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Home My WebLink Abouth2022-0318 - Permits9City of Newport Beach - Building Division H2O22-0318 A, 100 Civic Center Drive, Newport Beach, CA 92660 •. _ ,1, �; Permit Counter Phone (949)644-3288 ��tbY)4�a MECHANICAL Permit: H2O22-0318 Project No Inspection Requests Phone (949)644-3255 Job Address: 2746 HILLVIEW DR BIdg:1 Floor: Suite: Description of Work: MECH: R/R HEAT PUMP & FAU IN ATTIC. **TAMPER RESISTANT CAPS REQUIRED; TIMERS PROHIBITED** InspectorArea:6 Code Edit: 2019 Legal Description: TR 8787 LOT 3 UNIT 28 28P 28D OF PROJECT LOCATED ON AP +• ®•` 458-551-10 ea•• C9B2 • �fCG3• Owner: HUBERT ROBERT & SIDSEL Contractor: SELECT HOME IMPROVEMENTS ®pj Worker's Comp Insurance - i y Address: 525 EL PASEO DR Address: 1220 E FEE ANA ST Carrier: AMERICAN CASUALTY CO.READINGPA •••f v CORONA DEL MAR, CA ANAHEIM, CA 92807 Policy No: 624868905 = Phone: 0 Phone: 800-379-4745 Expire:06/21/2023 • -v. �•=g Con State Lie: 1041382 °`• PTa1T Issued Date:06/24/2022 Lie Expire: 0713112024 • G f �:. Bus Lie: BT30079091 .0.•9. Processed By: Lie Exp Date: 06/30/2023 a' • `> ^09 G? P 5 i B a0i a - y • TY4G HVAC Items - FEES Furnaces Boilers & Compressors Ventilation Other Up to IOOK 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 Fah: 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: $32.19 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 1 $15.00 Repair/Alter/Add: 0 $0.00 Model: 4A6H6042HIssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMERICAN STD Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $159.19 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $159.19 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. S WNER-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) iection 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 rofessions 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 Jt 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, usiness 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 iprovements 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 iproved 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 pply 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 exemptfii Iicensure under the Contractors' State License Law for the following reason: y my signaturb i;eJ,ry4'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 IegaII) all 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 rofessions Cocli is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Jgna}ure of Pfopeii Owner or Authorized Agent Date ICEMED CONTRACTOR'S DECLARATION ndreffcy a mljul dgr•I natty of perjury that II am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P o s' n Co , a 'cense is in full force iGen'se Class Zy License No 104 �� " Date'" 0 27 -contractor Signature VORYeERS' COMRENSATION DECLARATION ... '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 DOLLAR 0,000 , bt-e %COMPENSkTIO1 ,pAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm-dpg& Fhnalty of perjury one of the following declarations: 10I t=iave 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 ance ofWg wojk for which this permit is issued. Policy No. BL have and will maintain workers' compensation insurance, as required by Section 37000 oftheLabor Code, for the performance of the work for which this permit is issued. My workers' compensatioi Is nce arner and policy number are: (Zc V 6O (OJ 6 1- 1 /Z.. 3 :arrier'iA'A1 «��%�Policy Number Expiration Date lame of Agent — Phone # — certify that, in the performanc 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 . if I should become subject 4e Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'Signature of Applicant DECLARATION REGARDING C TRUC 10 E ENCY I hereby affirm under penalty orpedury that there is a nst coon 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 county In es and sta ws relating to building construction. 1 authorize representatives of this city or county to e'�rto tllr��fffppp ve-I ti d pr erty for inspection purposes. V Signature of Prooertv Owner or Authorized Agent X 0 � - /7� Print Property Owner's or Authorized Agent's Name � K Cw�+Ci �i Date ACTION HATE / BY s�ZW&W , wGf.S`.AR—T,..,,........-.., ..... ............_.,.._. RAL REOULARONSPART b'I OF TI7LE40 QND PERMITEXPIRED AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: PERMITCANCELLED ❑ EPA PERMITEXTEPID€D El AQMD. ❑ ASBESTOS MOTFRCATIONIS NOT APPLICABLE TO PERMIT FINAL "1 . -2.Z PROPOSED DEMOLITION. CERTIFICATE OF . sfcNArtIRE: OCCUPANCYISSU€D