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Home My WebLink AboutH2021-0720 - PermitsCity of Newport Beach - Building Division III IIII111111111111111111111p11p1111pp11111p1 MECHANICAL Permit: H2O21-0720 4 Tr 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 7 2 0 r~ Project No Permit Counter Phone (949)644-3288 HERS VERIFICATION C'l,EQ Inspection Requests Phone(949)644-3255 Job Address: 443 VISTA PARADA BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (E) F.A.U, A/C UNIT 45dB W/SOME DUCT WORK (CARRIER; 24VNA648) InspectorArea:4 Code Edit: 2019 Legal Description: N TR 7166 LOT 48 Owner: BROWN RAY G Contractor: Address: 443 VISTA PARADA Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:12/2112021 Lie Expire: Bus Lie: Processed By: Lie Exp Date: CONTEMPORARY AIR CONTROL INC 1599 SUPERIOR AVE B1 COSTA MESA CA 92627 949-877-0411 575613 10131/2022 BT30036259 07/3112022 Worker's Comp Insurance - Carrier : SIRIUS AMERICA INS Policy No: WC75866 Expire :0610112022 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to IOOK BTU/hr: 1 $22.00 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 10OK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $19.14 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 1 $22.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $175.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $175.14 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday Frid.^y 7:O0 a.dv.tu 6:3&p.m.owd Saturday from 8:00 a.m. to 6:00 p.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 t0 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 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). 111, 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). LJ 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 improve 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent 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 aJProl and effect. I y/_ q� License Class License No Date p' O d Contractor Sig natur WORKERS' COMPENSATION DECLARATION .d by this permit, I cannot 7044 of the Business and Date Code, and my license is in full force ARNING: 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 hereby affirm under penalty of perjury one of the following declarations: 13 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 IN perfo ante of the work for which this permit is issued. Policy No. I have an 'ntain workers' compensation insurance, as equired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensati0 insurance Ca rriker and p icy number e: .� Caer is N r Expiration Date Name of Agent Phone # ❑I certify that, m4hl 4sject ance of he rk for whit his 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 that, if I should becomto th w k c pe anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those praylysions. Signature of Applican�)e't€ \ /) - d/DECLARATION REG TRUCTI N LENDING AGENCY —� I hereby affirm unde penalty of per ry 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 Name Lender's Address By my signature below, I certify to each Of the following: I am the property owner or authorized to act on the property ner's behalf. I have read this application and the information I have pro de is correct. I agree to comply with all applicable city and county ordin nC nd state laws relating to building construction. I authorize representatives of this city or county t er a ve-identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam . Dated a,J ACRON DATE BY DECLARATION OF COMPLIANCE 1407TH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS P44T 61 ^O-TI-LE40AND AQMIJ''TULr1403. PERMIT EXPIRED ❑ ISDDMI, TED_ AS13FSTOS NOTIFICATION TO: ❑ EPA _ ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N077FICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. - - PERMITFINAL / ?i Z CERTIFFCATEOF OCCUPANCYISSUED SIGNATURE: %YJSL d7Li,- - 7r_7 ?ge_-,-raZ