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Home My WebLink AboutH2022-0173 - PermitsCity of Newport Beach-1Building Division III 1111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 8 2 2 8 1 7 3 Permit Counter Phone (949)644-3288 ZZ• rd� C Job Address: 3 LINDA ISLE BIdg:1 Floor: Suite: Description of Work: MECH (2) AIC UNITS IN ROOF WELL *TAMPER Inspector Area:2 Code Edit : 2019 Legal Description: N TR 4003 LOT 3 Owner: SALIBA CHUCK & SYLVIA Address: 3 LINDA ISLE NEWPORT BEACH, CA 92660 Phone: 949-933-2960 10 Con Issued Date:03/31/2022 Processed By: VAU nems q, Vo urnacesBoilers & Compressors Ve ati . . p to 100K BTU/hr, 0 $0.00 Up t 0 .00 ver 100K BTU/hr. 0 $0 00 3 HP to 15 0 /all/Floor Heat&rs:, , 0 $0.00 HP to P 0.00 eat Pumps & Package Units .> 0 HP to $0.00 pto100KBTU/hr Aa ".$0.00 >5 _ __.� ;, 0 $0.00 ver 500K BTU/hr 3�$0.00 Ate ling its p to 1 M BTU/hr: 0`'p& $0.00 FM: 0 $A -PO p to 1.75M BTU/hr 0 440.00 Ov ' FM: 0 ver 1.75M BTU/hr: 0 ' Q„00 VA Box: 19 ,(*.OR t TOTAL72.28 a MECHANICAL Permit: H2O22-0173 Project No : 2092-2018 Inspection Requests Phone (949)644-3255 0000, \e POo'o` OF P RF�t 'a \ 0 \tC o�o T CHOIC�>(CONS* ION Worker's Comp G LDEN AVF Carrier: EXENiI $ VCA� Policy No: Expire e78372 (20 FEE V 41 Bathroom Fan: Exhaust Fan: Attic Fan: D - aft Fan: $0. 0 Fire mper�`(1' 0 $0.00 G Line:\'� 0 $0.00 eta] F' pl 0 $0. Rao d tyj Fee: ntial Hood: 0 .00 di' al Fee m. Hood: 0 $0.00 Manufacturer: Other 2 , 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 Investigation Plan Check: . GSX16S481Alssuance: GOODMAN Zoning PC: n C cly�Fee: $0.00 Fee Due at Permit Issuance : $172.28 YS AFTER ISSUANCE OR LAST VALID INSPECTION 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. $0.00 $0.00 $0.00 $38.28 $38.00 $52.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the Fee (s) indicated w 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, i rove, demolish, or r air 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' ate License Law pte (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. A ielatien of Section 1.5 by applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). t� 1, as owner of the property, or my employees with wages as their sole compensation, will do I of or •) portio Ache work, a the SIT UPS is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an own f pro ho, t h employe ' or persona ort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement' old withr®. Be ypa completio , he Owner -Builder M have the burden of proving that it was not built or improved for the purpose of sale).p\� v I, as owner of the property, am exclusively contracting with licensed Contractors t onstruc�rr��pro) ctolbction 704 , usiness and Professions Co ' The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts f e projeh(s`tvith Ised Contr or pursuant to the Contractors' Star icense Law). I am exempt from licensure under the Contractors' State License Law fort ollowing reason: b- I 3y my signature below I acknowledge that, except for my personal residenc which I must have.idad foZpest one year prior to completion of the improve all a structure that I have built as an owner -builder if it has not been con clad in its ntirety by licensed ractors. I understand that a copy of theeKlicable °rofessions Code, it :available upon request when this application is s fitted or a e foil wing Web r (to:http://www.leginfo.ca.gov/calaw.htmi. �® Signature of Property Owner or Authorized Agent JCFNSED C()NTRACTOR'S DECLARATION hereby affirm finder penalty of perjury that I am licensed un provision f Chapter'9 (c95�'ilmencmg with Sectio 7000) f Division 3 o e ass and rote JAI eFect. .icerse Class Licens o Date f. r �� I?Corr Siglaature 3d by this permit, I cannot 7044 of the Business and my license is in full force YOR'IERS' COMPENSATION DECLARATI TARN N3 FAILURE TO SECURE WORKERS' COMPENSAT COVE UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TQCRIMINAL PENALTIES N IL l" UP TO ON DRE us D DOLLAR (B700,000), IN ADDITION TO THE EST OF COMPENSATION. DAMAGES AS PROVIDED F SECT 60F THEIf11ABOR CODE, INTEREST, AND ATTORNEY'S FEES. o `� hereby affirm under penalty of perjury on the foil g decorations: a __\\O to!e and will maintain a certif a of cons to self Insure for workers' compensation Issued by the Bic Ind u9ttial Relatio as pr�hda r-by Se 'on 3700 of the Labor Code, for th enorm9nce of,the wurx for which s permit is sued.,; Policy No.:. or I va and will maintain w ers' coLLTp sation insurance as required by Section 3700 of the Labor C e, he pe ormance the wl(Qfc for hich this permit is issued. My workers' compensatio i..:mice carrier; pnlic mber al@�'i, :arrier Policy Number Ex ' ab Date lame of Agent - ° # ertify that, in the performa of or for "'TI this permit is issued, I shall not erl�pl person in any moon so as t e e subject to the workers' compensation laws of California, and ogre at, if s ould becom s 6jec provisions of Section 3700 of Eh or Code, shall fo with co ly those provi ions. 22' Signature of Applicant - l .,�_, • Date J Z� IECLARATION REG TIO G`h €LACY hereby affirm under pane of per' ry th here ion lending Egan he p�mance of work fo hi this permit is issued a tion 3097, Civil Code). ,ender's Name Le_ Address 3y my signature below, I certify to each of the owin 5 I am the property owner or authorized to act the property o er' e If. I have read this application and the information ave provi orrect. I agree to comply with all applicable city and coun r 'n to laws relating buildin o uction. I authorize representatives of this city or cou an th i " prope far insp io urposes. • 3l Signature of Property Owner or Authorized Ag rin roperty Owner's or Authorized Agent's Name G✓L / Da ZZ DE A IDN OF COMPLfANCE WITH CODE OF ° FOROFFICEUS€ONLY ACTION DATE o\• F L REGULATIONS PART 510E TITLE 40 AND PERMIT EXPIRED A RULE 1403. d. I SUBMITTED ASBESTOS NOTIFICATION T0: PERMITCANCELLED ❑ EPA PERh9lFEXT€LADED ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION, CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED