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Home My WebLink AboutH2021-0403 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O21-0403 100 Civic Center Drive, Newport Beach, QA 92660 _ H 2 0 2 1 0 4 0 3 Project No: 1991-2020 Permit Counter Phone (949)644-3288 HERS VERIFICATION REQ Inspection Requests Phone (949)644-3255 Job Address: 1921 BAYADERE TER BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (5) F.A.0 & (5) A/C UNITS 39dB,39dB, 42.5dB, 50dB & 46.5dB (BRYANT; 124ANS01800, 024000, 03000, 036000) InspectorArea:2 Code Edit: 2019 Legal Description: N TR 2813 LOT 174 Owner: BURKE WILLIAM Contractor: WE CARE Worker's Comp Insurance - Address: 260 BAKER ST E #100 Address: 41085 GOLDEN GATE CIR Carrier: AIU INS COMPANY COSTA MESA, CA 92626 MURRIETA CA 92562 Policy No: WC 038365657 Phone: Phone: 951-600-0700 Expire :07/01/2022 Con State Lie: 779604 Issued Date:07/08/2021 Lie Expire: 06/30/2022 Bus Lie: BT30038344 Processed By: Lie Exp Date: 02/28/2022 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other - Up to 100K BTU/hr: 1 $22.00 Up to 3HP: 5 $110.00 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 1o0K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $95.70 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK 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 TOTAL: $317.70 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $317.70 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:3,0 p.rr,.and Catufrom 8:00 a.m. to 6:00 p.m. •H° a s® s a �® a o a - WH C30 • V JJ � JJ> Vfi 3u C ® H J e HV Y H ooa •e• e• • ••• •• 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 j 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 applican4to 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 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 err;ployees' or personal effort, builds or improves the property, provided that the improvements 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 improved 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 apply 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). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: I By 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of ivision 3 of the Business and Professions Code, andmy license is in full. force and effect. f ` g License Class License No Date '2 Contractor Si nature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Ir erformance of the work for which this permit is issued. Policy No. �rsr hahave and wil _ aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perk ,nice cam licy number a arrier Polic un�,¢� J lame of Agent ��x ]I certify that, in the performance of t work for which this permit is issued, I shall not employ any person in any manner so lot, if I should becomes bject to th workers' compensation Bction 3700 of the Labor Code, I shall forthwith c ignature of Applicant DECLARATION REG DI ION LENDING AGENCY hereby affirm under penalt perjury that there is a construction lending agency for the performance of the work for which tY 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 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 county ordinances and state laws relati ilding construction. I authorize representatives of this city or county topmer the a -id roperty for inspection purposes. AND CIVIL FINES UP TO ONE HUNDRED THO OLLARS I$100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agre ply with thoseDaprevs. permit is issued (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGUL4TIONSPART 61 OF TTILE40AND ` V IWD f#JIE 1403. , i ,❑ ;UddNl A F+'D'ASBEJT6.S KOTIFICA ION TO: • ❑ ` AQMD i • a ... ' PERMIT EXPIRED PERMIT CANCELLED a • • PERMIT EXTENDED ASBESTOS NOTIACA no IS NOT APPLICABLE TO PROPOSED DEMOLITION. ••i e•a • • +sa • ` PERMIT FINAL❑ CERTIFICATEOF '� OCCUPANCYISSUED .� S1gNATI;RI:-. e' e �o � a