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Home My WebLink AboutH2019-0380 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 3 8 0 Permit Counter Phone (949)644-3288 '.'40'A 4. HERS VERIFICATION REQ Job Address: 24 MORRO BAY DR Bldg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT F.A.0 & A/C UNIT 42dB (LENNOX; XC25-060) *REVISED 07/08/2019 InspectorArea:4 Code Edit: 2016 Legal Description: N TR 7386 LOT 63 Owner: TAFAZOLI AMIR Contractor: COMFORT CONTROL HVAC Address: 24 MORRO BAY DR Address: 6592 WESTPARK PL UNIT C CORONA DEL MAR, CA 92625 WESTMINSTER CA 92683 Phone: Phone: 714-273-3452 Can State Lie: 1024266 Issued Date:06125/2019 Lie Expire: 03/31/2020 Bus Lie: BT30062616 Processed By:- Lic Exp Date: 03/31/2020 MECHANICAL Permit: H2O19-0380 Project No : Inspection Requests Phone (949)644-3255 i✓ J ry� ni t J Worker's Comp Insurance - �--I Carrier: EXEMPT Policy No: NO EMPLOYEES 40 Expire : X HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $19.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 10OK 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 1OOK BTU/hr: 1 $19.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $16.53 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 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: SL18XC1-0601ssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $129.53 Plan Check Fee : $129.53 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday, Friday 7.003:rmtj:' 5:30 pA.drfd,Saturday from 8:00 a.m. to 6:00 p.m. IWNER-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 items) iection 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 1e 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 'rofessions 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 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 nproved for the purpose of sale). 1 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 pply 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 licensure under the Contractors' State License Law for the following reason: iy 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://wvvw.leginfo.ca.gov/calaw.html. signature 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 with Sectio 7000 of Division 3 of the Business and Professio Code, my license is in full force nd effect. icense Class License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION If I !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU ED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF COMPENSATION, 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: 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 e0Ormance of the work for which this permit is issued. Policy No. - have and will ' fain 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' compensatior trance carrier an o'cy number ar � Tier D y b Expiration Date ne of Agent ` Phone # certify that, in the performance of the wo for w h this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should becomes bject to the wo rs' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi 'ons. Q' nature of Applicant Date fJ CLARATION REG RDM ST N LENDING AGENCY Ireby affirm under pena pequ hat there is a construction lending agency for the performance of the work for which this permit is issued Section 3097, Civil Code). Ider's Name 6/ 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinanc a ate laws relating to building construction. I authorize representatives of this city or count to nter t bo dentified property for inspection purposes. / nature of Property Owner or Authorized Agent i Print Property Owners or Authorized Agents Name #Aeta /— D / ACTION DATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY FEDE+7AL PEGULA TIONS PART 61' 9F PTLE40 AND ACMDRULE1403. , - ° ' PERMITEXPIRED ❑ I SUBMNTFEOt.SBESTDS-NOTLFICAT.ON TO: U SPA ❑ AOMD ❑ ASBESTOS NOTIFICA770NIS NOT APPLICABLE TO PROPOSE4PEMOLITICN, PERMITCANCELLED PERMITEXTENDED PERMITFINAL T, /l. I`) CERTIFICATEOF SIGNl7t`3E OCCUPANCYISSUED 1.0pL