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Home My WebLink AboutH2021-0478 - Permits�w Y City of Newport Beach - Building Division H2O21-0478 c+ d„ 100 Civic Center Drive, Newport Beach, CA 92660 ,h Permit Counter Phone (949)644-3288 S� V; AY Job Address: 4 CHERRY HILLS LN BIdg:0 Floor: Suite: Description of Work: MECH (2) HEAT PUMPS `TAMPER PROOF CAP RECI` Inspector Area:4 Code Edit: 0 Legal Description: N TR 7638 LOT 12 Owner: ANDERSON BUCHANAN Contractor: PRESTIGE BUILDERS Address: 1611 GLENMONT DR Address: 415 30TH ST, STE B GLENDALE CA 91207 NEWPORT BEACH CA 92663 Phone: Phone: 949-566-9133 - Con State Lic: 731545 Issued Date: Lic Expire: 01131/2023 Bus Lic: BT01032001 Processed By: Lic Exp Date: 02128/2022 MECHANICAL Permit: H2O21-0478 Project No : 1088-2020 Inspection Requests Phone (949)G44-3255 Worker's Comp Insurance - Carrier: STATE COMP INS FUND Policy No: 9038275 Expire :01/0112022 e e m.•e m D ee • •me•mo m s • o 0 em e o D .. D o • e e o •• D mmmm m c m •omoo om m . e.•D oommoo m e o m o m •m •mmmmD • m m D mmmmmm •mmD m 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: 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: 2 $44.00 >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 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: MITSUBISHI 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. INER-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 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 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 ly to an owrjerbf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I arg exemptVoV licensure under the Contractors' State License Law for the following reason: ryAgnaturebe loly 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 legally a structure that) 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 fe?,-4ons Code.is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. itfure of Property Qwner or Authorized Agent ate :EMBED OONMCTOR'S DECLARATION Relay affirm un d erpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi ss and rofessio de, and my license is in full force $ffiect. f eW%eClass' " License No Date Contractor Signature QJJ }ERS' COMPENSATION DECLARATION NINy FAILUR$11-0$141.1 RE 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 T OF COMPENSR110N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rebpaffirm s s desreenalty 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 th( ormance of the work forwhich this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Expiration Date of Agent Phone # certify that, in the performs a of ffilAwork for which this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agree hat, if I should become subje t ers' pengsatio rov�lsions of Section 3700 of the Labor Code, I shall forthwith comply with those p vis ns. /9 signature of Applicant ,14 // i•'1T� � �- Dal 9r7 J / �I )ECLARATION REGAV 1 6 &'f�(1�f�N fNG-AGENCY 'T 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 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: ry�� I am the property owner or authorized to act on the property owner's behalf. CrK�r Oes WAv7Tr,1q I have read this application and the information I have proved is correct. I agree to comply with all applicable city and co t inance and state laws relating to building construction. I authorize representatives of this city or coun enter the -identified property for inspection purposes. /� Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Da ACTION BATE BY DECLARATION OF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AIVD AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL CERTIFICATEOF OCCUPANCYVSSUEO SIGNATURE: t� :.y .. x3 • • � • `jam . �tl) �k 2' m Is.�. . i , Ta stool ! too y �.Los . • . .% ". I t.. r • .; s+ a �` • • i ? • i t vX� t � i • i t`01 f „. IT - yyn m - . la5y r7 rg ��a?y{ (r{ w jL I r' KO if C N � F- N4 F w U a U s m o .- ', o a` N N a o w � c m O O N ^ � r O O Z O Q 9V� -w M L- aLU LLI O E Q = x U N W m � ! 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