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Home My WebLink AboutH2021-0416 - Permits (2)City of Newport Beach - Building Division H2O21-0416 d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O21-0416 Project No Inspection Requests Phone (949)644.3256 • e e e e•e a e•ocno • e e TIMER REQUIRED ON EQUIPMENT FEES Job Address: 20 SIDRA COVE BIdg:1 Floor: Suite: Description of Work: MECH A/C UNIT & FURNACE CHANGE OUT *TAMPER PROOF CAP REQ* TO (SHUT OFF BETWEEN 10 P.M. AND 7 A.M.°. • e e esu o InspectorArea:5 Code Edit: 2019 . m . merom Legal Description: Up to 3HP: °°•° ' •0000 Owner: BECK JENNIFER Contractor: ALISO AIR INC Worker's Comp Insurance - 40. °. eom000 o Address: 20 SIDRA COVE Address: 29736 AVE DE LAS BANDERAS Carrier: LIBERTY MUTUAL .•e000 NEWPORT BEACH, CA 92657 RSM CA 92688 Policy No: WC2Z61036218090 ° eeee% ••on Phone: Phone: 949-589.2021 Expire :07/0112022 ° $0.00 Con State Lic: 526420 $0.00 >15 HP to 30 HP: Issued Date:07/09/2021 Lic Expire: 0313112022 0 $0.00 Metal Fireplace: Bus Lic: S27 BT30019236 Heat Pumps & Package Processed By: Lic Exp Date: 03/31/2022 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: INSPIc C$ HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $22.00 Up to 3HP: 1 $22.00 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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 25HCE41ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $172.28 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. a 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 the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cq.67 Vtbat 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 of morge than fiVa`IMidred dollars ($500). * F.14 owneCof jHE Property, or my employees with wages as their sole compensation, will do `) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Qtlsinpss 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 'mprovsments 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 thepuiRose of sale). • I, 8e owner ii property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not appoo an owneyof ptoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). * * 1 lin exemptfrorolicensure under the Contractors' State License Law for the following reason: B� i" signature 4elow 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 legal) -NIV,Iructure 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 applicable law, Section 7044 of the Business and Professions Csae, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sigcatire of Prdpt:rty Owner or Authorized Agent Date I."14SED t;QAT.RACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w' In S ction 700 of Division 3 of the Business d Professions Code, and m e is in and effect.9/0 License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRIED THOUS 1 DDOLLARS I$100 1, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 performance of the work for which this permit is issued. Policy No. Vhave 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' compensatio I u ce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work for which this permit is issued, I shall loy any person in any manner so as to become subject the rkers' ompensation laws of California, and agre that, if I should be c a subject to the workers' compen, r0 ns S n off or Code, I shall forthwith comply with those pro ions. Signature of Apr nt Dat DECLARATION R G RD CONSTRUCTION LEN AGENCY I hereby affirm and penalty of perjury that the construction lending agency fo the once of the work for ich this permit is issued ( coon 3097, Civil Code). Lender's Name rider's Address By my signature below, I certify to each of the fol owin : I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. '�� I agree to comply with all applicable city and unty ordinances and re ltlig1coirst uction. �Il I authorize representatives of this city or co t enter the above -identified p pe e SIJ l I by Signature of Property Owner or Authorized Agen riot Props .-Owners Authorized Agent's Name Dat ACTION DATE DECLARATtO TNCODEOF FOR OF ICEUSE ONLY FEDERAL ULATIONSPART61OFTITLE40AND LE?403: ❑ 1 SUBMITTEDASBESTOS NOTIFICATION TO: PERMIT EXPIRED PERMIT CANCELLED ❑ EPA ❑ AQMD ❑ ASBESTOS N077FICA-ROMIS NOT APPLfCABL€ TO PERMITEXTENDED PERMIT FINAL PROPOSED DEMOLITION. CERTIFICATEOF SIGNATURE:: OCCUPANCYISSU€D U J J d a) U) 2 d` cc ` 0 .- N w o '_•' O N U y m E LLCc w l6 p vUi fl.0 0 3 7 O O a3 N o f y v ty L O 'O L O N a) mY fn d m Uw .0 c a) U T L � N O 3 R m 'X N a y a mai 'E O y � mo �o°c D�m a C�nc EK 3a a E o c o m o 0 C a N a Um c a>a�a u sc x c Q > U L O O T O 3 o i (D L X O :_ O E C o U N oO a) LO o) E N Q m CZ V W m a LED a.E `a on v �g U U ` U p N N 7 .Q .. 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