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Home My WebLink AboutH2022-0325 - Permits�gwiq f City of Newport Beach - Building Division H2O22-0325 MECHANICAL Permit: H2O22-0325 'p 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2187-2018 ? Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 333 HOLMWOOD DR Bldg:1 Floor: Suite: , Description of Work: MECH: INSTALL (3) HEAT PUMPS **TAMPER RESISTANT CAPS REQUIRED; TIMERS PROHIBITED** (X2019-0547) InspectorArea:3 Code Edit: 2019 Legal Description: N TR 1136 LOT 15 - - - Owner: ATKINS JEFFERY S Contractor: 20TH CENTURY AIR INC Worker's Comp Insurance - Address: 333 HOLMWOOD DR Address: 4061 E LA PALMA AVE #A Carrier: INS OF THE WEST -"- NEWPORT BEACH, CA 92663 ANAHEIM HILLS CA 92807 Policy No: WSA5038606 _ • - Phone: Phone: 714-514-9426 Expire :12/1812022 - - Con State Lic: 511598 Issued Date:06/2712022 Lic Expire: 06/3012023 T Bus Lic: BT30054933 - Processed By: t3J Lic Exp Date: 05/31/2023 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: 3 $66.00 >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: $57.42 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AUD36W/A-Dlssuance: $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: $213.42 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $213.42 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 PROHIBITED ON HEAT PUMPS )WNER-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 ie 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 '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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 sr.; ,ut 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 , rpose of sale). 1 1, es owner Y t:iJ property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner rf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 I arn exempt`.om licensure under the Contractors' State License Law for the following reason: ly my signature-belev' 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 legalh III 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 'rof�^sions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ;ionature 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 Section 7000) of Division 3 of the Business and Professions a and my license is in full force nc' effect. x icense Class License No Date / ` �Q:'�] i2Z Contractor Signature VORKERS' COMFENSATION DECLARATION ARNING: FAILURE': C SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby a m under penalty of perjury one of the following declarations: I e and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erf mance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: le of Agent certify that, in the performance if I should become subject to, Iature of Applicant Policy Number Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio`ns.s. Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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' shelf. I have read this application and the information I have provided i Tract. I agree to comply with all applicable city and county ordinance state laws relating to building construction. x e I authorize representatives of this city or county to enter the a entified property for inspection purposes. �� / � nature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMO RULE 1403. PERMIT EXPI RED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL - CERTIFICATEOF SIGNATURE: OCCUPANCYfSSUED