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Home My WebLink AboutH2021-0703 - PermitswtYn City of Newport Beach - Building Division H2O21-0703 MECHANICAL Permit: H2O21-0703 i' C+ 100 Civic Center Drive, Newport Beach, CA 92660 -?r Project No Permit Counter Phone (949)644-3288 TIMER REQUIRED ON EQUIPMENT Inspection Requests Phone (949)644-3255 TO SHUT OFF BETWEEN t0 P.M. AND 7 A.M. Job Address: 2396 REDLANDS DR BIdg:1 Floor: Suite: Description of Work: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit: 2019 Legal Description: N TR 3062 LOT 2 Owner: SHAHRZAD NAMINI Contractor: OWNERIBLDR Address: 2396 REDLANDS DR Address: SEE X2021-2247 NEWPORT BEACH, CA 92625 Phone: 425-761-6248 Phone: 425-761-6248 Con State Lic: O/B Issued Date:12/10/2021 Lic Expire: Bus Lic: Processed By: >i, Lic Exp Date: r^x �a a• a a oco• a • a` • Worker's Comp Insurance- ° °a•°e: Carrier: •••aa. • Policy No: °••• Expire: �aaa a •aaae 63a9a aaeaa• ss • a • a •• a a a • s ° c aces• aesaaa • °oae• 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 - Rn n0 Record Mgt Fee: $0.00 Up to 100K BTU/hr. 0 $0.00 >50 HP: 0 $0.00 - M--"-_"" _ 0 Additional Fee $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units It 11 ST 4 , c 0 Plan Check: $19.14 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.01 ll/�^ ) Model: GSX140601KE Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.0( 1 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.0( \ r -tom Zoning PC: $52.00 3 Ln� TOTAL: $131.14 Fee Due at Permit Issuance : $131.14 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. 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 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 and Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyviolationof Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). I I. as owner DI 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 pp4y to an owiWo? P yperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .. Sara exempt front 9censure under the Contractors' State License Law for the following reason: ly my signatur%bVfb I acknowledge that, except for my personal res' nc in which I ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally all astructure that I have built as an owner -builder ifAt has not b cted in i entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 4 of the usine s and 'rofasslons Code is available upon request wh Is appli d Ing Web site:http://www.leginfo.ca.gov/calaw.html. Z /� Z ygnaylre of Prp:p"Qwner or Authorized Agent Data .Il'.gVSED CONTRACTOR'S DECLARAT rd e¢y affirm uAderV natty of perjury that I am licensed under pro Isl S of apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, d my license is in full force fcWE Class License No Date Contractor Signature 00111ERS' COMRIENSATION DECLARATION IARNING: FAILURE.TG SEQURE 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 03POF- OMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm r,nderpenalty 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 the erformance of the work for which this permit is issued. Policy No. I 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' compensation Isurance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work r ' h this per is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become su ct to the woi a ti pr ions of Section 3700 of the Labor Code, I shall forthwith comply with those prov/i�sl/oyrs / Signature of Applicant y Dete1 S 1,Z1110171 DECLARATION REG#qWirbONSTRUCTOWENDING AGENCY k, — f— I hereby affirm under penalty of perjury that ere a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: 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 co my ordina Ss and state s relating to building construction. I authorize representatives of this city c So to an dgnttj' prope y inspection purposes. 9 Signature of Property Owner or Authorized A e l 7 Print Property Owner's or Authorized Agent's Nam //'L Dat J2 I Q ACTION DATE 8 DECLARATION OFCOMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART61 OFTITLE40AND AQMD RULE 1403, PERMIT EXPIRED — ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ASBESTOS PROPOSED DEMOUTION TIONlS NOT APPLICABLE TO PERMIT FINAL l{�� Ot yJ� CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED