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Home My WebLink AboutH2022-0249 - Permitsr£ r.rji. City of Newport Beach - Building Division III 11111111111111111131111111111111111111111111 MECHANICAL Permit: H2O22-0249 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0, 2 2 -(� 2 4 9 Project No : 0130-2021 Permit Counter Phone (949)644-3288 Inspection Realu.Ats Phone (949)644-3255 Vn j , WN - JobAddress: 1120 BAY AVE W BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (2) ROOF MOUNTED A/C UNITS 47clB & 43dB (YORK; YHG48B21S) Inspector AreaA Code Edit: 2019 Legal Description: N TR 626 ELK 4 LOT 6 Owner: BUNTMAN GARYIMARY Contractor: GRAVES M H INC Worker's Comp Insurance - Address: 410 17TH ST#1010 Address: 5852 MULLER ST Carrier: OAK RIVER INSURANCE DENVER CO 80202 BELL GARDENS CA 90201 Policy No: MHWC337208 Phone: Phone: 562-833-3703 Expire :01/01/2023 Con State Lic: 241731 Issued Date:05/12/2022 Lic Expire: 03/31/2024 � OM S7 Bus Lic: ST30034436 ' Processed By: Lic Exp Date: 02/28/2023 HVAC Items FEES ' FurnacesBoilers & Compressors Ventilation Other;', ; Up to 100K BTU/hr. 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0 00, Over 100K BTU/hr. 0 $0.00 > 3 HP to 15 HP: 2 $78.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $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 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $67.86 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $235.86 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $235.86 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for tyre 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature 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 impr ements covered by this permit, I cannot legaliy 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 applic le law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://v .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec on 7 00) of Division 3 of the Business and rofessions Code, and my license is orce anul effect. I/ License Class License No Date l� Contractor Signature WORKERS' COMPENSATION DECLARATION WAIANING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I h'ereov affirm under penalty of perjury one of the following declarations: 11 ! I-,cce and w'I 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 pgligi rn.•ance of the work for which this permit is issued. Policy No. 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' carrier ❑nd policy number are: .e of Agent _ _ _ certify that, in the per if I should become s lature of Applicant 1 Policy Number Date Ace 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( 5Wthe workers' cam aEian provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date t 2J ,CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the I have read this application and the information I he I agree to comply with all applicable city and county I authorize representatives of this city or county to ier's behalf. is correct. and state laws relating to building construction. Ispectlon purposes. Print Property Owner's or Authorized Agent's Name AC77ON DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T1 TLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ L SUBMITTED ASBESTOS 077FICATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED PSEDTDE OLITIOOS CLA7ION IS NOT APPLICABLE TO ❑ROPO PERMIT FINAL n� CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED