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Home My WebLink AboutH2021-0494 - Permits"n*+k City of Newport Beach - Building Division H2O21-0494 MECHANICAL Permit: H2O21-0494 .' _ s 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0366-2021 �.. Permit Counter Phone (949)644-3288 Ci �. r, t d µ��, Inspection Requests Phone (949)644-3255 TIMERS PRO HIRITED Job Address: 212 41ST Rijife A _ PJ r"''� FO R Description of Work: MECH EW HEAT PUMP *TAMPER VR/OOOF CAP C (U InspectorArea:1 Z§dredt If applicable: t Legal Description: CANA SECTION ELK 140 LOT 7 G% 11 J ) NNCOwner: LEWIS BRIAN Contrac4or. Gp I iad€ Address: 44700 VILLAG CT 00 Address. 409 62ND ST Carrier: WESCO PALM DESERT CA NEWPORT BEACH CA 92663 to V`rhOl�Policy No: WWC3520405 Phone: Phone. 714-336-1966 Expire:04107,4022, xw,._ Con State Lc: 879360 Issued Date:08/23/2021 Lic Expire 06022 Bus Lic: BT30 4788 w> Processed By: Lic Exp Daie 01/31�022 $ D e ks �# HVAC Items 6 S FurnacesBoilers IE &Comp ess - V§�t6ltren< € .:x d ® ,y" `� Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP,_ 0$0.00 Bathroom �" `0" $is` i JD pe 1 $0.00 $0.00 pla Over 100K BTU/hr: 0 $0.00 > 3 { 1o+T5 >.• .0 $0.00 Exhaust Fan: 3 %00 jz' j 0 $0.00$0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: � � $0.00 lMe aI11piroace: 0 $0.00 S Heat Pumps & Package L nibs 4p• >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: - .00` v. Up to 100K BTU/hr. 7 22.00 'i50'F1P'------��-6---$6 90 Residential HnodL_D_ 0.00 Additional Fee . $ .00, Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00-- Plan Check: $19.14 Up to 1 M BTU/hr: 0 $D:D'0---uplo-ieK-GFM 0 $O On Rep,air/Alter/Add: 0 $0.00.1 doh jJ:j;, 4 MJ 6NIkIs _ nce: $38.00 Up to 1.75M BTU/hr: 0"$9 8t�ivsr014 CFA.5Q(�;e .S_ upplemental Fee: $0.00 Manufacturer SUBI Over 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. ER -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) ction 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 U all of or U 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 purpose of sale). I, as owner of th' apply to an owner I am exemi By my signature J 3cl' c. �t �ucture t Professions Code, S,gnatµre of Propel LICE;4SED CONt, I I,ere.y affirm mdE. and ^f°ect. I.i;anse Class _ WORKERS' CO am exclusively contracting with licensed Contractors to construct the i [ice sure under the Contr Li e L or the following reason: Lr 1408t"e that, except F r y rs n I r id hich I must have reside, 'save built as an owner Trill be y licens available upon request when this application is submitted or at the following Web site r Owner or Au rized Agent _ r RACTOR'S D CLARATION penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with License No RATION -DECLARATION (Section 7044, Business and Professions Code: The Contractors' State License Law does not _.(bg6t�[1§rtp[,gyrr�„6,Qjhe Cgntractors' State License Law). to completion of thepmpro'vements covered by this permit, I cannot that a copy of the applies* law, Section 7044 of the Business and 7000) of Division 3 of the Business an N1PP'NP FAILURE T SECU 11'rialce PSATION COVERAGE IS UNLAWFUL, AND SHALL'St7CSIECT AN'EMLZL�OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE�IUNO JOCT OF aOMPENS, T �, J E FOR IN SECTION 3Irs OF THE LABOR CODE, INTEREST, AND ATTOPNY's FEES, I I hereby affirm UE I r pc I y ne of the following declarations: I have and,wil ma'nt of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as pro'Nidec performance of thE NMfor which this permit is issued. Policy No. QI have and will aintain wo kers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which nce carrier a d po Icy begs: � s Carrier + P o - e E Iy�t-rl ton Date ._ Name of Agent `°�° r rE... I certify that, in te performance of(IwQnkfob t tS, a it l sued, I shall no o rrtfyyrr rr��qq{{��yyr� n r¢ @s to become subject to the we :hat, if I should be me stl�aject to the workers' comp sati �� ions of Section 00 of the LboCdde; f SRaII'Io�Yi dmply with those provisions. '. ignature of Appli n' t/ IECLARATION dAW61 Ii AGENG — hereby affirm un r penalty of perjury here is a construction lending agency for the performance of the work for which this pe ender's Name Lengdr's Address Insp initials 'y my signature I i ch of the following: " I am the property owner or uthorizad to act on the grope y owner s e-�- I have read this application and the information I have provided is corr�cI. " I agree to comply with all applicable city and county ordinances and ew o building construction. I authorize representatives of this city or cou t o enter th Ide property for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Date is in full force THOUSAND DOLLARS ($100,000), IN ADDITION TO THE by Section 3700 of the Labor Code, for permit is issued. My workers' compensation laws of California, and /-z-> /Z 1 Civil Code). 7( ACTION DATE a DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ ]SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITETENDED ❑ ASBESTOS N017HCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFl CATEOF SIGNATURE; OCCUPANCYISSU€D