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Home My WebLink AboutH2021-0246 - PermitsCity of Newport Beach - Building Division IIIIIIIIOIIIIIIIIIIIIIIIIIIIIIIIIIidlllllllll11 MECHANICAL Permit: H2O21-0246 ' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 2 4 6 Project NO Permit Counter Phone (949)644-3288 HERS VERIFICATION REQ Inspection Requests Phone (949)644-3255 m� Job Address: 2024 GALAXY DR Bld :1 Floor: Suite: sy5 P ( I ) EQUIPMENT TO SHUT OFF BETWEEN & TAM Description of Work: MECH/CHANGE OUT E F.A.U., INSTALL A/C 51dB* (LENNOX; ML14XC1 *TIMER REQUIRED ON Inspector Area:3 Code Edit: 2019 Legal Description: N TR 4224 LOT 11 > y „• p� /� �f � • Owner: MAHAFFEY DOUGLAS/JOANNE Contractor. 1 O �/ �tker's Compinsurar�cQ-,; Address: 2024 GALAXY DR s: 5 VA kR [ r :roeo- ERWGi AlWi RICAN NEWPORT BEACH, CA 92OW !P-el-No SAMTWC0041100 Phone: Phone: 4-695 61 Expire :10/01/2021 �Sf C n late Lic 445 20 s; Isi- aj"?vj� °• �� Issued Date:04/09/2021 * Lic Expire 0 , 0 LO P J Lic: 4�, Processed By: 1�4di Li ' xp "S-z,�,"i gay IM � � ., HVAC Items It, 103�11 FumacesBoilers S Compressors Ventilati�' her c PHP: Up to 100K BTU/hr: 1 $21.00 Up t' 3H Bathroom Fan: 0 $0.00 Fire ampers: $0.00 Over 100K BTU/hr: 0 $0.00 > 3 t$38.00 Exhaust Fan: 0 $0 a af Li $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 'F�P t$0.00 Attic Fa 0 $0. 0 et Grp ce: p vied) $0.00 Heat Pumps B Package Units >30 to 50 HP 0 $0.00 Dow °,q*�k 0 $0. ecoj V9t�jeds'+t° S�$0.00 Up to 1 OOK BTU/hr: 0 $0.00 >50 H H si e�tI. is 8d: 0 $0.00 AdditiAf Fee : $0.00 In io $0.00 Over 500K BTU/hr: 0 $0.00 Air Ha i:dli _V.IS . - � ' truk od: 0 $0.00 51.33 Up to 1M BTU/hr. 0 $0.00 up to 1t�K C 0 $0.00 vJi�r/Add: 0 $0.00 Model: Issuance: Up to 1.75M BTU/hr. 0 $0.00 Over 1 M: 0 �$'�1 Supplemental Fee: $0.00 c urer: }tlt Over 1.75M BTU/hr. 0 $0.00 VAV Bo 0 $0.00 ��1n oning PC: $46.25 TOTAL: $193.58 zR l't f - PIS eel: Fee eat Permit Issuance: $193.58 ti J PERMITS EXPIRE 180 DAYS AFITA ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7.00 a.m.to 6.e80 p.wt.and Seture3ay fr�aira 5:00 a.m. to 00 p.m. . .. "®� ®� IMIERS PROHIBITED TIMER RE0 MRE6'.0`l'EQWIPMENTa BEAT PUMPS o . fA.M. TO SHUT OFF B�T;N 1. 0 P.. .. ... IWNER-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, alsarequires the applicant for is 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 ofthe 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 (_) all of or U portion of the work, and the structure is not intended or offered for sale (Section 7044, Business 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7g44, 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). lam exempt from Iicensure under the Contractors' State License Law for the following reason: y 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, 1 cannot legal 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:[Aw .leginfo.ca.gov/calaw.html. 'ignature 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 Sectio 70- O). of Division 3 of the Business and Professions Code, and my license is in full force nd effect. icense Class 'ARNING: FAILURE TO SECURE WON DST OF COMPENSATION, DAMAGES DECLARATION (�LI�I i� �. 7 (I MPERSAIRON COVERAGE IS LAWF , aNO sHALL BJECT AN EMPLOYER TO CRIMINAL rlW4�.}�gs�NB �qE+FINES UP TO ONE hereby affirm under penalty of Jerjury one of the following declarations ] 1 have and will maintain a ertiff nt to ure �w��Or cpfl& ued by�le Direc erf mance of the work for whi thit is ued. olicy No. r � ..'- •... rP�t2r�_____ FIN and will maintain wor IS'nsa ` ins s. Ire�b',+.Se �n nth` fir' isurance carrier policy nu - P :arrier I �,'oii& Number lame of Agent m A7 3 certify that, in the pertonnan oft f hich it � su ^1 Il t 1r;[t ad (SBi on, an a iat, if I should became subject t the pens 'i iy f coon D f thl a e f, 'signature of Applicant IECLARATION REG/{ DI S RUCTION LENDING AGENCY hereby affirm under p'i=nalty of 1ju that ere is a construction lending agency for the performance of the work for enders Name I rider's Addre ly my signature below, I certtble I.th oil g� @ �3 eLX s 1 am the property owner 10 pmpserfq wnersV eh It. / 1 have read this applicationormation I �f 'I �d�d'' R , , 1(' o I agree to complywithallity and coudfdirianCeS and state laws relating to building construction. I authorize representativeor cou enter t e-identified property for inspection purposes. signature of Property Owner Agent Print Pro e 3 8001/0 or ❑ 100 o r>doLsnd ii of Industrial Relations as provided for by &ectio ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for week-forwfiich-thlsperrhit is ;issued. My workers' itioIT Date.. so as to become subject to the workers' I r comply with those prow nns. n� ...fi.141 this permit is kssued (Section 3097, Civil laws of California, and iV»,7 D atA- ' AC7LON GATE K &Y DECLARATION OF COMPLIANCEIMTtd: ffVMCE USE ONLY ' • {g NU Q,fD E14Ii_..,j,.. _.. _. .. -t- ..,w-. dav-�. PERMIT EXPIRED ,. • ... :.,r .:I�LgMI ftSMSTOS NQ7IFICA1ION TO:. • EPA ❑ AOMD ❑ ASBESTOS N07IFICA710NIS NOT APPLICABLE TO PRBPOS€�iDOL�NON. i PERMITCANCELLED 10�• PERMITEXTENDED PERMIT FINAL CERTIFICATEOf •: '•,. .. ',51GrI71T( i•.. o., OCCUPANCYISSU€D 00 00 • ••e e'oo'