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Home My WebLink AboutH2022-0308 - Permitsr City of Newport Beach - Building Division H2O22-0308 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u ray i a MECHANICAL Permit: H2O22-0308 Project No : 0128-2021 Inspection Requests Phone (949)644-3255 Job Address: 26 ROYAL SAINT GEORGE RD BIdg:1 Floor: Suite: Description of Work: MECH: INSTALL (4) HEAT PUMPS **TAMPER RESISTANT CAPS REQUIRED; TIMERS PROHIBITED** Inspector Area:4 Code Edit: 2019 i . Legal Description: ING... TR 7323 LOT 23 ° i .. Owner: WALKER MICHAEL Contractor: RANCHO VIEJO A/C & HEATING Worker's Comp Insurance - os a Address: 418 ORCHID AVE Address: 22596 COTTONWOOD CIR Carrier: NORGUARD INSURANCE CORONA DEL MAR CA 92625 LAKE FOREST CA 92630 Policy No: RAWC2322712 Phone: 949-280-7633 Phone: 949-212-4870 Expire:0110112023 eaci i.,6i Con State Lic: 745018 Issued Date:06/21/2022 Lic Expire: 11/30/2023 Bus Lic: BT30031040 ...... i Processed By: Exp Date: 03/31/2023 -Lic oa aac.i• s i a .2i3 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to IOOK 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 1OOK BTU/hr: 4 $88.00 >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: $76.56 Up to I BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 226CNA&224ANS Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: BRYANT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $254.56 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $254.56 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. TIMERS '-FIKOHIBITED DWNER-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, 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portionslof the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner otovproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7 144, Business and Professions Code: The Contractors' State License Law does not apply to an own��gf pfaperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 'a JI gWeexempt Vgwjticensure under the Contractors' State License Law for the following reason: By my signaturebAo w f acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure Mat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and P,rofle5@i$ns Code, is available upon request when this application is submitted or at the following Web site:http://www.lelginfo.ca.gov/calaw.html. Signature of Proytrtu Owner or Authorized Agent Date 4IOEJrJ8ED CONTRACTOR'S DECLARATION j Ih Herebyy affirm urger penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions nd my license is in full force and'e'ffect. L'INh%@ Class _ License No Date (p 2\.� Contractor Signature 0WRIMS' COMPF_AISATION DECLARATION ING FAILURE T{ASECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P�NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE r+ BBOMPENSATION FDAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. by affirm under peslalty of perjury one of the following declarations: .. have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direct of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, rmance of the work for which this permit is issued. Policy No. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol ance carrier and policy number are: 3r Policy Number Expiration Date of Agent Phone # certify that, in the performance of the ;$, j�rHvhich this permit is issued, I shall not employ any person in any , if I should become subject to the woi s' pensation provisions of Section 3700 of the Labor Code, I shall 'signature of Applicant \ — IECLARATION REGARDING CONSTRPCTION LENDING AGENCY hereby affirm under penalty of perjury)hat there is a construction lending agency for the performance of the work I 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 I have provided GO Ct. I agree to comply with all applicable city and county ordinances to laws relating to building construction. I authorize representatives of this city or county to enter the ab ntified property for inspection purposes. 'ignature of Property Owner or Authorized Agent 2 Print Property Owner so as to become subject to the workers' compensation laws of California, and agree i comply with those provisions. Date^ I Zt� 2Z this permit is issued (Section 3097, Civil Code). lG 1VK .1 pate �0 AC77ON DATE by DECLARATIONS OF COMPLIANCEIMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULA TIONS PART 6? OF TITLE40AND AQMDRULE 9403. �, PERMITEXPtRED ❑ I SUBMITTED ASBESTOS N077FICATIOIV TO: ❑ EPA [I AQMD ❑ ASBESTOS M077FICA170MIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. PERMIT CANCELLED PERMITEh'TENDED PERMIT FINAL 2 'y3 CERTIFICATEOF OCCUPAPICYISSUED