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Home My WebLink AboutH2021-0254 - Permits� . City of Newport Beach - Building Division III 11111111111111111111111111111111111111111111111 .' 100 Civic Center Drive, Newport Beac' CA 92660 H 2 0 2 1 0 2 5 4 Permit Counter Phone (949)644-328L n r'�tlyatll� MECHANICAL Permit: H2O21-0254 Project No : 0282-2021 Inspection Requests Phone (949)644-3255 Job Address: 1023 GRANVILLE DR BIdgA Floor: Suite: ( Description of Work: MECH REPLACE A/C UNIT @ THE ROOF, "TAMPER RESISTANT CAP REQ"t�e.p�U2JZ�rJ`^�"uA�� Inspector Area:4 Code Edit: 2019 Legal Description: TRACT 14839 LOT 2 OF PROJECT 939-63 LOCATED ON AP 442-421-13 Owner: MANIAS ALEX Contractor: Address: 1023 GRANVILLE DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:04/14/2021 Lic Expire: Bus Lic: Processed B r'�s-`��Lic Exp Date: DEPENDABLE GRAHAM AC Worker's Comp Insurance - 2952 CENTURY PLACE Carrier: PREFERRED PROFESSIONAL INS CC COSTA MESA CA 92626 Policy No: ON999601 714-546-1653 Expire :0710112021 472690 04/30/2022 BT01013104 SU1JJFCTT0FIFLDINSPECT0N"r 12/3112021 JZEVIL,WANDAPFkOVAL HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $21.00 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: 1 $38.00 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 : $33.06 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: N4A648GKBIssuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY AND NIGHT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $175.31 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $175.31 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. )WNER-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 .ie Gherumark(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 (_) 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). - ❑ 1, 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 legalll sell a structure 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 PmfPPs'ons Ccda, lz available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Properly�Owner or Authorized Agent Date LICELJSED CONTRACTOR'S DECLARATION I hercLy 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 Cod my I' nse is in full force and ofact. L7/ �[�_Z� �/ g I D License Class License No a 6kntractor Si nature , , /?tax WQPKERS' COMPENSATION DECLARATION WARNINI: 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 herby affirm under pegalty of perjury one of the following declarations: U I hpvn 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 e..atormeoce of the'vork,for which this permit is issued. Policy No. and will maintain workers' 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' carrier and policy number are: Policy Number ie of Agent rnor 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 if I should become subject to the workers' compensatiop provisions of Section 3700 of the Labor Code, I shall forthwith comply with the of Dale bject to the workers' compensation laws of California, and provisions. � • RIP /ns//[`/ IECLARATI EGARDI— NNI CONSTRUCTION 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 �y 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 and state laws relating to building construction. I authorize representatives of this city or unty enter a a�cv��ve-Ident' d property for inspection purposes. 'ignature of Property Owner or Au o Age;=;EE j %� Print Property Owner's or Authorized nt Nam AAl7Y1 0*1"i n J ��/'+ ACTION v DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OF TITL.E40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQND PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL ZIZO/2 Or' C€RTIFICATEOF OCCUPANCYISSUED