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HomeMy WebLinkAboutH2022-0012 - PermitsCity of Newport Beach - Building 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Division H2O22-0012 MECHANICAL Permit: H2O22-0012 Project No : 1518-2020 Inspection Requests Phone (949)644-3255 Job Address: 1951 PORT DUNLEIGH CIR BIdg:1 Floor: Suite: 11 ERS PROHIB1TECD Description of Work: MECH -INSTALL 3 HEAT PUMPS *TAMPER -RESISTANT CAPS REQUIRED ON HEAT f:lappslsharedlpermpluslexeslCor 4� ����� InspectorArea:4 Code Edit: 2019 Legal Description: N TR 7027 LOT 46 seee • Owner: SCHEAR BRIAN & BRITTANY Contractor: PRO WEST MECHANICAL INC Worker's Comp Insurance - e Address: PO BOX 2348 Address: 15431 RED HILL AVE #F Carrier: ACE AMERICAN COSTA MESA CA 92628 TUSTIN CA 92780 Policy No: C68631506 Phone: 714-720-4199 Phone: 714-651-8737 Expire :11 /01 /2022 Con State Lic: 974570 Issued Date:02/22/2022 Lic Expire: 06/30/2022 Bus Lic: BT30051314 c�__�- Processed By: " Lic Exp Date: 05131/2022 ®' ° °° eomoor HVAC Items FEES �• °e°e FurnacesBoilers &Compressors Ventilation e ee 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 $0.00 >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: 3 $66.00 >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: $57.42 Up to 1M BTU/hr: 0 $0.00 up to 1OK 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: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $213.42 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $213.42 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. )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 iten?(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 c`vil penalty of lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 reproved 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 Ipply 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: iy my signatgr&pglow 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 legally ell a structure thati 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://www.leginfo.ca.gov/calaw.html. ;igilfiture of,PropC* Owner or Authorized Agent Date .ICENSED EON-PRACTOR'S DECLARATION ,hereby affirm ender penalty of perjury that I am licensed under provisions of Chapter 9 (commencin wit Section 7000) of Division 3 of the Business and Pro s ode, and my li se is in full force A(Peffect. .. QJc�ryeClas%.' License No _ Date 2`2'7 22 Contractor Signature KERS' COMPENSATION DECLARATION r/R2 WG: FAILtQr.TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($i00,000), IN ADDITION TO THE "i OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. bvk by affirmnd er�penalty of perjury one of the following declarations: I Rave an%xvil 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, Inform ance of�the gvprk forwhich this permit is issued. Policy No. P Rave and �riM mantain 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' compensatior ance carrier and policy number are: ;arrier Policy Number Expiration Date lame of Agent Phone # I certify that, in the performa a of f which this permit is ad, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, iat, if I should becomaZ bje he rker ' com tion s cf SecUocr_12n0_o thp_L_a_bor Code, I shall forthwith comply with those provisions. lignature of Applicant Date 2 ^ -2 — 2 Z )ECLARATION REG DI CTION LENDING AGENCY hereby affirm under penal y perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec'on 3097, Civil Code). .Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop - y owner a If. I have read this application and the information I have rovided' c0r Ct. I agree to comply with all applicable it and c my rdin a arg state laws refzgto�tuilcling construction. I authorize representatives of this city or co ty to nter th o dentified i/opix for ins yet Irposes. lignature of Prooertv Owner or Authorized Aas _ Print Property Owner's or Authorized Agent's Name Y./I �� Dalla 5 zr-�c " S Datq'V ACTION DATE L/ BY UtLXA u I run ur L.VMUruaPric "I r n Uvuc yr FEDERAL REGULATIONS PART 61 OF TIILE40 AND PERMITEXPfRED AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NO77FICATION' TO:. PERMIT CANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPUCABLE TO PERMITFINAL /j PROPOSEDDEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE`.