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Home My WebLink AboutH2021-0531 - PermitsQ City of Newport Beach - Building Division H2O21-0531 MECHANICAL Permit: H2O21-0531 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 6 CORMORANT CIR Bldg:1 Floor: Suite: Description of Work: MECH CHANGE OUT A/C & FURNACE *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit: 2019 Legal Description: N TR 12529 LOT 3 Owner: TAKESH KAMRAN MIRZA TR Address: 6 CORMORANT NEWPORT BEACH, CA 92657 Phone: ra Issued Date:09/15/2021 Processed By: Contractor: NEXGEN A/C INC ers Comp Insurance- Address: 700 N VALLEY Carrier : lAD'FE MN+, ��O?iZN INS CO 28 Policy No: 011502r� 657-208-1987 ��7 xpire `:03/01120 v/0 Or Now ic10111 Con State L: 73 l6 Bus CicJ Ft BT3005550340 t0 Wrt01� Lic Ex D 06 2 }" v I HVAC Items F ' - FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $22.00 Up to 3HP: $ 0ah n: $ 0 pers: 0 $0.00 $ .00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 $ 0 0 $0.00 Gas Line: 0 � $ �� ^ yy $ .00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 P: n: 0 $0.00 Metal Fireplace: ® 0 V.Brq Heat Pumps & Package Units >30 HP to 50 Down -Draft Fan: 0 $0.00 Re t IDS y Up to 100K BTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 010.00 .00 Add iona e i S $0.00 Investigation: $0 0 Over 500K BTU/hr: 0 $0.00 Air Handling U its Comm.00 / irk g�af�ed� Plan Check: $38. 8 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 e t /A �i Model: \1)0'4SX140431KIssuance: $38. 0 I Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM:', .00 menial Oeee�\ $0.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 Sticr UUl) oning 0' (�NOtk 14 .. Insp- ►nitial _ TOTAL: $172.28 Plan 172.28 Fee D Issua its-. PE ITS E FTER ISSUANCE OR LAST VALID INSPECTION TIMERS P�C1'ii� onday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. ON HEAT PUMPS TiR!' R REQUIRED ON EQUIPMENT TO StluT OFF BEn%tEEN 10 P.M. AND 7 A.M. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 ttsg .�Ianoe;. 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 (com -- c Ion 7000) olf 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 Sectioa applicant for a permit subjects tie 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 compere _ all of or (_) portions of the 1!��((oDrk, pQ��ht0eabWie is not intended or offere for sale (Section 7044, iness and Professions Code: The Contractors' State License pply to owner of property who, through empb '1'01 personal effort, builds or i ri; th property, provided that the rovements are not intended or offered for , e bu ing �prc m t i old within one ar-ef completion, the oOwner-Bui19eT vl�l ��bhtbf or ing that it was not built or roved for the pnrnnse of sale). v O V % Or LJ I, as owner of trr property, am exclu (very )fig with Iic ac ors to construct -the 7044, Business and Professions Code: The Contractors' ate License Law does not '.y tU 3n owne- of property who builds r im� re n, and who contracts for the.: projects wipe 87111censed Contractor pursuant to the Contractors' Stet atvj I am exempt `rim licensure under the c Dy :ny s'gnature below I acknowledge tha e: sell a structure that I have built as an own -t Professions Co]-,, i- i-ailable upon reque 3ignitcre of Property Owner or Authorized :::CENSED COI, -TRACTOR'S DECLA ' h^rehy affirm under penalty of perjury that and effect . License Class ✓ ORKERS' COMPENSATION DECLAF PIARNINU: FAILURE TO SECURE WORKERS' COMPEN: COST OF COMPENSA rIJJ DAMAGES AS PROVIDED F( hereby affirm under penalty of perjury one o I have and will maintain a certificate of )erformance of the work for which this permit F ve and will maintain workers' compen surance carrier and policy number are'. me of Agent I certify that, in the erformance of t, if I should bec subject to the nature of Applica ctors' State UcenS I-LaW for the following reason to W110m, ' a on al,fesidence in which I must have resided for at least arli prior to completion of the,Improvements covered y thjs permit, I cannot leg a lit r if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 4 of'the Business and this application is submitted or at the following Web site.http:// w .le info.ca.gov/calaw.htm Lr' Date N licensed under provisions of Chapter 9 (commencing with Section 700 of -vision 3 of the Business and Professions C- e and feIn u11 force ic'n e No -.Date Contractor SI ..■qq� )N g1"NLAWFUL, AND SHALL SUBJECT AN' EMPLOYER TO C -ALTIE5 ANDICIVIL FI1 ; UNP flr ), IN ADDITION TO THE S 3706 OF THE LABOR CODE, INTEREST, AND ATTOR - j��yy f Ilowing declarations: " r ' .q r sent omnsation, iss�ed by tl7e or of ,:rdustnal Relftto��Pe4`5yaetioh o tb bor Code, for thI o y - .._ PTV m in es re cton 3700 of the Labor Code for the performance of the work for whie Mrs' compensatior Policy Number NOr l -"'�7 €'i(pir $rLgyte� •B�S--� kur P #' iit-is 55[IEd,-] shall not employ any -person in. any manner so as c to the workers' compensation laws California, and agre( ion provisions of Section 3700.of_tbe-4- ri.ode, I shall forth mply w+th those prpWsions. :reby affirm ull penalty of perjury that there is � ider's Name my signature below, I certify to each of the follow( I am the property owner or authorized to act on t I have read this application and the information I I agree to comply with all applicable city and crotw�'' I authorize representatives of this city or countyv of Prooertv Owner or ACTION DATE RWE !tion lending agency for the'perfoemance Lender's Address )ro.owner's behalf re provided is correct. ordinances ant;4tate laws relation to-buildino PERMIT EXPIRED PF MITCANCELLED PERMITEXTENDED PERMIT FINAL AQMD RULE tt ❑❑ P SuBi EPA A OCCUPANCYISSUED I I �— I I SIGNATURE: I which this permit is issued �ction.- ses. ; tv Owner's or Authorized Agent's Nan IPLIANCE WITH CODE OF VS PART 61 ST�OS NOTIFICATION T OT APPLICABLE TD action 3097, Civil Code). 1 Inn mod) AAM, D F 1 VFFICE USE ONLY lnsp• initi—