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Home My WebLink AboutH2021-0697 - PermitsCity of Newport Beach - Building Division H2O21-0697 MECHANICAL Permit: H2O21-0697 d 100 Civic Center Drive, Newport Beach, CA 92660 Project No: a = i Permit Counter Phone (949)644-3288 c7: Inspection Requests Phone (949)644-3255 Job Address:2301 CHANNELRD BIdgAFloor: Suite: Description of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ*� ,;. Inspector Area:1 Code Edit: 2019 Legal Description: N TR 518 BILK E LOT 20 ° Owner: STJOHN ROBERT M & SANDRA L Contractor: NEXGEN A/C INC Worker's Comp Insurance - Address: 2301 CHANNEL RD Address: 700 N VALLEY ST STE K Carrier: OLD REPUBLIC GEN INS CO NEWPORT BEACH, CA 92661 ANAHIEM CA 92801 Policy No: AlCWA0011502 °• ° Phone: - Phone: 657-208-1987 Expire:0310112022 ° °° • A °°°°' Con State Lic: 1011173 zr o Issued Date:12/09/2021 Lic Expire: 02/28/2022 Bus Lic: BT30055503 °• • ° ° Processed By: Lic Exp Date: 06/30/2022 9 V 0 0 J°°°:i 41 ° 0 0 Val°N HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K 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 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: $19.14 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AULD60W21ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $131.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $131.14 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. 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 prgoerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). r•9+s"exempt immiwensure under the Contractors' State License Law for the following reason: gy my signature Wow= 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 SeTIa AWcture that,] 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://w .leginfo.ca.gov/calaw.htmi. Signature of Propeity*Qwner or Authorized Agent Date MC MSED CONTRACTOR'S DECLARATION 6W%bv affirm q t ; penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business an.d,4poaes on e, as CS8 n�my key€ s n full force 3RtiPi�t,••e License Class . License No Date Y Contractor Signature NORKfRS' COM?EVSATION DECLARATION 9WCSN,G: FAILURE TOSEWRE 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 OSTb•;OMPENSP,TION, gAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Re4e•tly affirm M? 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. 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 of Agent Date I certify that, in the performance 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 agree It, if I should become ubject to th erkers' compensation provisions 3700 of the Labor Code, I shall forthwith comply with those provisions. Inature of ApplicaniQ Date :CLARATION REGAAD08TCIN§JRMTION LENDING AGENCY ereby affirm under penalty bfpVffury that there is a construction lending agency for the performance of the work for which this permit is issued (Sect) n 3097, Civil Code). rider'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 I have provided is correct. I agree to comply with all applicable city and county ordinanc and state la o wilding construction. I authorize representatives of this city or county enter t ied property for inspection purposes. Inature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGUL4TIONSPART bB OF TITLE40AND AQMD RULE t403. PERMITEXP{RED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMfT.EXTENDED [3 ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOUTION. PERM{iFINAt CERTIFIC4TEOF SIGNATURE: OCCUPANCYISSUED