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Home My WebLink AboutH2021-0687 - PermitsCity of Newport Beach - Building Division III�IIIIIIIIIIIIIIIIII�IIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 6 8 7 Permit Counter Phone (949)644-3288 a MECHANICAL Permit: H2O21-0687 Project No Inspection Requests Phone (949)644-3255 Job Address: 21 SAN SOVINO BIdg:1 Floor: Suite: Description of Work: MECH - C/O FAU (SAME LOCATION) Inspector Area:6 Code Edit: 2019 Legal Description: Owner: SANJABI FAMILY TRUST Contractor: BOARDWALK HEATING AND AIR Worker's Comp Insurance - Address: 21 SAN SOVINO - Address: 27271 PRINCIPE ST Carrier: NO EMPLOYEES NEWPORT COAST CA 92657 MISSION VIEJO CA 92692 Policy No: Phone: Phone: 562-841-7089 Expire: Con State Lic: 1029478 Issued Date:12106/2021 Lic Expire: 07/31/2023 �1t-t Bus Lic: BT0074317 Processed By: V ` Lic Exp Date: 02/28/2022 6 iz��Uri HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other ' Up to 100K BTU/hr: 1 $22.00 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 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: $0.00 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: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $60.00 Plan Check Fee : $60.00 Fee Due at Permit Issuance: $0.00 PERMITS EXPIRE 180 DAYS AF•TE9 ISSUANCE,OR LAST VALID Ill' SP.ECTION Construction Hours: Monday - Friday 7:00 a.tn.to ,6*30 p�n:irlpl $aturd0p frEm 8:00 a.m. to 6:00 p.m. e • •• a •. e OP a3 O P 4 •O� G(i• O a t. GG OGO B O O UJ.. O O O (a O - JO O G )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) (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 Drofessions 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 iot 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, 3usiness 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 mprovements 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 mproved 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:/Avww. 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 with Section 7000) of Division 3 of the Business and Profes ' ns Code, and my license is in full force and effect. � License Class l�—Ld License No 0rz S'/7d' Date 17 ../ Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 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: ❑ 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 tht performance 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' rance carrier and policy number are: Policy Number of Agent Date ,c rtity that, in the performance of the work for which th' rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, I should become subje t to the workers' compe a pr IIo"Ds of Section 3700 of the Labor Code, I shall forthwith comply with those provisiipi-s. IDS' L� nature of Applicant Date CLARATION REGARDHO CONSTRUCTION LE DING AGENCY / ereby affirm under penalty of perjury that there is construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code) Ider's Name Lender's Address 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 Ijlave provided is c re t. G I agree to comply with all applicable city and county ordinances d at ws relati o building construction. E7YI�IO I authorize representatives of this city or county to enter the ab a rop y for inspection purposes. i (nature of Property Owner or Authorized Agent �,I Print Property Owner's or Authorized Agent's Name � V ' Date AC7ION DATE Y DECLARATION OF COMPLIANCE tMTH CODE OF FOR OFFICE USE ONLY ' • • • • • F� R ,teEG, J.W101t-%PART 61 OF TfTLE40 AND AQ U&E 14dd3s ' U 7511bMIirFD459E:5TOS NORRFICATION TO:. • ❑ •'cPA ❑ AQMD PERMIT EXPIRED • •• PERMITCANCELLED PERMITEXTEND€D ASBESTOS N07IRCA7I0NIS NOT APPLICABLE TO •YRDPASfRD�oI�7rgN: • e % ' ^SiGMATfJfsE:a c PERMIT FINAL �� j, G.2Z DM- .Got • C€RTIFICATEOF s OCCUPANCYISSU€D _