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Home My WebLink AboutH2022-0213 - PermitsCity of Newport Beach - Building Division H2O22-0213 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 M �>"'_^` � ! � �^ °'"'•- " - MECHANICAL Permit: H2O22-0213 Project No Inspection Requests Phone (949)644-3255 Job Address: 960 GARDENIA WAY BIdg:1 Floor: Suite: Description of Work: MECH: REPLACE A/C UNIT @ REAR YARD. "TAMPER RESISTANT CAPS REQUIRED-4IR FURNACE Inspector Area:6 Code Edit: 2019 Legal Description: N TR 12245 LOT 16 .3 Owner: CAMPBELL VIRGINIA Contractor: MCMASTER HEATING & AC INC Worker's Comp Insurance - > - Address: 960 GARDENIA WAY Address: 2 MCLAREN #C Carrier: HARTFORD > CORONA DEL MAR, CA 92625 IRVINE CA 92618 Policy No: 72WECZU8138 �- Phone: 949-760-1635 Phone: 949-481-7995 Expire :0210212023 ; Con State Lic: 726607 Issued Date:04/2512022 Lic Expire: 12/3112023 {� Bus Lic: BT30041972 Processed By: 'J3 Lic Exp Date: 01/31/2023 HVAC Items FEES Other FurnacesBoilers & Compressors Ventilation 0 $0.00 $0.00 Up to 100K BTU/hr: 1 $22.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $39.00 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 10oK 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: $53.07 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 24VNA6)48)lssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over I OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $204.07 Plan Check Fee : $204.07 Fee Due at Permit Issuance : $0.00 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. UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(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 (_) 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 improved for the purpose 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 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, I cannot legally sell a structure th,.t 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 's evailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. SinnahorH of Proo.=.rty Owner or Authorized Agent Date LICENSED C614 RACTOR'S DECLARATION I hareb/ 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 71de, and my license is in full force and effect. 4 / LirensP Class _ License No Date x5// /ZZ— Contractor Signature V'IOPYERS' COMPENSATION DECLARATION iC C'o41II'Ir: FAILURE TO SSCPRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$10D,000), IN ADDITION TO THE COST OF UOMPENSA'i Q.4, DAMAGES As PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. 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 D,?!fnrmance of the work for which this permit is issued. Policy No. �7 i@r.e and w:ll 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 nsurance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which 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 agre, if I should become subject tothewo kkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provistioons. / lature of Applicant Date �A? (22� I 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). Lender's Name Lender's Address By 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 and state laws relating to building construction. I authorize representatives of this city or county Jtto/enter th e' EF roperty for inspection purposes. �, ./y�� Signature of Property Owner or Authorized Agent ?( � Print Property Owner's or Authorized Agent's Name./ �M• w�l f /4 r 'Date ✓/�/ ACTION DATE BY DECLARATION OF COMPLIANCE IMTH CODE OF FEDERAL REGULA TIONS PART 51 OF TITLE40AND AQMD RULE 1403, ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N077FICA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERM7C4NCELLE0 PERMIT EXTENDED PERMIT FINAL CERTPCA TE OF OCCUPANCYISSUED