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HomeMy WebLinkAbouth2021-0560 - Permits.�� City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O21-0560 o 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 ' 6 0 Project No 0�, Permit Counter Phone (949)644-3288 r"�t+a'natt- :' Inspection Requests Phone (949)644-3255 Job Address: 4 SEASTAR CT BIdg:1 Floor: Suite: Description of Work: MECH - R/R 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED. R/R 2 FAUS. InspectorArea:6 Code Edit: 2019 Legal Description: N TR 14038 LOT 46 Owner: DAFTARIAN PAUL Contractor: ALSO AIR INC Worker's Comp Insurance - Address: 4 SEASTAR CT Address: 29736 AVE DE LAS BANDERAS Carrier: LIBERTY MUTUAL � a_ Ct NEWPORT COAST CA 92657 RSM CA 92688 Policy No: WC2Z61036yES PRE--�®,pA Phone: Phone: 949-589-2021 Con State Lic: 526420 Expire:07/01/2022 HEAT �VIY�PS IY�r Issued Date:09/28/2021 Lic Expire: 03/31/2022 ON Bus Lic: BT30019236 Processed By: Lic Exp Date: 03/31/2022 NS 'E11-R HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 2 $44.00 Up to 3HP: 2 $44.00 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 : $38.28 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 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: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $216.28 Plan Check Fee : $216.28 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR �A;T.VQ%L1D IN ZPEC mI„ N Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.anc�Saturflay fP,otp 8:00 a.rm°.to 6®Od p.m. Fl ° ° ° ° ° o oo ° aao e c oo° a©° o00 DECLARATION I hereby affirm under penalty of perjury that 1 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 tot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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 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 covered by this permit, I cannot legal sell 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://w. .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit tySecti n10l9) of Division 3 of the Business and Professions Code, and my license is in full f e and effect. �j I License Class License No - -, - . Contractor Signature WORKERS' COMPENSATION DECLARATION r' ------ NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THGUSANO DOLLARS I$100,0001, IN)ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 rformance of the work for which 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' compensatioi s rance carrier and policy number are: C ner Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the p ce o e�rkfc,rich this ermit 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 beco wvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date 1� i `-'jl I, DECLARATION REG IN CONSTRUCTIO NDING ENC I hereby affirm under penalty rury that there is idim nding a ncy 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 wing: I am the property owner or authorized to act on the p ners behalf. I have read this application and the information I have provided is correct. 1 agree to comply with all applica ances an ate laws relating to (ding construction. I authorize representatives of this city or county to en a by = 1 Rperkv f r'ias�pe n purposes. C I4 1 Signature of Property Owner or Authorize D Hgent ���--- ` �@rb'a Y Owner's or Authorized Agent's Name ` �JJ�\1a Date ACTION GATE �• 8Y D RATIO OMP CE WTHCOOEOF FOR OFFICE USE ONLY • • • • • F.,E L REGULATI T 61 OF T17LE40AND A( _ LE 1403 • PERMIT EXP7RE0 • . • • I SUBMITTEDASBESTOS M071FICATION TO: • ❑ EPA ❑ AQMD PERMIT CANCELLED • • • PERMiTEXTENDED ❑ ASBESTOS N077FICATION IS NOT APPLICABLE TO -T•ROPOSEDDEMOLITION. PERMIT FINAi 1'}�2.L '; • • • • • CERTIFICATEOF a e a e e• e• e eee eoe oe �G.iATUR€: OCCUPANCYISSUED •eee a e