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Home My WebLink AboutH2021-0684 - Permits�wro*T City of Newport Beach - Building Divis"ion II�IIIIIIIIIIIIIII�IIIIIIII MECHANICAL Permit: H2O21-0684 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 6 8 4 Project No : 2185-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 502 VIA LIDO NORD Bldg:1 Floor: Suite: Description of Work: MECH - INSTALL 2 ROOF TOP A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED Inspector Area:2 Code Edit: 2019 Legal Description: TR 907 LOT 493 ALL -EX NWLY 40 FT - Owner: SNELL MARK & TERI Contractor: Address: 2865 S RABBIT BRUSH LN Address: JACKSON WY 83001 Phone: Phone: Con State Lic: Issued Date:12/03/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: COMFORT HEATING & A/C Worker's Comp Insurance - 21962 COSALA Carrier: WIC EXEMPT MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) 714-335-7055 Expire 632774 12/31/2021 BT30005700 08/31/2022' �� 1 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other $0.00 Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $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: 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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: RXTQ36TAVJU Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAIKIN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.28 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. OWNER -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 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 1lmyproved for the purpose of sale). LJ 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). ❑ 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, 1 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.htmi. 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 7000) of Division 3 of the Business and Professions ZCo, and my license is in full force and effect. /License Class License No D�.�{q_ _%fir Contractor Signatur / g, 4/�i9 � WORKERS' COMPENSATION DECLARATION I ✓DARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 Code, for thi performance of the work for which this permit is issued. Policy No. 1JI 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' compensatior insurance carrier and policy number are: Policy Number Expiration Date )f Agent '// Phone # tify that, in the performance of the work for w IGr� 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 agree I should become subject to th/e worrkkers' co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n G�,, /j 9 ire of Applicant i 7�/ /�/ Dato/ 1)2- � 2 7 f� 1 1OATInM QGrARnIM�4TT In nu I FMniMr A M V V7 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). 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 nd state laws relating to building construction. 1 a` �• //I I authorize representatives of this city or county tqA9neythe a ove-identifjed prope4 for inspection purposes. �, j js 4,&Z/I//_M - ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1401 PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED O OASBESTO M 077FIC�A77ON IS NOT APPLICABLE TO SIGNATURE: L — _ PERMIT FINAL L CE,4TtPCATE OF OCCUPANCYISSUED