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Home My WebLink AboutH2022-0145 - PermitsCity of Newport: Beach - Building Division III 1111111111111111111111111111111111111111111111 d 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 1 4 5 Permit Counter Phone (949)644-3288 sT Job Address: 1951 SANTIAGO DR BIdg:1 Floor: Suite: Description of Work: MECH 92) NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit: 2019 Legal Description: N TR 4710 LOT 6 Owner: CNQST LLC Contractor: Address: 1951 SANTIAGO DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:03/16/2022 Lic Expire: c� Bus Lic: Processed By: V Lic Exp Date: ATLANTIC AIR CONDITIONING INC 1142 S DIAMOND BAR BLVD #825 DIAMOND BAR, CA 91765 626-239-8189 613226 03/31 /2023 BT30077427 12/31/2022 MECHANICAL Permit: H2O22-0145 Project No : 2536-2021 Inspection Requests Phone (949)644-3255 • • ° • noac an • . Worker's Comp Insurance - ° •• Carrier: STATE COMP. nn • Policy No:1797840 YOVY._Y 9 •°y• Expire :12/01/2022 m •nnn. n® n n a a • . .. 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: 2 $44.00 >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: $3&28 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AUD60WA21ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.28 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. LDER 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 the 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 Professions 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 not 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 Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thrOL improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c ,improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section A apply to an owneP 8?ftperty who builds or improves thereon, and who contracts for the projects with a licensed Contre •� � am exempt Iron licensure under the Contractors' State License Law for the following reason: By my srgnaturf b@lo*J acknowledge that, except for my personal residence in which I must have resided for at least c sell a structure tftat # have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. prd%sstons Codepis available upon request when this application is submitted or at the following Web site:http://www.l Signature of Property Qwner or Authorized Agent SCENSED MIQTRFCTOR'S DECLARATION hereby affirm upVer�penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi ectionf700 hl"l�ct. . . . tcvnse Class' *' License No Date IRIERS' COMPENSATION DECLARATION NINE: FAILURE TGrSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL JDF COMPEN94-noN!DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �gbfr affirm d'nde Peenalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire 'ormance of the work for which this permit is issued. Policy No. work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the ion, 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). e year prior to completion of the Improvements covered by tms permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business y\� Pro , ions Code, and my license is in full force 1/ Contractor Signatur ,LTIES 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 and will maintain 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' carrier and policy number are: i A _ „ _ Policy Number l me of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any It, if I should become subject to the workers' c9wpWsation provipions of Section 3700 of the Labor Code, I shall of Applicant hereby affirm under pe,ialty of perjury that there is a construction lending agency for the performance of the work foi 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 property owner's behalf. I have read this application and the information have provided is correct. I agree to comply with all applicable city and unty rdinances and state laws relating to building construction. I authorize representatives of this city or co n he ove- Ified property for inspection purposes. signature of Property Owner or Authorized Age T Print Property Owner's Date 10( C(2?" so as to become subjeciftope workers' compensation laws of California, and agree i comply with those prov si ns. Date 6 ��- i this permit is issued (Sect n 3097, Civil Code). Authorized Agent's Name �¢ S Cli-rtu� 0 3rDate ACTION DATE BY DECLARATION OF COMPLtANCEWITH CODE OF FOR OFFICE US€ONLY FEDERAL REGULATIONSPART 61 OF TITLE40 AND AQMDRULE4409. PERMIT EXPIRED ❑ I SUBMffTFEDASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERIVrITCANCELLED PERMIT EXTENDED ASBESTOS NO77RCA OPOSED DEMOLITION RON IS NOTAPPLICABLE TO PROPOSED PERMIT FINAL O CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED