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Home My WebLink AboutH2020-0720 - PermitsCity of Newport Bea... -.Building Division IIII�III�IIIIIIII�IIIIIIIIII�IIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 7 2 0 Permit Counter Phone (949)644-3288 Job Address: 1821 SABRINA TER BIdg:1 Floor: Suite: Description of Work: MECH (4) NEW HEAT PUMPS *TAMPER PROOF CAP REQ* N HEAT €9U @t pS Inspector Area:2 Code Edit: 2019 Legal Description: N TR 2813 LOT 114 Owner: BOMHOF STACEY Contractor: Address: 1821 SABRINA TERR Address: NEWPORT BEACH, CA Phone: 949-675-6820 Phone: Con State Lie: Issued Date:12/08/2020 Lie Expire: r �' Bus Lie: Processed By: Lic Exp Date: SEASIDE A/C AND HEAT ING 32959 CALLE PERFECTO UNIT C SAN JUAN CAPISTRANO CA 92675 949-496-3639 736214 08/31/2022 BT30018420 01/31/2021 MECHANICAL Permit: H2O20-0720 Project No: 1628-2018 Inspection Requests Phone (949)644-3255 J°DDGD D Worker's Comp Insurance - Carrier: INS CO. OF THE WEST Policy No: W VE5049609 Expire:07/21/2021 . . 9P D D . DD• o G@GGD6 0 • D D D HVAC Items FEES FurnacesBoilers & 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 $0.00 >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: 4 $84.00 >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: $73.08 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $240.33 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $240.33 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. 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 items) 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 fessions 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 (_) portions siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throul )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc )roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70 Ay to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra( I am exempt -from Rcensure under the Contractors' State License Law for the following reason: my signature Beloved acknowledge that, except for my personal residence in which I must have resided for at least or 4%%lucture t1y3t I yPve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Aessfons Coft,,i5 atailable upon request when this application is submitted or at the following Web site:http://www.le mature of Property Owner or Authorized Agent .`6AI9ED CO11TRACTOR'S DECLARATION wetly affirm ynrfer penalty, of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 700( 4_ff , .... t T , , n Class • • • License No zRS' COMPENSATION DECLARATION Date VING: FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL oR rOMPENS �TION.QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 'eby^affrm &WVFp&alty of perjury one of the following declarations: have and vAll- Ma' tain a certificate of consent to self -insure for workers' compensation, issued by the Dire( ANance of iheavcrk for which this permit is issued. Policy No. the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot iderstand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and ofessions Code, and my license is in full force CL Contractor Signature 1LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for they performance of the work for which this permit is issued. My workers' rance carrier and policy number are: ier Policy Number Expiration Dale ie of Agent certify that, in the pertorma99ppe of the work if I should becomeNsylbje.7c the worms issued, I shall not employ any person in any 1s of Section 3700 of the Labor Code, I shall nature of Applicant i CLARATION REGA DIN ONSTRUCTION LENDING AGENCY ireby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for 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 my ordinances and eves relating to building construction I authorize representatives of this city or cour toe r the e-id�tified. property for inspection purposes. so as to become subject to the workers' compensation laws of California, and agre, I comply with those pro i ons. Date I this permit is issued ( ection 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE WTH CODE OF FOROFRCEUSEONLY FEDERAL REGULATIONS PART 01 OF TI-ILE49AND AQMD RULE 1401 PERMITEXPIRED ❑ ISUBMiTfEDASBESTOSNOAFICATIONTO: ❑ EPA' ❑ AQMD PERMIT CANCELLED PERMITEXTENDED [I ASBESTOS NOURCATIONISNOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED