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Home My WebLink AboutH2022-0264 - Permitswhr, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ei �'+tira�VMs H2O22-0264 MECHANICAL Permit: H2O22-0264 Project No : 1813-2021 3 . . Inspection Requests Phone (949)644.32;i5.., Job Address: 621 DONALD PL BIdg:1 Floor: Suite: Description of Work: MECH: INSTALL (N) HEAT PUMP "TAMPER RESISTANT CAPS Inspector Area:3 Code Edit: 2019 Legal Description: N TR 10156 LOT 2 Owner: BRENNAN KEVINILISA Contractor: Address: 621 DONALD PL Address: NEWPORT BEACH, CA92663 Phone: Issued Date:05/24/2022 Bus Lic: Processed urnacesBoilers &pressors p to 100K BTU/h10�- 0 0 Ven iom- '.. U P: ' 0 ver 100K BTU/hr: 0 p' .00 > P to-15 HP: 0 Jall/Floor Heaters: 0 $0. >1 P to 30 HP. 0 eat Pumps & Package U _ >30 HP to 50 HP 0 p to 100K BTU/hr Iver 500K BTU/hr 1 0` $ 00 '. 0 HP: ,. ` 0 $ 0 it Hang Units p to 1M BTU/hr. 0 $0. �." u 10K FM: 0 Ip to 1.75M BTU/hr" 0 $0.00 <t� OK CFM: 0 Iver 1.75M BTU/hr. 0 $0.00 � V V _ 0 Lic: /TIMERS PROHI,RttEL (X2021-2094) xxe p NST♦iljl�rf,30N INCD(O jCarrier:,.tV\FRE C 95 BATA ST '31O ORANGE CA 9Mp ;, 714- 3-7848 �// 0'C� Expire 01)0712A23 03/31;i $O.f Eiathroom''Fan: $0.00' Exhaust Fan: 0 p,.a ire 0 in $0,00 Attic Fan. .00 etal Fi $0.00 Down -Draft Fa Record $0.00 Residential Hoo 0 $ .00 Add' Comm. Hood: 0 $0.00 $0.00 R /Alter/Add: $0.00\e lemental Fee: 0 $0.0 Model, 0 M f TOTAL ry',$131. 4� �s`njt Plan C ck Fee i \-k PERMITS EXPIRI Construction Hours: Mo ay - INS CO —�e>) r nal pers: 0 e: 0, 0 $0.00 repli��. Fe $0.00 $0.00 Fqo•: $0.00 Investigation V Plan Check: NTXMSM36A142AA Issuance: rer: MITSUBISHI Zoning PC: Fee Due at Permit Issuance : $131.14 180 DA AF ISSUANCE OR LAST VALID INSPECTION --ri 7 a.m.to 6:30 p.m.and Saturday from 8:00 a.m, to 6:00 p.m. $0.00 $0.00 $0.00 $19.14 $38.00 $52.00 TIP orP HIBITED ON HEAT PUMPS OWNER -BUILDER. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indi ated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5,-buslness and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem fish, or repair any structure, prior to its issuance, also requires the applicant for lot mole than five hJ9dred dollars ($500). the permit to file a s;gned statement that he or she is licensed pursuant the provisions of the Contractors' State License L w (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PrrfPFsons Cedo_ 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 - ❑ I, aF owner of the property, or m employees with wa es as their sole compensation, will do ` P P Y� Y9 P (_) all of or (� portions Af tb work, and the structure is not intended or offered for sale (Section 7044, 3usi„ess and Professirns Code: The Contractors' State License Law does not apply to an owner of property, who, througk ployees' or personal effort, builds or improves the property, provided that the ini--ments are not intended or offered for sale. If, however, the building or improvement is sold wi one year of com tion, the Owner -Builder will have the burden of proving that it was not built or imprrved for the purpose of sale). - F1 I; €s owner of the property, am exclusively contracting with licensed Contractors to const the project (Section 7 v u ess and Professions Code: The Contractors' State License Law does not Ppoly to an owner of property who builds or improves thereon, and who contracts for the ects with a licensed IS tor urs nt to the Contractors' State License Law). n ! aT exempt from licensure under the Contractors' State License Law for the fo mg yeas By my signature below' acknowledge that, except for my personal residence in Ich I TU resid t least one y prio completion of the improvements covered by this permit, I cannot legalh sell a structure that I have built as an owner -builder if it has not been coEstr ed in its ,y,�,�,nrat by li�et�s contractors. I ri rstand t t BE copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is s fed or at, `tollowin�lt<V�k'site: http:// . eginf .ca.gov/c w htm6. Signature of Propx'y O.vner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed, er provisions of Chapt rommencigfg'rWR%i Sec ion 700 ) of ivision 3 of th u ngs r f s o i ense is in full force and effect. �\ -. License Class se No :AloDate Contractor S atu` NORKERS' COMPENSATION DECL TION`\ NARNING: FAILURE TO SECURE WORKERS' C NSATIO OVEERK'GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI SAND CIVIL ES UP TO E RED THOUSAND DOLLARS 1$1 00,000f, IN ADDITION TO THE JOST OF COMPENSATION, DAMAGES AS P IDED FO S ON 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty o rjury one It allowing declarations: I have and will mai a certi ( consent to self -insure for workers' compensatipD, issued by the Directo t al Relations as pro d by Section 3700 of the Labor Code, for thI Irmance of the for which th' ermd Is Issued. Policy No. Yk have an maintain w rs' compensation insurance, as required by Section 3700 of the Labor Code e pe ante of the wor r which V rmit is issued. My workers' compensatior nsuranc me n p umberare % - :arrie Policy Number CX '� 0 t�� tali Jame Age ... Phoge # +.y �` 1I certi that, in t o r hich mil is issued, I shall not plo��ny ersor�e irl any manners s to b $n6a s t to the worker compe ation laws of California, and agree hat, if I sh Id le o th pen-, tl rovisions of Section 3700 f th 'hbor C�iae, I shall forthvyiil5 comp�'a1YRRhh t provisions. Signature of ph a )ECLARATIO REG G CO RU AGENCY hereby affirm u er penalty that a construction I@�aci acing age%cy for the performance of work for is s permit is issued (Section 3 7, Civil ode). .ender's Name #; ' Lender's Addres Sy my signature be w, I c a the following: a. I am the property wner d to act on the r e o er' ehalf. I have read this ap 'catio the informatio I agree to comply wit all applicable city o n in sta e I ating to b 'din nstruction. I authorize representat es of this r c to e ( a an I party Ins ion purposes. li nature of Pro arty Owner r Aut d ent tint Property Owners or Auth rized Agent's Name Gu yr" loll _ _ Da/tev_✓'f/0/`J ACTION ATE OOIECLAPATIONOFCOMPUANCEMTH FEDERAL REGULATIONS PART 61 OFTITLE40AND ❑� SUBMITTED ASBESTOS NOTIFICATION ❑ EPA ❑ AQMD' ❑ ASBESTOS NOTIFICA RON IS NOT PROPOSED DEMOLITION, SIGNATURE. OOEOF TO: PPLICABLE TO FOR OFFICE USE ONLY PERMITEXPMED —�� PERMITCANCELLED PERMITEKTENOED ' PERMIT FINAL CERTIFI'CATEOF OCCUPANCYISSUED