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Home My WebLink AboutH2021-0626 - Permitsx� City of Newport Beach - Building Division - IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O21-0626 d' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 6 2 6 Project No: Permit Counter Phone (949)644-3288 - ) G. !�. Inspection Requests Phone (949)644-3255 tS h Job Address: 5405 SEASHORE DR BIdg:1 Floor: Suite: Description of Work: CHANGE OF CONTRACTOR: SFR MECH (2) ROOF MOUNTED HEAT PUMPS [SAMSUNG AMU481XMDCH]AA] (35.7 DBA & 40.8 DBA) H2O19-0500 *HIGH DENSITY FORM REO* Inspector Area:1 Code Edit: 2019 Legal Description: OCEAN FRONT TR BILK 54 LOT 3 �� .0000• Owner: WELSH DAVb/STACY Contractor: MAYO MECHANICAL INC Worker's Corm] ICJFrQE'WEt'FTRUCTE9*N®10C: Address 5405 SEAHO DR - Address: 33392 CORAL REACH STREET Carrier : INS G`a j'fl §'F L'� 70C• NE+(3fA.b 6Ed1C2663� Phone: �; ! Phone: D NO li CA 92629 Policy No: WSD5052341 •e•••• . 944=.'!&$,R# Expire :01/01/2022 Con State Lic: 4725921 . . aau�a• Issued Date:11/03/2021 Lic Expire: 04/3012023 ON THE WEEKEND Bus Lic: BT30019941 Processed By: Lic Exp Date: 07/31/2022 . 00000• HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 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 $0.01 -15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Ffreplpce 0 $0.00 Heat Pumps &Package 1+1 >3Q to 50 HP 0 $0.00 Down -Draft Fan: 0 $�CQO AMgtFee^` ?w' $0.00 Up to 100K BTU/hr: 0 $0 >50O: 0 $0.00 Residential Hood: 0 $0)Oa ALAal Phe $38.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $0.00 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 lqM -vef' 0�%0: mvul Plan Check Fee ,�, �'i ByO';"' S`- , @Duet Permit Issuance : $90.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LASI•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. ✓NER-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) :ction 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 Iessions 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 U 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 )roved 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 )ly 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 legallt I a structure tDLI JVle 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 rfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. .r"ure of Property Owner or Authorized Agent Date TENSED 05AT iAiCTOR'S DECLARATION 4feb%pffrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 7 0) of Division 3 of the Business alielic 's in full force i EFr2ct. enso Class . License No Date Contractor Signature JRI4ERS' COMP'fNSATION DECLARATION QAIR6: FAILURBTCSECNRE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH USAND DOLLARS( ), IN ADDITION TO THE $J Q%COMPENSAYIOA,,*DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. o4yaffirm und✓'r penalty of perjury one of the following declarations: I have and sill 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 th fs"ance of the work for which this permit is issued. Policy No. and vAl'IT9 carrier and of Agent workers' compensation insurance, as required by S ction 3700 of the Labor Code, for the performance of the work for which this permit is issued number are: Policy Number . O Expiration Date My workers' ]I certify that, in the performance of the worlilifor7lilich this permit shall not employ any person in any manner so as to become subject to the workgggrrrsss' com nsation laws of California, and agre lat, if I should become subject to the %v m of r v' ions n 37 of the Labor Code, I shall forthwith comply with those provisions.�� ignature of Applicant Date /�\." IECLARATION REGA DING CONSTRUC N ING A ENCY hereby affirm under penalty of perjury that there is a construction lending a y for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pr wner's bah If. I have read this application and the information I hav rovide is correct. I agree to comply with all applicable city and county or ' ance and st t ding construction. I authorize representatives of this city or county to enter b d ction purposes. `/,� ionature of Propertv Owner or Authorized Agent Int Property Owner's or Authorized Agent's Name X � ' `� Date % ACTION DATE 9EVMRATION OF COMPLIANCE MTH CODE OF FOR DITICE USE ONLY &IDEPAL REGULATIONSPART61 OF TITL E40AND AQMD RULE 1403. PERMIT EXPI RED ❑ I SLIBMITFEDASBESTOS NOAFICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIACAnON IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED