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Home My WebLink AboutH2019-0427 - PermitsCity of Newport Beach - BuildirSg Division III�IIII IIIIIIII IIIIIIIII IIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 4 2 7 Permit Counter Phone (949)644-3288 TIMER REQUIRED ON EQUIPMENT MECHANICAL Permit: H2O19-0427 Project No: 2094-2018 Inspection Requests Phone (949)644-3255 T- SHUT eF%ETWEEN 10 P.M.AND 7! A.M. Job Address: 224 PEARL AVE BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL A/C 51dB* @ ROOF (DAY&NIGHT; N4A5-60) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM &7AM : Inspector Area:2 Code Edit: 2016 =. Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 8 LOT 36 Owner: LEONETTI MATT Address: 1305 N BAY FRONT Contractor: 'Address: FOLGER HEATING & AIR INC 8842 LUSS DR Worker's Comp Insurance - Carrier: NORGUARD INS CO FYI BALBOA ISLAND CA 92662 FEES HUNTINGTON BCH CA 92646 Policy No: FOWC912842 "r Phone: Phone: Con State Lic: 714-334-4433 763312 Expire :10/0112019 Issued Date:07/17/2019 Lic Expire: 04/30/2020 Other Bus Lic: BT30047641 0 $0.00 Processed By: Lic Exp Date:,.. 06/30/2020 Bathroom Fan: 0 $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr; 0 $0.00 Up to 3HP: 1 $19.00 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: $16.53 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model Issuance: $35.00 Up to 1.75M BTU/hr. 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $110.53 PERMITS EXPIgE 180 DA.Y,S AFTER /SSgAiJgE OR LAST VALID INSPECTION Construction Hours: MoN*je, Friday;7.,OOayn.to 4:30 pgn.and Saturday from 8:00 a.m. to 6:00 p.m. 4 4 4 .Y Y4 Y Y NO CONSTRUCTION WORK t 4�6 b yb4 B Y 4CY Y1 CV4„i G - 06 44'4 a4 oY0 Y ♦ ♦YV YYY )INNER -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 he permit to file asigned 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 lot 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, 3usiness and Professions Code: The Contractors' State License Law does notapply town owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements 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 Tlproved for the purpose of sale). 7 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 Ipply 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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://www.leginfo.ca.gov/calaw.htmi. 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ind effect. .1cense Class License No Date 1Contractor Signature ( -' VORKERS' COMPENSATION DECLARATION IARNING: 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 :OST 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 IN erjbrmance of the work for which this permit is issued. Policy No. have and wilrt aintain 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' Date of 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 subjectto the workers' compensation laws of California, and agree , if I should become subject to the workers' co tiarcprameieRs-€SeGo=-IZ00 of the Labor Code, I shall forthwith comply with those progl�S. a. Iature of Applicant) Date Tv ` .. Icy �'....... / ?reby 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) lder'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. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coun t er the abooLidentified property for inspection purposes. a od..f Dmn¢Hv nu,nor'¢ nr AufhnrieoA AnenP¢ N¢mu Q.C+� � LT-. ACTION DATE BY DECLARATION OF COMPLIANCE WIT' CODEOF FOR OFFICE USE ONLY FEDERAL REG&EATfONSi1 Afff:X OF 717415 J04ND AQMDRLU 140..1. • • PERMLTEXPIR€B [IIsu4,wlIr€Lgps�Esr�sr�n�catloN�o: ❑ EPA • •• ' •`• ° PERMITCAIVCELLED ❑ AQMD P€RMITEXT€LADED ASBESTOS NOTIFICAT70MIS NOT APPLICABLE TO P POSE,7DEMDLt:TlSN° • • • • ° •" PERMITFINAL CERTIFICATEOF SL N TU ° OCCUPANCYISSUED • • •• • •• •• u• _ .. J