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Home My WebLink AboutH2022-0022 - PermitsCity of Newport Beach - Building Division H2O22-0022 MECHANICAL Permit: H2O22-0022 �rgvcyY,4 get 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)644-3288 u � Inspection Requests Phone (949)644-3255 1 i56 Lis Job Address: 19 WHITESANDS DR BIdg:1 Floor: Suite: Description of Work: MECH CHANGE OUT (2) FURNACES *TAMPER PROOF CAP REQ* InspectorArea:6 Code Edit: 2019 Legal Description: N TR 14912 LOT 6 ° Owner: LEE DENNY HUBERT Contractor: MIGHTY DUCTS Worker's Comp Insurance- ° Address: 19 WHITESANDS DR Address: 2075 N SHAFFER ST Carrier: FALLS LAKE FIRE „ ° - NEWPORT COAST, CA 92657 ORANGE CA 92865 Policy No: FLA01536601 Phone: Phone: 714-505-7879 Expire:1010112022 Con State Lic: 748387 Issued Date:01/18/2022 Lic Expire: 01131/2022 Bus Li BT30077210 o„a Processed By: w xp Date: 11/30/2022 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 2 $44.00 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: 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: $0.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $82.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $82.00 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 penally of perjury that I am exempt from the Contmdors' State License Law forthe reasan(s) indicated below by the checkmark(a) 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 he 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 'rofesslons Cade) orthat 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 lot more than fwe 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 far sale (Section 7044, 3usiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property, who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 reproved for the purpose of sale), 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", 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). 7 1 am exempt from llcensum under the Contractors' State License Law for the following reason: ty 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 pennh, I cannot legall ell a structure that I have bulk as an owner -builder if it has not been ConsWcted In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'mfessions Cade, is available upon request when thls application is submitted or at the following Web site:hftp:/A a .leginfo.ca.gov/calaw.htmi. 3lgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing th ion 7000) of Division 3 of the Business d P ofessions Code, and my license Is in full force eInd effect. h .icense Class S ��,1f License No��g� Date Contractor Signature VORKERS' COMPENSATION DECLARATION (WANING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSUEVT AN UNIPLO T CRIMINAL PENALTIES AND CNe FlN6 UP TO ON HUN R®THOUSANp DOLLARS (Srpg6o%, m AObRION TO TNr CST OF COMPENSAMN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one 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 if erponnance of the wank forwhmh this permit is Issued. Policy No. have 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' lance carler and policy numberare: U) ADI 3(o(��bl ier j�s .'w bar � }L� r� ]1 Number 5 Fxpimtion Date ioo j 07-'Z certify that, in the perform nce of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation laws of California, and agree t, if I should become uh, t to !the. comperes . isrons of Section 3700 of the Labor Code, I shall forthwith comply with those pro sl s. natumufAppllcant Date 6 I 07— CLARATION REGARYING CONSTRUCti6N LENDING AGENCY !reby Ninon under pe I of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (e n 3097, Civil Code). rder's Name Lender's Address 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 complywith all applicable city and cou ordinances and state laws relating to building construction. I (1 I authorize representatives of this city or cour�y enter the ab . nfi perty or spection purposes. ACTION I DATE /I \ By ❑ ISUBMITTEDASBESTOSND]7t-7'A77ONTO: ❑ EPA ❑ AQMD ❑ ASDE4TOSNORAC-0RONISNOTAPPf cAmETO PROPOSED DFIWOU770M SIGNATURE: