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Home My WebLink AboutH2021-0220 - Permitsa City of Newport Beach - Building Division III 11111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 2 2 0 Permit Counter Phone (949)644-3288 HERS VERIFICNrI N REQ Job Address: 15 SARTEANO DR BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (E) F.A.U. Inspector Area:6 Code Edit: 2019 Legal Description: Owner: BRINK HOWARD Contractor: Address: 15 SARTEANO DR Address: NEWPORT COAST CA 92657 Phone: Phone: Ventilation Con State Lie: Issued Date:03/26/2021 Lie Expire: Bus Lie: Processed By:bqq'�)�Lie Exp Date: BOARDWALK HEATING AND AIR 27271 PRINCIPE ST MISSION VIEJO CA 92692 562-841-7089 1029478 07/31/2021 BT0074317 02/28/2022 MECHANICAL Permit: H2O21-0220 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : NO EMPLOYEES Policy No: Expire : tr?� I HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $21.00 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: 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 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: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 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: $0.00 TOTAL: $58.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $58.00 PERMITS EXPIRE 180°DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Fntfaw A'00 a.mrfo 6ela p.mYn'tt SSturday from 8:00 a.m. to 6:00 p.m. Y ` 9• !GL ®D 6tl Y YYW YO I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 im roved 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 improvements covered by this permit, I cannot legall,. sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Dam LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Profes i 4!�� cense is in full force and effect. License Class License No Date` 26 7� Lt Contractor Signature NORKERS' 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 HUNDR THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 770$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have 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 th ierformance of the work for which this permit is issued. Policy No. :1I 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' compensatioi isurance carrier and policy number are: :artier Policy Number Expiration Date CIgpla of Agent Phone # ertify that, in the performance of the w k r whi is is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agre iat, if I should becomesubject to the wo e n n visions of Section 3700 of the Labor Code, I shall forthwith comply with those provi`sionsse Iignature of Applicant Dat6�C 3 -Zr )ECLARATION REGAINING CON#t C ON LENDING AGENCY —� I hereby affirm under penalty of per' ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify toveach of the following: I am the property owner or authorized to act on the property owner' ehalf. I have read this application and the information I have provided,'dg6rrect. I agree to comply with all applicable city and county ordinan s state laws relating to building construction. - I authorize representatives of this city or county to gnter h ov-identi ' property for inspection purposes. 07 Iignature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name e ACTION DATEBY OECLA N TO OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY •FEDEPALREOULAdfONSPAIg6jOf nTLE40AND . PERMITEXPIREQ 9IWQ1i,li1LE2443: q syBMirrWdjSFjESrWNotfMATtON TO:. 'Q EPA- ❑ AQMD PERAQTC4NCELLED PERMITEXTENDED ASBESTOS M07IRCATOM IS NOT APPLICABLE TO Pr`iOFOSEDDEMON110 ti! : : . • ' PERMIT FINAL CERTIFICATEOF OCCUPANCYfSSUED SMATLII a . . •• ••• • •• s• ••. -