2O21-0246 Project No : Inspection Requests Phone (949)644-3255 INSPEC`i"d,NR Worker's Comp Insurance - Carrier: STATE COMP Policy No: 9092354 • , Expire :03/14/2022 HVAC Items & Compressors Ventilation FEES Other FurnacesBoilers BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Up to 100K 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 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 0 $0.00 $0.00 Down -Draft Fan: Residential Hood: 0 $0.00 0 $0.00 Record Mgt Fee: Additional Fee : $0.00 Investigation: $0.00 Up to 100K BTU/hr: Over 500K BTU/hr: 0 0 $0.00 $0.00 >50 HP: Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $18.27 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: GSX140481KIssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: GOODMAN Zoning PC: $46.25 Over 1.751M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $122.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $122.52 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 PROHIBITEn ... ; ON HEAT PUMPS i) a; i i UVr,l., 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 (_) 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 ; 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 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 Floressions Code, IF available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Prope,y Cwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm urda. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wh action %of sion 3of the Busines nd Professio ea isj ull ce Prid eftent. License Class L'�26 License No -7 i (-3 7� Date Contractor Signal r nIORKERS' COMPENSATION DECLARATION NARNING: 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), IN ADDITION TO THE CCS- I''OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm cider penalty of perjury one of the following declarations: slave 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 )e.fil ence of the Aork 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' urance carrier and polite nnum�b--eIr are: C� Tier � t`--' I Policy Number 7 r3 9 Z �'{ Z me of Agent r Expiration Date 3 1 Lf'L Phone # I certify that, in the p rf once of the �®rh this permit i edIrson in any manner so as to become subject to the workers' o /,riCsseeeion I Calif t, if I should beco ubject tothe w l tionpro ' i �nWLBboprCode, I shall forthwith comply with those prgvigions. '�� .,/ mature of Applicant. n_ _ - �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued lder'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' correct. I agree to comply with all applicable city and county ordin c S and at o wilding construction. I authorize representatives of this city or cou to ant abo - p for inspection purposes. nature of Property Owner or Authorized A e Print Property Owner's or Authorized Agent's Name ACTION PERMITEXP/RED DATE Y I BY PERMIT FINAL /�,2 (� -Z2 Dµ psti Jr CERTIFICATEOF OCCUPANCYISSUED FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. 3097, Civil Code). OFFICE USE ONLY