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Home My WebLink AboutH2021-0440 - Permitswt„ City of Newport Beach - Building Division 111 111111111111111111111111111111111 MECHANICAL Permit: H2O21-0440 o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 4 4 0 p Project No: 2087-2018 �, % Permit Counter Phone (949)644-3288 cis. . .. �. �"��184 ��s IN® CONSTRUCTION ��+ Inspection Requests Phone (949)644-3255 1'11D4.o�E'Sd'Gtl WORK Job Address: 1703 PLAZA DEL SUR Bldg:1 Floor: Suite: Description of Work: MECH/INSTALL A/C UNIT 13.65dB (CARRIER: 38VMB048HDS3-10N SATURDAYS Inspector Area:1 Code Edit: 2019 Legal Description: N TR 518 BILK K LOT 31 Owner: DNE ASSOCIATES Contractor: Address: 2020 E ORANGETHORPE AVE #210 Address: FULLERTON CA 92831 FEES Phone: Phone: Con State Lic: Issued Date:07/27/2021 j Lic Expire: Bus Lic: Processed By: �4 IY/ Lic Exp Date: JMR HEATING & A/C 27324 CAMINO CAPISTRANO #147 LAGUNA NIGUEL CA 92677 949-310-9380 1055619 07/31/2021 BT30069149 10/31/2021 Worker's Comp Insurance - Carrier : TECH. INS CO. Policy No: TWC3995878 Expire :06/25/2022 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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: $19.14 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK 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: $131.14 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $131.14 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE Og LLAT VALID INSPECTION Construction Hours: Monday- F.1&3y 7:00 asn?-Som. .to So p.and Faturday from 8:00 a.m. to 6:00 p.m. fNER-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) ction 7031.5, Business and Professions Coder 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 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 Iy 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: Iy 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 cover, ell 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 applicable law, Section 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,html. ignature of Property Owner or Authorized Agent Date _ ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti00) �f Division 3 of the Business an Profs o ode, nd effect. k!/ icense Class License No Date Y� Contractor Signatu IIORKERS' COMPENSATION DECLARATION this permit, I cannot of the Business and my license is in full force ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 nance of the work for which this permit is issued. Policy No. have and will pp� Intain workers' coy�Pensation insurance, required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier apd�olicy number at¢:' _ e o Date ame of Agent \ "w 4 vnone s ]I certify that, in the performWoork ich this permit is issued, I shall not employ any person in any manner so as to become subject tD the workers' compensation laws of California, and agretat, if I should become subjeensation provisions of Section 3700 of the Labor Code, shall forthwith comply with thoseDprorignature of ApplicantECLARATION REG D GNDING AGENCYhereby affirm under penalty 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 y my signature below, I certify to each of the following: I am the property owner or authorized to act on the propertowner's behalf. I have read this application and the information I he d is co rect. I agree to comply with all applicable city and cou ord s tate laws relating to building construction. 1 authorize representatives of this city or county ent r 97 � jentified property for inspection purposes.--k+eJeAt d f m,.�Q 4 of Property Owner or Authorized or Authorized Agent's Namiz �IfiW ACTION DATE BY DECLARATION OF COMPLIANCE V✓ LTH CODE OF FOR OFFICE USE ONLY FESERAL• REGUlATXW PART 84 Ok TITLE40 AND 4MD$01I-E4,73: •• PERMITEX'PIRED [] • 1}UQMCLTEO•�IS�EsSTOS.NOTIFICATION TO:. • ❑ • EPA• ❑ AOMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCATION IS NOT APPLICA13LE TO PJ"O'QEDDEMOL ION. PERMIT FINAL CERTIRCATEOF • s •• • SItiN}irtlFlP•,.• OCCUPANCYfSSUEO