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Home My WebLink AboutH2021-0432 - Permits,wr„� City of Newport Beach - Building Division H2O21-0432 MECHANICAL Permit: H2O21 .� :,gyp 100 Civic Center Drive, Newport Beach, CA 92660 W i' � Permit Counter Phone (949)644-3288 TIMER REQUIRED ON EQUIPMENTproject No: 1201-2021 v fi r:,r r y„�> TO SHUT OFF BETWEEN 10 P.M. AND 7Insspection Requests Phone (949)644-3255 Job Address: 2917 SILVER LN Bldg:1 Floor: Suite: Description of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* NEIGHBOR LETTER ATTACHED Inspector Area:3 Code Edit: 2019 Legal Description: N TR 3068 LOT 19 Owner: KAMFAR MIRRAFATI Contractor: OWNER/BLDR Address: 2917 SILVER LN Address: AUTH AGENT: NEWPORT BEACH, CA 92660 SALEHI EBBI Phone: Issued Date:07/22/2021 Processed Phone: Con State Lic: O/B� L' E � c xpire. Bus Lim ` +� kr�Ecp Date: t s d urnacesBoilers & Compressors V60tilation.. p to 100K BTU/hr: 0 $0.00 Uplo 3HP - 1 $22 007 `3athroom-K 0 $0.06 ver 100K BTU/hr: 0 $0.00 > 3 AP to 15 HP A $0.00 Exhai�stt'F"fan` 0 $0.00- /all/Floor Heaters: 0 $0.00 >15 HP to 30 HP. 0 $0.00 Attic Fan ` 0;_ $0.00 eat Pumps & Package Units >30 A to 50 HP 0 $0.00 Down Draft Fan 0 $0.00 p to 100K BTU/hr: 0 $0.00 >50 H 0- $0.00 Residential Hood: 0 $0.00 ver 500K BTU/hr: 0 $0.00 Air Han -ling Units, 1t Comm. Hood: I to I BTU/hr: 0 $0.00 u to 1 CFM' `'j40 $0.00 Repair/Alter/Add. $0.00 p to 1.75M BTU/hr. 0 $0.00 Over 10KVFM 0 `- $0.00 Supplemental e' $0.00 ver 1.75M BTU/hr: 0 $0.00 VAV Box ` 0 $0.00 �� J 'l TOTAL: $131.14 a %� Plab(,Ck ck Fee: $0.00� s�ker's Co rp.Insurance - r;E Eolic`y Nl'o:0' G T >n Fire' mpers: 0 $ . Gas Line: 0 $ Metal Fireplale: C $0. 0 Record 0��p0 d ron F e : 0�� S� 'a $0.00 Invest el: 00\NESAlBD60KI nce: Manufacturer: SEE twa 1Zo Fee uance : $131.14 P ;k7MITS EXPIRE 180 AFTER ISSU O VALID INSPECTION Construction Houi' : kn,9'(zy nday 7:00 a ry 6:3 and Saturday from 8:00 a.m. to 6:00 P.M. $0.00 $0.00 14 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 thEFContractors' 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 Iicensure 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 L) all of or L) 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 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 rso I 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 -build r if he San constructed in its entirety by licensed contractors. I understand that a copy of the: applicable law, Sectkan 71044 of the Business and Professions Code, is available upon request whe a ' tion is sub 'tted D att Ilowing Web site:http://www.leginfo.ca.gov/ca12W.,,�l-L�' SiynamrH of Prooerty Owner or Authorized Agent Da e 07 1 LICENSED CONTRACTOR'S DECLARATI I iie,eby affirm undur penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the Business and Prgiestions Code, and my license is in full force and effect. �\e. otv;'(1tt?? L:Icense r� lass License No D -1, ontractoy�bms WORKERS' COMPENSATION DECLARATION et "dY` - WARNING: FAILURE TO SEWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SH ECT AN EMPLOYER TO CRIMINAL PENAL'T1611416 ILOFINES UP TO ONE HUN THO\ND DOLLARS 1$100,000t, IN ADDITION TO THE C33'. ot COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR TEREST, ANC ATTORNEYS -FEES. Q F5 yp9P I 'i.r s7: affirm under penalty of oedury one of the followina declarations:.:. , 1 I have and wl9 maintain a certificate of consent to Wf-insure onn>nce of the work for which this permit is.issued. Policy No._ -1 have and will maintain workers' compensation surance carrier and policy number are: of Agent ura�,(as-required by. Sec Policy Number I certify that, in the performance ofrrHH a w�rk for which this permit is Issued, I shall not d, if should become subject to the ha ricers' compensation provisions of Section,�D( .,a ]nature of Applic n _ :CLARATION RE G C TRDCTION LENDING AGENCY ereby affirm unde enalty rjury that there is a construction lending agerigy fgc�h nder's Name -- ," Ler my signature below, I certify to each of the folio I am the property owner or authorized to act on th property owners behalf. I have read this application and the information I prov ded is correct. agree to comply with all applicable city and county o dina ces and state laws relate I authorize representatives of this city or counth ove,�ep?ifi�d-pzo on issued by the Director of,�"Wll Relations as provided for by Sec of the labor Code, for the performance of the work for which this permit Expiration Date so as to become subject to the i comply with those prov*jcyq.' performance of the work f I tIN10i issued faltj3097, Civil Code). der's Address �h. 10t rg to,t i i ding construction. y for inspection purposes. 3700 of the Labor Code, for My workers' laws of California, and ACTION DATE BY DECLARATION OF LfANCEMTH MOFF- FOR OFFICE USE ONLY FEDERALR kTIONSPART TiITI,�_G�8i7"ANO AQMP 1 Y I SUBMITTED STQ5-TI ATION TO: ❑,-sue PERMIT EXPIRED PERMIT CANCELLED = ❑� AQMD"' -b ASRE�TOS NOTIFICATION IS NOT APPLICABLE TO =PIZOPOSEDDEMOUTION. PERMIT EXTEAIDED ' PERMIT FINAL / CERTI9CATEOF OCCUPANCYISSU'ED SIGNATURE: