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Home My WebLink AboutH2021-0638 - Permitsv r� City of Newport Beach - Building Division III 111111111111111111111111111111111111111111111 is 100 Civic Center Drive, Newpur3 Beach, CA 92660 H 2 0 2 1 0 6 3 8 ?; n, Permit Counter Phone (949)644-3288 s3, Job Address: 824 HARBOR ISLAND DR BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL_(2) NEW A/C UNITS 40.5dB & 41dB (YORK; HMH7203615 & HMH72DB2415) REVISED 12/02/2021 InspectorArea:2 - Code Edit: 2019 Legal Description: N TR 3867 LOT 4 Owner: KENNEY WILLIAM J Contractor: DEPENDABLE GRAHAM AC Address: 824 HARBOR ISLAND DR Address: 2952 CENTURY PLACE NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone: Phone: 714-546-1653 Con State Lie: 472690 Issued Date:11/08/2021 Lie Expire: 04/30/2022 ^„ ^ Bus Lie: BT01013104 Processed By: Lie Exp Date: 12/3112021/2021 MECHANICAL Permit: H2O21-0638 Project No : 1248-2021 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : SERVICE AMERICAN Policy No: SAMTWC0072800 Expire :07/01/2022 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: 1 $39.00 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: $53.07 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK 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: $52.00 TOTAL: $204.07 Plan Check Fee: $204.07 Fee Due at Permit Issuance: $0.00 PERMITS EXPIRE 190 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. s� auw c:, c a ce o ao )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 he 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). 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, lusiness 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). 1, 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 pdor 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Iw .leginfo.ca.gov/calaw.html. lignature 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 Pr ions Code, an license is u11 force nd effect. .icense Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION rARNING: 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 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 thi erformance of the work for which this permit is issued. Policy No. have and will . tain workers' co nsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation rance carrier an cZ,y number ar . ,\ ier Py NExpiration Date ie of Agent ^ u r Phone # certify that, in the erformance of the Ark 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 if I should become subjec t workers' compe I provision f Section 3700 of the Labor Code, I shall forthwith comply with those provlslo lature of Applicant ^ , Dat e 2- �l ereby 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). 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. 1 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 tdXnter. . ove joenti?o propply for inspection purposes. 1\ z /- _ A AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1AW. �• PERA41TEXPIRED p d St/BMInDASBESTOS NO77F1CATION TO:. ° `L} EPA : ❑ •. AQhFD PERMIT CANCELLED ° • • • • • PERMiTEXTENDED • • '� A58ESTOSNOi7ACAT70NISNOTAFPL/CAa TO PROPOSED DEMOLITION. oco PERMITFINAL ° i CERTfFICATEOF OCCUPANCYISSU€D _ StON/'.TURt:.- - - � s•• se a*°