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Home My WebLink AboutH2022-0163 - PermitsCity of Newport Beach - Building Division H2O22-0163 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 L MECHANICAL Permit: H2O22-0163 Project No:: Inspection ReyidWs Phone (949)644-3255 N 0 Job Address: Work- OPAL AVE Floor: Suite: Description of Work: CHANGE OUTT FURNACE &DUCTING 1-019 Inspector Area:2 Code Edit: 2019 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 12 L 28 �O Owner: PREUSCH ALLAN & CAROL Contractor SOCAL AIRFLOW PROS Worker's Comp Ins nc""e'.` Address: 230 OPAL AVE Address: 29816 AVENIDA DE LAS BANDERAS Carrier : TE FAR INS" > NEWPORT BEACH 2 6 RSM CA 92688 Poli s QE9186 Phone: ti Phone. 949-303-5525 17/2023 , ///�� %k ` Con State Lic: 1010956 Issued Date:03/25/20 `�IN ( Lic Expire: 01131/2023 Bus Lic BT30055229 Processed Lic Exp Date 0413012022 HVAC Items FEES FurnacesBoilers Co r, Ve i&n a� Other Up to 100K BTU/hr 1 '' 00 Up t ' P 0 $0.00athroom Fan: 0 0 Fi Da s: 0 $0.00 $0.00 Over IOOK BTU/hr: 0 $0. 3 H 5 HP: 0 xhaust Fan: 0 $0.00 ne: 0 $0.00 $O.do Ki= Wall/Floor Heaters: �. 5 HP to 30 HP: 0 Attic Fan: $0 eta[ Fireplace: 0 $0.00 Heat Pumps & Package nits HP to 50 HP ,QO Down -Draft F 0 0. Record Mgt Fee: $0.00 Up to 100K BTWhr: 0 $0.0 -" >50 HP: 0 Res iden' ood: .00 Additional Fee : $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 .00 Air Ha 'n y�ra Co . Hood: $0.00 Plan Check: $0.00 pa 22.00 Model: Up to 1.75M BTU/hr: 0 $0. 0 F 0 u v 1I O0 $0.0 Supplr/Alental Fee: 1 $$0.00 Manufacturer: Issuance: $36.00 Over 1.75M BTU/hr: 0 $0.0 V ox: ` 0 0 Zoning PC: $0.00 TOTAL : $8 00 _ Plan Check Fee : $82.00 Fee Due at Permit Issuance : $0.00 ITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. ER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for reason(s) indi b ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construSLORer, improve, demon permit to file a signed statement that he or she is licensed pursuant to the provisions of the Co ctors' State Licen�se,, fessions Code) or that he or she is exempt from licensure and the basis for the alleged exe son. Any violation of ti n more than five hundred dollars ($500). , e LJ I, as owner of the property, or my employees with wages as their sole toms Business and Professions Code: The Contractors' State License Law does not improvements are not intended or offered for sale. If, however, the building or improved for the purpose of sale). LJ I, as owner of the property, am exclusively contracting with apply to an owner of property who builds or improves thereon, ❑ 1 am exempt from licensure under the Contractors' Stateto By my signature below I acknowledge that, except r my se sell a structure that I have built as an ownerbuilder ifof as not Professions Code, is available upon request whe s applicat Signature of Property Owner or Authorized A g9 ` LICENSED COPIT. R4CTOR'S DEC RAT O an N fo contracts for the��oh Law For he followin`g'fe :id a in which I must nstructed in its entire submitted or at the follol do(of or tons of thew ,a ✓Oa1�DT prope If a oyees pv. old wit In ne year of co etion, the by the checkmark(s) I have placed next to the applicable items) sir any structure, priorto its issuance, also requires the applicant for 9 (commencing with Section 7000) of Division 3 of the Business and 'many applicant for a permit subjects the applicant to a civil penalty of O� jti3e project (Se n 7044, Business and P with a licen d Contractor pursuant to the �''eesitletl for at least one year prior to tort iicensed contractors. I understand that a Web site:http://www.leginfo.ca.gov/calaw. ire is not intended or offered for sale (Section 7044, effort, builds or improves the property, provided that the ar will have the burden of proving that it was not built or The Contractors' State License Law does not e License Law). of thedpplicibile law, Section 7044 of the Business and Date I hereby affirm Uri penalty of perju at J\ Qxce d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of tKe Business a am, ILCode, and my license is in full force and effect. Lcense Class i icense-No Date ZS - Contractor Signature r WORKERS' COMPE TION DE RATION AARMJb: FAILURE TO RE WORRERS;490MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANd CIVIL FINES UP ONE HUN ED OUSAND DOLLARS ($100,000(, IN ADDITION TO THE CORT OF COMPENkWDN, DAMAGES ROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES 1 oereb affinw4nuer p�i y perjury one of the following declarations. n I ve and loll rfls'fi tarn a certificate of consent to self Insure for workers' compensation, issued by the Dit c7or of Indust' Re as video for by Section 3700 of the Labor Code, for thi rnrrence't3gf me work for which this permit is issued. Policy No. \� % .ate\ neve and vial malryain workers' compensation insurance as repuired by Section 3700 of the Labor Code, for the If ay'�° of work for which this permit is issued. My workers' compensatior nsuranc� carnet d pckcy numbeFabe� ®� ne of Agent _ _ certify that, in the pi if I should become rature of Applicant Policy Number this permit is areby affirm under enalty o rjury that the> .1Ii o"ffuction�e}Ymi Ider's Name my signature below, I certify to e of ng: I am the property owner or author ad to the property owner's I have read this application and the 'formation I have provided ci I agree to comply with all applicable c and county ordina s and I authorize representatives of this city o ounty e= nature of Property Owner or Authorized Ag t Date not employ any p on in any, 6anpefso as to become subject to the worker;. compensation laws of California, and agre SMO of the La Code, I ali f� Iwith comply with those provision Date e perfor nc the work for which this permit is issued (Section 3097, Civil Code). to building construction. 3r inspection purposes. ACTION DATE DECLARATfON OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY - FEDERAL REGULATIONSPART 61 OF TITLE 40 AND AQMO RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMfTEXPh'tED H 2Z ��_ PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOnFICATIONISNOTAPPLICABLETG PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: