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HomeMy WebLinkAboutH2021-0137 - PermitsCity of Newport Beach - Building Division III 11111111 IN111111111111111111111111111111` 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 1 3 7 Permit Counter Phone (949)644-3288 Job Address: 1601 HARBOR CREST CIR BIdg:1 Floor: Suite: Description of Work: MECH (2) NEW A/C UNITS *TAMPER PROOF CAP REQ* Inspector Area:6 Code Edit: 2019 Legal Description: TRACT NO 7247 LOT 21 AND POR ABAND STR (HARBOR CREST CIRCLE) Owner: VISTA PARK PROPERTIES LLC Contractor: RC A/C & HEATING Address: 6 SHADE TREE LN Address: 169 N MAPLE ST STE D IRVINE CA 92603 CORONA CA 92880 Phone: Phone: 951-735-8046 Con State Lic: 657924 Issued Date:02/11/2021 Lic Expire: 06130/2021 15y'JJ�y Bus Lic: BT30066849 Processed By: v Lic Exp Date: 04/30/2021 MECHANICAL Permit: H2O21-0137 Project No: 0829-2020 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE COMP Policy No: 1354374 Expire :07/0112021 m a ® �> a mommmm a ° , m aaa° m ° • m o • m •em o moammm . m ° a o ° °am • aaaooe maoas HVACltems FEES am. FurnacesBoilers & Compressors Ventilation Other ° Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $O1.OT� ° a m Over 100K BTU/hr. 0 $0.00 > 3 HP to 15 HP: 1 $38.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 ° m " ... m $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: $51.33 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AOVE-36/48CN1M1 Issuance: $37.00 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: $46.25 TOTAL: $193.58 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $193.58 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:TIMERS PROHIBITED 161 INER-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) action 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 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 Ifessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, >iness 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 )rovements 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 Proved 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' Stale License Law does not Ply 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: 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, 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 ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.m.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date TENSED CQN";NCTOR'S DECLARATION ;reby affirm untlgillIenalty, of perjury that I am licensed under provisions of Chapter 9 (commencin wi Section 7000) of Division 3 of the Business n Prof i ode, an 11 WSRS'COMPELSATION DECLARATION s� is in full force faffeet. • •• ense Blass • • License No Date / Contractor Signature RNIN& FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT OIP-COMPENS?k?I&1,PbtMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. :reby affirm under penalty of perjury one of the following declarations: '1•11ave and wih maiwtain 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 f&Mance 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 arld poDcy number are: Agent Policy Number Expiration Date Phone # certify that, in the performance of the work forPl4ch t s 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, I, if I should becol a Iubjec t orkers' an tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi 'o nature of Applicant - Date " l CLARATION REGAF Md CONSTRUCTION LENDING AGENCY rreby affirm under pe ialty"of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S ti n 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 I have provided is correct. I agree to comply with all applicable city and co ty ordina�Sndstate laws re o building construction.I authorize representatives of this city or cou o enta entified p for inspection purposes. A I /j -_ jj , n- - � inature of Pronertv Owner or Authorized Agent I /i t Property Owner's or Authorized Agent's Name I y'j!i[7y(t;yyL[, l�l�l " ACDON DATE PERMIT EXPIRED PERMIT CANCELLED PERA41TEXTEFJDED PERMIT FINAL I —11 - 2 CERTIRCATEOF OCCUPANCIfISSUED FEDERAL REGULATIONSPART 61 OF TTILE40ANO AQMD RULE 1403. ❑ ISUBMITTEDASBESTOSNORFICATIONTO. ❑ EPA ❑ AQMD ❑ ASBESTOS M07IRCA nONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: