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Home My WebLink AboutH2022-0208 - Permits,�I f City of Newport Beach - Building Division 1II11111111111111111111111111111111111111p111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 0 8 ` - Permit Counter Phone (949)644-3288 ct Job Address: 1 CREST CIR BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (1) ROOF MOUNTED A/C UNIT 41.5dB AC PRO; AULD36W2/A-D) Inspector Area:6 Code Edit : 2019 Legal Description: TR 8406 LOT 1 UNIT 1 OF PROJECT LOCATED ON AP 458-311-04 TOGETHER Owner: GROSS DAVID Contractor: ABC HEATING AND A/C Address: 2651 KIPLING ST #3704 Address: 306 COLLEN PL HOUSTON TX 77098 COSTA MESA CA 92627 Phone: Phone: 949-756-0064 Con State Lic: 940181 Issued Date:04/22/2022 - S Lic Expire: 11/30/2023 Bus Lic: BT30043258 Processed By: Lic Exp Date: 03/31/2023 ac Items FEES 'nacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 ;r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 It Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to I OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Ir 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O22-0208 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: STATE FARM Policy No: 92GOG2871 Expire :0912412022 Fire Dampers: - Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee: Model: Manufacturer: $0.00 $0.00 $0.00 $0.00 $0.00 Issuance TOTAL: $131.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance PERMITS EXPIL'Ee189 ' 4YS AZTEA 4SSUA�GE O--;AST VALID INSPECTION Construction Hours: Monday: F.riaap 7 oaa}n to;6."30,p.$n..an?! Saturday from 8:00 a.m. to 6:00 p.m. . .°° ..° .. ° a 0) U rei 0 A 0 v J Other $0.00 $0.00 Investigation: $0.00 Plan Check: $19.14 $38.00 Zoning PC: $131.14 $52.00 IWNER-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 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 of more than five hundred dollars ($500). 7 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, Iusiness 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 nprovements 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 nproved 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 exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell 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 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 Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ns Code, an -my lice a is in full force nd effect. 2 2 _Z 2 icense Class License No Date Contractor Signatyt r n VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certficate 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 erfgFinance of the work for which this permit is issued. Policy No. and will,Lnaintain workers' compensation in;,ttrance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Number of Agent Date I certify that, in a performance o?Ve 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 ss 'ject to wo/�S�ers' co e��nnss"afiionn, p/rg4islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant X l jJ" ""' A DECLARATION REG4KRO1NG CONSTRUCTION LENDING AGENCY I hereby affirm under penalty 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 property owners 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 to ent the b�rty for inspection purposes. Signature of Property Owner or Authorized Agent Pint Property Owner's or Authorized Agent's Nam AC77ON DATE I BY DECLARATION OF COMPLIANCE WTN CODE OF FOR OFFICE USE ONLY FEI3M0I4QGULANQNS7*RT Q OF TJTV40AND AQMB RULE'1403. PERMIT EXPIRED ❑ d SU&IJTI!DAS1?EgTDS 74017�ATION TO: ❑ EpA ❑ AQMO ❑ ASBESTOS M077FICA770N IS NOT APPLICABLE TO PROPCJE6T}r.M(I>!j1Q&.. .•. •:•. 0 • : : : .• •• S7GNAtUkE-. •e 's PERMITCANCELLED PERMITEXTEVOED PERMITFINAL ,ti'�,r)B4 CERTIFICATFOF V OCCUPANCYISSUED . a a o o' e e• a e.