The URL can be used to link to this page

Home My WebLink AboutH2022-0215 - PermitsCity of Newport Beach - Building Division_'H2O22-0216 MECHANICAL Permit: H2O22-0215 100 Civic Center Drive, Newport Beach, CA 92660 Project No F. v Permit Counter Phone (949)644-3288 Irr ma '',,.J Inspection Requests Phone (949)644-3255 Job Address: 20171 BAY VIEW AVE BIdg:1 Floor: Suite: Description of Work: MECH: INSTALL (2) A/C UNITS @ REAR YARD. "TAMPER RESISTANT CAPS REQUIRED" Inspector Area:3 Code Edit: 2019 Legal Description: N TR 1507 LOT 9 Owner: FARAH FARZIN Contractor: OWNER/BLDR Address: 20171 BAY VIEW AVE Address: FARAH FARZIN & FARHAD NEWPORT BEACH, CA 92660 CIS FORM ATTACHED Phone: 714-791-9200 Phone: 714-791-9200 Con State Lic: CIS Issued Date:04/26/2022 Lic Expire: '`� Bus Lic: �{_ Processed By: 4 Lic Exp Date: Worker's Comp Insurance - Carrier: Policy No: Expire : "- 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: 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 100K 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: 4AC16L36P-50A Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK 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: $235.86 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $235.86 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. 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 Iicensure 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 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 year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 19 1, 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: 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 Signature of Pro , is Owner or Authorized t Agent X _.�,,.., submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 1'Jo,es,ions CUue„is available upon request when t �s appliG ion is }(' 9 p >' 9 _ 7�c,, .,/ - Dot!! 7_2— LICEESED COYTRACTOR'S DECLARATI N-�— I hereby affirm Lndei penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Licea;e Class _ _ _ License No Date Contractor Signature JJJr<KERS' h:OR4PENSATION DECLARATION tiARMAG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CO^.T nF. 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 mPintain 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 the 3oftrinance of the wo,k 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' ranee carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the 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 should become subject -to -the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision . Signature of Applicant X _ �. Date d=� 2& 7-Z DECLARATION REGAR ING CONSTRUCTION LENDING AGENCY 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 and state laws relating to building construction. I authorize representatives of this city or county too tt the above -identified -property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Date --Ai L(r 2 �- - ACTION DATE BY DECLARATIONOF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQ DRULE 1403, PERMITEXPIRED 7 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERA4IT EXTENDED ❑ ASBESTOS N077RCA77ON IS NOT APPLICA13LE TO PROPOSED DEMOLITION. PERMIT FINAL . CERTIFICATEOF SIGNATURE: OCCUPANCYfSSUED