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H2022-0020 - Permits
City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 100 Cwt: Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 2 o, Hermit Counter Phone (949)644-3288 W. MECHANICAL Permit: H2O22-0020 0 Project No Inspection Requests Phone (949)644-3255 Job Address: 6 SORRENTO CT BIdg:1 Floor: Suite: Description of Work: MECH CHANGE OUT() A/C UNIT 55dB* (CARRIER; 24AAA524A003) *TIMER REQUIRED TO SHUT OFF BETWEEN 10PM & 7AM Inspector Area:6 Code Edit: 2019 q^� Legal Description: TRACT 14772 LOT 8 OF PROJECT 935-34 LOCATED ON AP 478-051-28 Owner: TRAN PETER Contractor: AIRPLUS OF CALIFORNIA INC Worker's Comp Insurance - �] i Address: 6 SORRENTO Address: 411 LEROY DR Carrier: FALLS LAKE FIRE NEWPORT BEACH, CA 92660 CORONA CA 92879 - Policy No: FLA01266701 0 Phone: Phone: 951-739-9501 Expire :10/01/2022 Con State Lic: 910681 Issued Date:03/0812022 Lic Expire: 02/2812022 Bus Lic: BT30072844 TIMER REQUIRED ON EQUIPMENT Processed By:74� Lic Exp Date: 09/30/2022 BETWEEN I P.M. AND 7 A.M. TO SHUT OFF HVAC Items FEES FurnacesSoilers & Compressors Up to 100K BTU/hr: 0 $0.00 Ventilation Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 Other $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: 24AAA524AO03 Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K 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: Moncfay - Friday 7.00 a.m.to 6:30 p.,p.and Saturday from 8:00 a.m. to 6:00 p.m. DWNER-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). ❑ 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). ❑ 1 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby 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 Code, and my license is in full force and effect. //�g111161♦ .d License Class License No Date E/ Contractor Signatur'IYr NORKERS' COMPENSATIdN`:DECLARATION - NARNING: 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. hereby affirm under penalty of perjuryone of the following declarations: "' ❑ 1 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 th, jerformance of the work for which this permit is issued. Policy No. have and will maintain workers' rance carrier and policy number' of Agent insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Expiration Date Phone # JI certify that, in the —performance of thelwork 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� subject to the werkmV compensation yisiaas-ofSection 3700 of the Labor Code, I shall forthwith comply with those provisions. % IignatureofApplicant . 7X �7 )ECLARATION REG�r+y' ION LENDING AGENCY \ 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 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 -an ate laws relating to building construction. I authorize representatives of this city or county to enter the above-igilintified proopertyJ91inspection purposes. *� signature of Property Owner or Authorized Agent / Print Property Owners or Authorized Agent's Name yl ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL kFGUEATIONS?ART 51 OF TI-LE/C AND AQMD RULE 14©3, PERMIT EXPIRED ❑ / SUf MI `TEL) 4S6E.',P IS WTIFiCATION TO. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NORACATIONIS NOT APPLICABLE TO PROPOSED DE&OL I} ION. PERMIT FINAL `L 2 CER77FICAT€OF SIGNATURE: OCCUPANCYISSUED a U Ci Utj ao � o 0o FpvcDi � 'o s. {0 N �= � A ° 7aL .o U_ spy v qP4 o > adi 'd o ° •v a td ,q m a 10, w „ U �T N z •3 '� � > o y � U lull C, 7 ,y A N d O O 04 O 11,00 L7 T a cc 45 mu td zi a+ cNd bL � O H ,� 'li O yd t7 a •� lE � I� U �❑ � i m� p o � m � '� o L-