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Home My WebLink AboutH2021-0418 - Permitsaw ,� City of Newport Beach - Building Division H2O21-0418 day 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 8 CHATELAINE BIdg:1 Floor: Suite: Ventilation Description of Work: MECH CHANGE OUT A/C UNIT & FURNACE *TAMPER PROOF FEES CAP REQ* Inspector Area:6 Code Edit: 2019 to 100K BTU/hr: er 100K BTU/hr: Legal Description: N TR 14571 LOT 50 $22.00 $0.00 Owner: KESSLER STEPHEN TODD Contractor: ALISO AIR INC Address: 8 CHATELAINE Address: 29736 AVE DE LAS BANDERAS NEWPORT COAST, CA 92657 RSM CA 92688 Phone: Phone: 949-589-2021 Con State Lic: Issued Date:07/12/2021 526420 Lic Expire: 03/31/2022 Bus Lic: Processed By: BT30019236 Lic Exp Date: 03/31/2022 MECHANICAL Permit: H2O21-0418 Project No : Inspection Requests Phone (949)644-3255 INS1 EC -r Worker's Comp Insurance - Carrier : LIBERTY MUTUAL Policy No: WC2Z61036218090 Expire :07/01/2022 rnacesBoilers & Compressors Ventilation m m $0.80 FEES OOOOJO O to 100K BTU/hr: er 100K BTU/hr: 1 0 $22.00 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: ill/Floor Heaters: 0 $0.00 > 3 HP to 15 HP: >15 HP to 30 HP: 0 0 $0.00 $0.00 Exhaust Fan: 0 $0.00 Gas Line: at Pumps & Package p Units > 30 HP to 50 HP 0 $0.00 Attic Fan: Down Fan: 0 $0.00 Metal Fireplace: to 100K BTU/hr: $0.00 >50 HP: 0 $0.00 -Draft Residential Hood: 0 $0.00 0 $0.00 Record Mgt Fee: er 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Additional Fee to 1M BTU/hr: to 1.75M BTU/hr: 0 0 $0.00 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: :r 1.75M BTU/hr: 0 $0.00 Over 10K CFM: VAV Box: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 24AHA41ssuance: CARRIER •omm m m $0.80 OOOOJO O OpmO moo 2 xmomuo m 2 a r mm m ° m o e c me n m O comma om o c m o o r mo c 0o m O O O 00201 Other i oec° $0.80 OOOOJO O OpmO Investigation: $0.00 Plan Check: $38.28 $38.00 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. WNER-BUILDER DECLARATIONreason(s) indicated blow by the ve I hereby affirm under penalty of ssions Code: Any c ty or oounty that r�equ'res a pterm alto constr ct,oaherr,, improve, demolish, orr pair any structure, nr prior to its issuance ceeapplicable also requiresd next to the ant for Section 7031.5, Business and Profe ie 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 an 'rofessions 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 Tot more than five hundred dollars ($500). or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, rty who, through I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of builds muprovements a of not me dedeoToffered for sale. Sfahowlever, the budildhg o�ti pPlo ement snsoldfwithnehe a year of completion, the Owner -Builder lfwill have theburden den of prong iimproves the pthat itpwas noroviet builtthat t one mproved for the purpose of sale).Business and appl1, as owner of y to an owner actors the grope rt who builds oremprovers thereon, hand who contracts for the projects w'Ith a I censedlicensed Contractors to construct the project cContract r pursuant to he Contractors' State License rLaw). State License Law does no of I am exempt from licensure under the Contractors' State License Law for the following reason: Sell a structure below at l have built as acknowledge that. except eder rf my has not nal residence constructed hi ItsI mushy by licensed ve real ad oontracto sr at least �l understand have that a copy of the happl cable law, Section 7044tof the Buhis siness sti nand not ego Professions Code, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pallalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code and m licens { and effect. .... Contractor Signa taCcfiSe glass 00* License No Date 'W'�r'ARKERS' Ci1MPENSATION DECLARATION 1JAR?4VP!FAILURE TdSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA DOLLARS ($'100,000), INA TION TO T COST OF COMPENSATION, g4MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I.liereb affirm untl`eP��rlalty of perjury one of the following declarations: j jrave and oil laitain 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 gejfo� fiance of the work for which this permit is issued. Policy No. .I.FraUe 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' compensal ranee carrigl ptlicy number are: Expiration Date .. • Policy Number phone # I certify that, in the performance of the work for which this permit is it, if I should become subject to the work r�' r•omDen atis t n Dro'rTisfc ignature of Applicant DECLARATION G =ththlre NG AGE hereby affirm under penalty ofstruction le4rdin e f ender's Name ,y my signature below, I certify to each oft followmg. I am the property owner or authorized to act on er Wfter I have read this application and the information I have provided is correct. I agree to comply with all applicable city and cou ty o mantes and state laws I authorize representatives of this city or county tketer thea lifted ACTION DERMITEXPIRED DERA41T CANCELLED PERMIT EXTENDED PERMIT Ff1VAL CERTIFICATEOF OCCUPANCYiSSUED DATE IV BY not employ any person in any manner so as to become subject to the worl�el cc pensation laws of California, and agree f the Labor Code, I shall forthwith comply with those prov io s. Date �r the performance of the wo for which this permit is issued (Sect) n 3097, Civil Code). elating to building construction. for Inspection purposes. D e �nnarty owner's or Authorized Agents Name y 1 ��C T,ISUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PRQPOSEDDEMOLITION, SIGNATURE:. ■ ^ § d Q k15 / / . k \ ui LU \ � $ \}\ )!f � \ § m / q R . & § § §IN )!§ J`! / 2 �§ ¢Lu § � - � § g 5 � § g§ �( : LL } ± !G A E� k\j} LL w \ O ) Q . ww $ ) { » . . 2 § \ § $ . . t2 2® ) LL /� U 2 \ \ _U 2 �\ /|\ LL i ,{\�LL ui ui LU uj LUC64u CILiLSIP