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Home My WebLink Abouth2022-0065 - PermitsCity of Newport Beach - Building Division H2O22-0065 100 Civic Center Drive, Newport Beach, CA 92660 -V Permit Counter Phone (949)644-3288 Job Address: 115 41ST ST Bldg:1 Floor: Suite: Description of Work: MECH (2) NEW HEAT PUMPS "TAMPER RPOOF CAP REQ' Inspector Area:1 Code Edit: 2019 Legal Description: RIVER SECTION BILK 41 LOT 21 Owner: OVERFELT SHEA & BRENT Contractor: PRO WEST MECHANICAL INC Address: 1919 PORT PROVENCE PL Address: 15431 RED HILL AVE #F NEWPORT BEACH CA 92660 TUSTIN CA 92780 Phone: Phone: 714-651-8737 Con State Lic: 974570 Issued Date:02/08/2022 Lic Expire: 06/30/2022 Bus Lic: BT30051314 Processed By: Lic Exp Date: 05/31/2022 MECHANICAL Permit: H2O22-0065 Project No: 0304-2021 Inspection Requests Phone (949)644-3255 Ito .•.•• • Worker's Comp Insurance - O • 0i 6 Carrier: ACE AMERICAN •�° ..... •• Policy No: C68631506 • Expire:11101/2022 ••a®�o y••° 9 • 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 I OOK 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: CARRIER 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. DECLARATION e. 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 items) (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 Divisigv 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). 1, as owne6 QNtka property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not gpplya an ownekpf 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 exergpt froriLlicensure under the Contractors' State License Law for the following reason: By my signaturebtloW 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 se9a%tructure tDat 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 Cpde•, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. SAneture of -Property Owner or Authorized Agent ate QCENSED CO°NTRACTOR'S DECLARATION hereby affRrn.un5gr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and(r26 Code, and my lice a is in full force a`n'd effect. ' Cittense Class License No Dat 2— _ L 2 Contractor Signatur WORKERS' �E)iVIPENSATION DECLARATION W/,` NING: FAR.6RE W SECURE 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 BOST OF COMPEN^%VON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby of i udder penalty 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 th, performance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date me of Agent I certify that, in the pi It, if I should become (nature of Applicant 1 this permit is Is ed, I shall not employ any person in any manner so as to become subject to ation ProvisimA of Section 3700 of the Labor Code, I shall forthwith comply with those provisic of Via, and a 2-IE� Z I hereby affirm under Pena o ryt there is a construc Ion lending agency for th— a pine orrnance of the work for which this permit is issued (Sec Io 0'9 Civil Code). V Lender's Name Lender's Address By my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the pr y owner's behalf. I have read this application and the information I ha pro is correct. I agree to comply with all applicable city and coun ord n -s an to elating to building construction. I authorize representatives of this city or county en r e above-identi roperty for inspection purposes. %� // Signature of Property Owner or Authorized Agent rmt Property Owner's or Authorized Agent's Name Ar 3 ll' ✓uav°I-*S Dat 2f 8 2Z ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPARTflt OF T17LE40AIIVD AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITFEDASBESTOS NOTLFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXfENDED ❑ ASBESTOS N07IRCATIONIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERMiTFtNAL Z CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED