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Home My WebLink AboutH2022-0181 - Permits.yr•cr� City of Newport Beach - Building Division H2O22-0181 a: 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 {p Job Address: 209 CRYSTAL AVE BIdg:1 Floor: Suite: Description of Work: INSTALL (1) AC UNIT 35.7dB (CARRIER; 38VMB060HDS3-1) Inspector Area:2 Code Edit: 2019 Legal Description: BALBOA ISLAND SEC 5 ELK 6 LOT 24 Owner: SAILHOUSE CRYSTALL LLC Contractor: PRO WEST MECHANICAL INC Address: 209 CRYSTAL AVE Address: 15431 RED HILL AVE #F NEWPORT BEACH, CA 92662 TUSTIN CA 92780 Phone: Phone: 714-651-8737 Con State Lic: 974570 Issued Date:04/05/2022 Lic Expire: 06/30/2022 j 35 Bus Lic: BT30051314 Processed By: Lic Exp Date: 05/31/2022 MECHANICAL Permit: H2O22-0181 Project No : 0953-2021 Inspection Requests Phone (949)644-3255 O M� -M Worker's Comp Insurance - �'M' Carrier: EMPLOYEE SERVICE GRP x Policy No: C69981331 Expire:11101/2022 �y m HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up 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 Over 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 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 100K 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: $19.14 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 38VMB06OHDS31 Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 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: $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. 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 items) (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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Pmfe5rions 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 m provsd for the purpose of sale). I, as owner oft4e 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). �T Kam exempt from licensure under the Contractors' State License Law for the following reason: e , my signaturc 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 elt P pfructure that'I nave 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,is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signatu?e of Property Owner or Authorized Agent ate 12 LICENSED CONTRACTOR'S DECLARATION hereby affirm urder prnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Prof C e, a license i full force and effect. Lioensa Class _ _ License No Date 11 �-2 Contractor Signature W`31RIKERS' COMPENSATION 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 eIonmance byaffirm under penalty of perjury one of the following declarations: Dhave 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 thl pof the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 Gftli� Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are:\ / :arrier Policy Number lame of Agent ]I certify that, in the perform e w ; for Ich this p t Issued, I shall r tat, if 1 should become s ct to the wo rs' compensation provisions o echo ignature of Applicant IECLARATION REGA DIN ON RUC LENDING AGENCY hereby affirm under penalty f ury at there is a construction lending agency for ender's Name I 'y my signature below, I certify to each of the following: I am the property owner or authorized to act on the prl I have read this application and the information I have I agree to comply with all applicable city and count I authorize representatives of this city or cougl a� Date imploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre of the Labor Code, I shall forthwith comply with those provisioonns. Date �erformance of the work for which this permit is issued (Section 3097, Civil Code). ler's Address state laws rel fing to building construction. laofifi rt for inspection purposes. x -1 �les Print Property Owner's or Authorized Agent's Name lam` Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 01 OFTITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA PERMIT CANCELLED ❑ AQMD PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL V11 1 4Z CE,RTIFICATEOF SIGNATURE: OCCUPANCYISSUED