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Home My WebLink AboutH2021-0648 - PermitsCity of Newport Beach - Building Division H2O21-0648 MECHANICAL Permit: H2O21-0648 islow 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0422-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 24 SANDY COVE Bldg:1 Floor: Suite: Description of Work: MECH (2) NEW HEAT PUMPS `TAMPER PROOF CAP REQ* i Ii A CT c.s �`4, d �q !.- InspectorArea:5 Code Edit: 2019 Legal Description: N TR 15445 LOT 12 Owner: MAD NEVADA TR Contractor: AIR MAX INC Worker's Comp Insurance - _ Address: 24 SANDY COVE Address: 27260 LOS ALTOS #123 Carrier: STATE COMP.INS 7 NEWPORT COAST, CA 92657 MISSION VIEJO CA 92691 Policy No: 9170882 Phone: Phone: 626-468-9999 Expire :12/0812021 Con State Lic: 1015725 ... - Issued Date:11/15/2021 Lic Expire: 07/31/2022 Bus Lic: BT30065145 Processed By: Lic Exp Date: 11/30/2021 HVAC Items FEES Other Furnaces Boilers & Compressors Up to 100K BTU/hr: 0 $0.00 Ventilation Up to 3HP: 0 $0.00 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 $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: $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 0 $0.00 $0.00 Down -Draft Fan: Residential Hood: 0 $0.00 0 $0.00 Record Mgt Fee: Additional Fee : $0.00 Investigation: $0.00 Up to 100K BTU/hr: Over 500K BTU/hr: 2 0 $44.00 $0.00 >50 HP: Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $38.28 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 25HPB61ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER Zoning PC: $52.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit issuance: $172.28 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. LDINSPF.CTUF:9,'°E$ PROHIBITED ,1Ji3iCEVILLW DAPPROVAI. ON HEAT PUMPS v ��,� vuuILVLR VGV LgRMI IVIN I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) [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). 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, 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 Iicensure under the Contractors' State License Law for the following reason: By my signatura Le;r,w 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 Iegall, sell 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 ?rcf.:usions Cod= is available upon request when this application is submitted or at the following Web site:http://www,leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date L.ICENSED CONTRACTOR'S DECLARATION I hereby affirm !,nder penalty of 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 :.nit affect. Lic€re Class, _ License No r4�4S�! 2 5 Date ��. Contractor Signature /CF\KERS''SGI!1PENSATION DECLARATION 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 (§100,0001, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hbreb4 affirm •miter 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 the )g¢Qrmance of ll.e wu,4 for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: Policy Number of Agent Date I 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 iat, if I should become lect to��y the workers'' compensation provis ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant �,�_ Date Al/ t/1 —zo Z% IECLARATION REGARDING ONSTRUCTION LENDING AGENCY p� 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). ender's Name Lender's Address ly my signature below, I certify to each of the fallowing: 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 coun t enter the bove-id Ife r any for inspection purposes. .n ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Print r. G Date ACTION DATE BY DECLARATION OF COMPLIANCE KgTN CODE OF FEDERAL REGULATIONS PART fig OF TITLE40 AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATIONIS NOTAPPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCftLED PERMIT EXTENDED PERMIT FINALl �'�-Z... CERTIRCATEOF OCCIPANCYISSUED