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Home My WebLink AboutH2021-0599 - EXPIRED; MARKED TO DISCARDCity of Newport Beach - Building Division H2O21-0599 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O21-0599 Project No : Inspection Requests Phone (949)644-3255 Job Address: 2425 SANTIAGO DR BIdg:1 Floor: Suite: IV ' � - - Description of Work: MECH A/C UNIT CHANGE OUT *TAMPER PROOF CAP REQ* ;,.b,ea' . Inspector Area:3 Legal Description: Edit:Code NEWPORT HEIGHTS LOT 287 NWLY 157.50 FT SELY / 1{ aao% of Owner: ZELKENJONATHAN Address: 2425 SANTIAGO DR NEWPORT BEACH, CA 92660 Phone: Issued Date:1011912021 Processed By: O-�r L Con PLATINUM PAI er's Comp Insuranc -' • ;3 ress: 11647 S AVE a r : ST.QT,� �n , C� ADA HILLS C> �, sue` oli 90 354 Phone 818-435-4442 k`� i e :03/14/2022 Con State Lic: 99IA73 ic Expire: 03/jiJ202?-, + 'us Lic: t BT3�S069$72 I Lic Exp Date 11/30/2021 _ "V, --.f ; •' ' -' s i� r �F-. VAC items .; r FEES \\- .; urnacesBoilers & Compressors Ventilation _ �� +,,.r �$M(6' (her p to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 r �i2.00 Bathroom Fan: 0 Fire Da (� WO�k•u0 $0 ver 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: Gas Li e: 0 $0.00 .00 tall/Floor Heaters: 0 $0.00 >15 HP to 30 HP:0 $O.DO 'c F .00 Metal Fireplace: 0 $0.00 eat Pumps &Package Units >30 HP to 50 HP '0 $0.00 Bn. 0 . $0.00 Record Mgt Fee: 00 {1a�S p to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Identi I F iil4a) $0.00 Additional Fee : f0p. 1�i �2stigati 0 ver 500K BTU/hr: 0 $0.00 Air Handling Units Gor(�yy)0 0 $0.00 eck: $19.14 p to I BTU/hr: 0 $0.00 up to 1OK CFM: 0' $0.00 Repair/Alter/Add: 0 $0 odel: D6 nce: $38.00 p to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fe $0.00 Manuf O ver 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.0 Zoning PC: $52.00 TOTAL: $131.14 ann C a : $0.00 Fee Due at Permit Issuance: $131.14 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. 'NER-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 items) :lion 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 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 'essions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved for the eurpoae of sale). 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 1, fd an owne, 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 frog 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 tl .,ell & :,tructure 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 P: DICE slogs Cal i- i-ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html, 9ignanire of Property (Owner or Authorized Agent IJCF.NSED CONTRACTOR'S DECLARATION _ hereby affirm uoaer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with t3ecticr 700 of Division 3 of the Business and effect. �� '79t/3 93 ra -nd effect. Class License No Date f'dLr or Signatun NORKERS' COMPENSATION DECLARATION law, Section Date DARNING: FAILURE TD SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL s ..,,,.s LOVER TO CRIMINAL PEN�l71ES �(J�,I�{PSNP TO ONE HUNDRED THOnUSAN UST'Ce COMPENS-),UN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE I -Al SUIFTER ST, ANDTTORNEV'S FEES. it1 '�,JN1f hereby affirm under penalty of perjury one of the foll, n 0� 4r I have and will maintain a certif consent to self-insur r�ry r eys o ,Issued by the Director o�Il tlC92/i I�eatiolnnss as provided for by Sec erformance of the work for which th permit Is �s(u,�ed. POlicy No. ,�I have and will maintain workers' omp i 1 surance, as required by Section 3700 of the Labor Code, for the perform ( to r which this permit Ist7laIn a carrier d polic umber �.,p,, c t0 :artier ,�olmy Number®( z3 S y Expiration Date lame of Agent Phone # I certify that, in the performance of t . work for whicn this permit Is issy� , 1 S, if I should becom ubject to the �rdce ompen anon prpPiis Sec [nature of Applicant CLARATION REGA DING C NSTR CTI NF qJi, AGENCY T j areby affirm under penalty of perjury th t the is onstaiction lending ider's Name - my signature below, I certify to each ofko fo(fow/ng: - I am the property owner or authorizedct onAhe property owner's behalf. I have read this application and the infation I have provided is correct. I agree to comply with all applicable cind I authorize representatives of this city county ordin s: IQ oun o er ye;' t ACTIDN I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFRATEOF OCCUPANCYiSSUED ersomin any manner so as to become subject to the workers' Code, I shall forthwith: comply with those protipions. r the performance of the work for which this permit is issued Lender's Address _ _ .. ✓ Jv (no Woted rk star 1, bt OF TIRE I SUBMITTED STOS NOTI€ICA77ONIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE., Mir 3OLLARS 15100,0001, IN ADDITION TO THE 3700 of the Labor Code, for th� Issued. My workers' compensation Isa on laws of California, and agrel