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Home My WebLink Abouth2022-0041 - PermitsCity of Newport Beach - Building Division H2O22-0041 ' .wy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r"rmasu+ TBJECT TO FIELDCTO'NSPR .FCViTE V4.VFP R,� €Afi MECHANICAL Permit: H2O22-0041 Project No Inspection Requests Phone (949)644-3255 �LI&d�19�I� IPEt AZ, t S Job Address: 1950 PORT CARDIFF PL Bldg:1 Floor: Suite: Description of Work: MECH NEW HEAT PUMP'TAMPER PROOF CAP g� HEAT p q 9�* t Pu REQ` 11PIiaa{P 'SpiE A Inspector AreaA Code Edit: 2019 FOR Legal Description: N TR 6623 LOT 9 Owner: WEST JUSTIN Contractor: DEPENDABLE GRAHAM AC Worker's Comp Insurance- Address: 1966 PORT CHELSEA PL Address: 2952 CENTURY PLACE Carrier : SERVICE AMERICAN NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Policy No: SAMTWC0072800 • '° Phone: Phone: 714-546-1653 Expire:07/01/2022 Con State Lic: 472690 Issued Date:01/25/2022 Lic Expire: 04/30/2022 Bus Lic: BT01013104 Processed By: _ � Lic Exp Date: 12/31/2022 °° ° ° • HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1 OOK 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 1 OOK BTU/hr: 1 $22.00 >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: 24RULXlssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: FUJITSU 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 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. 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 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 not 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, Business 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 improvements 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 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 II, apply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature helm% 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 Sell a structure thaT I'Itave 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 i0roli inns Coft is i� available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. signature of Property (]caner or Authorized Agent Date LR:EASED CONTRACTOR'S DECLARATION I'her€by affirm uryier penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business and Pr fessions Cod ,and y license is in full force jrtdeffeFt. • • • • hlcenBe Class License No Date ��-i` `7� Contractor Signatur I l WCRKf RS' gOMPP'NSATION DECLARATION VPRFR M: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE %W,0g C.OMPENSATTON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I:ieTeby�ffirm Wibeedonalty of perjury one of the following declarations: • • f trsve 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 thI perfo"ance of 3Fie wort 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' compensatior su nce carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for which this permit 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 subc'to thew rkers' cgmpens� provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant\ /y?-rf ii i✓�1�11� Date DECLARATION REGAFAMUG CONSTRUCT109 LENDING AGENCY I hereby affirm under penalty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( action 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county toe r the abovTe�c��feIn`t�ifi�� Appr�operty for inspection purposes. %�' Signature of Property Owner or Authorized Agentky ems[= Print Property Owner's or Authorized Agent's Name C' Reads/ Dat t ,--., AC7ON DATE 1 BY DECLARATION OF COMPLIANCE INITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T17LE 40 AND AQMD RULE 4403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOFFiCARONISNOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL - 'Z, CERTiFICATEO€ 00, SYGNATURE: OCCUPANCYISSUED