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Home My WebLink AboutH2022-0180 - PermitsCity of Newport Beach - Building Division H2O22-0180 MECHANICAL Permit: H2O22-0180 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0711-2021 Permit Counter Phone (949)644-3288 w ras• Inspection Requests Phone (949)644-3255 1i ti ll L: iJ i �efyl Job Address: 221 SAPPHIRE AVE BIdg:1 Floor: Suite: - Description of Work: MECH/INSTALL (1) AC UNIT 41.95 (CARRIER; 38VMB06HDS3-1) Inspector Area:2 Code Edit: 2019 �..' Legal Description: BALBOA ISLAND SEC 3 BLK 9 LOT 27 M. " Owner: SAILHOUSE Contractor: PRO WEST MECHANICAL INC Worker's Comp Insurance - * C Address: 170 NEWPORT CTR DR #260 Address: 15431 RED HILL AVE #F Carrier: EMPLOYEE SERVICE GRP NEWPORT BEACH, CA 92662 TUSTIN CA 92780 Policy No: C69981331 iM Phone: Phone: 714-651-8737 Expire :11/0112022 ' Con State Lic: 974570 t{:yh pens! C •>> Issued Date:04/05/2022 Lic Expire: 06/30/2022 • , ....' � Bus Lic: BT30051314 ' Z Processed By: JJ Lic Exp Date: 05/31/2022 n AC Items FEES nacesBoilers & Compressors Ventilation Other to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 ;r 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 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0,00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 A Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 FIR 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 ar 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $19.14 to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 RepaidAlter/Add: 0 $0.00 Model: 38VMB06OHDS31 Issuance: $38.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER :r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $131.14 Plan Check Fee : $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. F 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 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 L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Pr„fj�sions 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 am i1 l 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 immproved for thRr nlroose of sale). Li 1, as owner of 1h9 p operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Fappply 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). iJ 1'am, exempt from Iicensure under the Contractors' State License Law for the following reason: By myslgnaturb below', acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally self 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 Coi e, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signatula of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION VPre I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business as _ w U nse is in full force and effect. � �j 2 Z Contractor Signature Y Liuensu Class _ _ , License No Date x /� WORKERS' CC11, YJSATI IN DECLARATION WARNING: 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: �J 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 th( performance of the work 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' compensatior Trance carrier and policy number are: rier olicy Number Expiration Date ne of Agent Phone # certify that, in the perform ce of the rk _ Ich this permit is issue not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree if I should become ssubje t to the pensation provisions of i 00 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant /�. Date Z- Z CLARATION REGARDI C STRU ION LENDING A NCY reby affirm under penal arj at there is a construction lending agency performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop y oWn shelf. I have read this application and the information I have ovide s co rect. I agree to comply with all applicable city and county state laws relat o building construction. I authorize representatives of this city or county to r th bo - ction purposes. nature of Prooertv Owner or Authorized Agent k Print ProoertdOwner's or Authorized Aqent's Name 7x,�f�z'� �121'`�"k "'"' Date _ ACTION DATE UtCLAHAtPUNUh4UMYUAN(-t YVIIHCUULUY FOR OFFNEE USE ONLY FEDERAL REGULATIONS PART 61 OF TIRE 40 AND PERMIT EXPERED AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NORFICATION TO: PERMIT CANCRLEO ❑ EPA PERM4TEXTENDED ElAQMD Ai ❑ ASBESTOS MORFICARONIS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERRFICATECTF 17 OCCUPANCYGSUED SIGNATURE.,