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HomeMy WebLinkAboutH2021-0650 - Permitsf� City of Newport Beach - Building Division H2O21-0650 100 Civic Center Drive, Newport Beach, CA 92660 1, Permit Counter Phone (949)644-3288 Job Address: 894 SANDCASTLE DR BIdg:1 Floor: Suite: Description of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Inspector Area:6 Code Edit: 2019 Legal Description: N TR 6228 LOT 76 Owner: VASQUEZ RAYMOND G Contractor: ANTHONY`S A/C & HEATING Address: 894 SANDCASTLE DR Address: 21610 VIA PEPITA CORONA DEL MAR, CA 92625 YORBA LINDA CA 92886 Phone: Phone: 714-606-3103 Con State Lic: 931551 Issued Date:11/18/2021 Lic Expire: 0913012022 Bus Lic: BT30077265 Processed By: Lic Exp Date: 11/30/2022 MECHANICAL Permit: H2O21-0650 Project No : 2780-2019 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : SIRIUS AMERICA Policy No: WC46340 Expire :0610112022 a :JOil03O m a �a�oao 0 © o o o a �o v � o Ci .3 c3J i�0 C 9 O O G O ®A e 4� a O O O 60000 9 4 0 0 ©�ca m �;,wacc Rry G O � v oa HVAC Items FEES a 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 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A460Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY & NIGHT 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. TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7A.M. 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 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 L) 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 this permit, I cannot legally sell a structure thct 1 hare 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 Co&, is°aRrailabie upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmI. Date ,yrG of Property Owner or Authorized Agent LICENSED COHTR&k,0TOR'S DECLARATION I hrrebS, affirm under penalty ofl perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and e`f�ct. License Ciass _ _ License No Date! I�� _ Contractor Signature FAILURErTQSECP,I COST OF COMPENSAtgO;A,c-JP frII,.. I hereby affirm under per c E,. - 1' haNie and will mWa pCerfprm_z�nce of thQa1worK' ::nao and 41Cl mpinf" nce carrier and p69 me of Agent I certify that, in the pert( It, if I should becomq`shi ignature of Applicant \ iECLARATION REG RDf! hereby affirm under penatt ender's Name I 1'i y my signature below, I ce I am the property owne I have read this applica I agree to comply with I authorize representati tionature of Property OwnE ON DECLARATION KERS' 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 AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. perjury one of the following declarations: -tificate of consent to self -insure for workers' compensation, this permit is issued. Policy No. s' 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' ar are: Policy Number issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th e# Date nce 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 t to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those prov" ' ns. Date' )�2 CONSTRUCTION LENDING AGENCY C 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 Address j to each of the following: authorized to act on the property owner's behalf. and the information I have provided is correct. applicable city and county ordinances and state laws relating to building construction. of this city or coun tolent r t a ove= le property for inspection purposes. r Authorized Agent Print Property Owner's or Authorized Agent's Name Da V ) B Ai nO I �I PERPIVIT. P€QED I PERVd 1TCANCELLED PERt fTEl= D€, I PERMITFINAL ., . . CER77F£ TEOF DOTE o BY DECLARATION OF COMPLIANCEt�1+'PTH CODE OF FOR OFR USEONLY FEDERAL REGULATIONS PART 61 OF T17LE 40 AN Aly.3MD RULE 1403, ❑ I SUBM TTEDASBESTOS N077FICATION TO. ❑ EPA ❑ AQMD` ASBESTOS N07IRCA77ON 19 NOT APPLICABLE TO SIGNATURE.