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Home My WebLink AboutH2022-0003 - PermitsCity of Newport Beach - Building Division III III �111111111111111111111111111111111111111111 MECHANICAL Permit: H2O22-0003 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 0 3 Project NO : 0517-2021 + , n Permit Counter Phone (949)644-3288 TIMER REQUIRED ON EQUIPMENT Inspection Requests Phone (949)644-3255 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Job Address: 4801 SURREY DR BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (2) AC UNITS 52.5dB* & 49.5dB (YORK YCG18-36GKB) *TIMER REQUIRD ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM Inspector Area:5 Code Edit: 2019 ds Legal Description: N TR 3519 LOT 43 Of Owner: NOUBAR OUZOUNIAN Contractor: C C C C HEATING & AC INC Worker's Comp Insurance - Address: 453 SEAWARD RD Address: 606 E LINCOLN AVE Carrier: CHUBB NEWPORT BEACH CA 92625 ORANGE CA 92665 Policy No: 000071772565 Phone: Phone: 714-637-7021 Expire :11/1112022 Con State Lic: 451863 Issued Date:01/04/2022 - Lic Expire: 01/3112024 Bus Lic: BT30029124 Processed By: -- Y VM V.Y Lic Exp Date: 09/30/2022 HVAC Items FEES Furnaces Boilers & 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: 2 $78.00 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 : $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $67.86 Up to 1 M BTU/hr: 0 $0.00 up to 10K 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: $235.86 Plan Check Fee : $235.86 Fee Due at Permit Issuance: $0.00 PERMITS FXPIRF.180 DAYS AFTER ISSIdAgI,.G OR LAST VALID INSPECTION Construction Hours: Mcnc.ay ,Fridai 7. OQ &m.to* 6:317V.m.and Saturday from 8:00 a.m. to 6:00 p.m. 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 construa alter,: improve, demolish, or repair any structure;prior to its issuance, also requires the applicant for the permit to file a signed statementthat 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 (_)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 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 yearof completion, the Owner-Buiioervnil have the burden of proving that it was not built or im roved for the purpose of sate), 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 Lawdoes not apply to an owner of property who builds or improves thereon, and who contractsdorthe projects witha licensed Contractor pursuant to the Contractors' State license Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: 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 legal) 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.govfcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession ode, a d my license is in full force and effect. .,j(J License Class License No Date w+ + Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL . FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the fallowing declarations: 131 have 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 Cade, for th performance 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 Cade, for the performance of the work for which this permit is issued. My workers' rance carrier AMftollcy numbepsoa: li umber Expiration Date orADent + Phone#_ I certify that, in the performance oft?* work 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 that, if I Signature of should becomeant su ect to th rke mpensa o visions of Section 3700 of the Labor Code, I shall forthwith comply with those p ovisions. /+ q� DECLARATION REGA DI-YT INGGCONSTRUCTIONLENDING AGENCY - ,,YY I hereby 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). Lender's Name Lender's Address By 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 d stale laws relating. to building construction. I authorize representatives of this city or cou ty t ' ant ve-id arty for inspection purposes. / % Signature of Property Owner or Authorized Agent Print.Property Owner's or Authorized A ent's Name \ ACRON DATE BY DEC16QM TIGN OF COMPLIANCE WITH CODE OF FOROF17CEU5EONLY FEDERA( REGULA17ONSPART61OF TII LE40ANO AQMDRLI4 14114. - - PERMITEXPIRED ❑ / sue I � U ASSET I+7S NGTIFiCA770K TO: ❑ APMO ASBESTOS M07IRCA770M IS NOT APPLICABLE TO PROPOS DDEMOUTIO PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTrFICATEOF OCCUPANCYISSUED SiG U