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Home My WebLink Abouth2021-0386 - Permitsnt,� City of Newpbrt Beach - Building Division IIIIIIIIIII IIIIIIIIII IIIIIIIIIIIIIIIIIIII IIIII III MECHANICAL Permit: H2O21-0386 a# d 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 8 6 Project No : 1444-2020 �, `�, � Permit Counter Phone (949)644-3288 ca, �ay�ycx*.:. Inspection Requests Phone (949)644-3255 Job Address: 29 MONTECITO DR BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (2) A/C UNITS 53.5dB* & 50.5dB* (YORK:YXT48821S) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM InspectorArea:6 Code Edit: 2019 Legal Description: N TR 7844 LOT 71 Cn Owner: STORM KIM & ANNE Contractor: GRAVES M H INC Worker's Comp Insurance - Address: 29 MONTECITO DR Address: 5852 MULLER ST Carrier: OAK RIVER INSURANCE CORONA DEL MAR CA 92625 BELL GARDENS CA 90201 Policy No: MHWC232915 �q Phone: 949-230-5654 Phone: 562-833-3703 Expire:01/01/2022 0 Con State Lic: 241731 Issued Date:06/2312021 Lic Expire: 0313112022 Bus Lic: BT00344 BT30034436 TIMER REQUIRED ON EQUIPMENT 0 Processed By: Lic Exp Date: 04/30/2022 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Di AL; items FEES macesBoilers & Compressors Ventilation . , . , .� Other 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 ar 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $76.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0,00 _ $0.00 ill/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 A Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 ar 500K BTU/hr: 0 $0.00. Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $66.12 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: ar 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $226.37 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $225.37 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:$G p.rw and Sa@urdavyrom„ 8:90 rat. to 6:00 p.m. V 3 W J O •• ®B® • • YG ••� vJ� OWNER -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) (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 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). ❑ 1 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 legall) 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent at LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n 700 of Division 3 of the Business and rofes s Code, and my license is in full force and effect. License Class License No Date Contractor Signal WORKERS' COMPENSATION DECLARATION ., - - - - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION.3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. I hereby affirm under 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 the performance of the work for which this permit is issued. Policy No. have and willp�aiptain workers' nsation insurance, as,)equired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance career G6nd n licv number are: tilt Date of Agent I certify that, in the perforrnanc the or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpe sation laws of Califomia, and agre that, if I should become bject t e w ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov\isio�ns�. / 1 Signature of Applicant Date C f0 0� /��1 DECLARATION REGfRbA-k%NStI!L1CTION LENDING AGENCY I hereby affirm under 5erAlty of perjury that there is 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 prope wner's behalf. I have read this application and the information I have pr ded correct. I agree to comply with all applicable city and county ord' nc nd state laws relating to building construction. I authorize representatives of this city or county o t e e- property for inspection purposes. ,,r�11� �Y Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name //Ae C�/i4, D ACTION DATE BY DECLARATION OF COMPLIANCE INfTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULA TIONS PART 61 OF TITLE40 AND `�• *.4QMLJN6LL14+03. PERMIT EXPIRED + : :•. • �• f SfiBMTiTED ASBESTOS NOTIFICATION' TO:. e� 91 iE4 ❑e AQMD PERMIT CANCELLED .e ... ••• PERA41TEXTENDED ❑ ASBESTOS U07IRCAATION IS IVOT APPUCA13LE TO PROPOSED DEMOLITION. PERMIT FINAL -Iy .ZZ +•• • CERTIFICATEOF • ` • • e • ;SI�N�I�UR� OCCUPANC7'ISSUED i • • • e