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Home My WebLink AboutH2020-0634 - PermitsCity of Newport Beach - Building Division �III�'lllllllllllllllllllll�IIIIIIIIIIII a+?� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 6 3 4 s Permit Counter Phone (949)644-3288 "•+wrote'`% Job Address: 4916 SEASHORE DR BIdgA Floor: Suite: Description of Work: MECH (2) A/C UNITS *TAMPER PROOF CAP REQ* Inspector Area:1 Code Edit: 2019 Legal Description: N TR 3813 LOT 80 Owner: ALEJO PS89 LLC Contractor: Address: 73-145 FIDDLENECK LN Address: PALM DESERT CA 92663 Phone: Phone: HVAC Items Con State Lic: Issued Date:10/28/2020 Lic Expire: /� Bus Lic: Processed By: Lic Exp Date: D L S HEATING & A/C 8542 LARTHORN DRIVE HUNTINGTON BEACH CA 92646 714-231-8002 584220 01/31/2022 BT98040420 12/31/2020 MECHANICAL Permit: H2O20-0634 Project No: 2399-2019 Inspection Requests Phone (949)644,3265 -. �� r lluu I ION WORK ")N SATURDAvo Worker's Comp Insurance- .••••• Carrier :STATE COMP • ° Policy No:92GUV4642 •mmmm• oeoeo ..•. Expire :0110612021 e m • m m mm 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. •m •mmmm° I OP'I=-CT®t I 0o m o HVAC Items emmm�. e FEES om e e o 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. f 9 6 HVAC Items FEES - 0000 °•°°° 0 ° FurnacesBoilers & Compressors Ventilation Other•••®•• •••• Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $42.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1(OK 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: $36.54 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: N4A524I548GKC Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: SEER Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $161.79 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $161.79 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. 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 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). ❑ 1, 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, 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 im roved for the purpose of sale). 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 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 legal) sell a structure thV 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 Professions Codepis available upon request when this application is submitted or at the following Web site:http://ww .leginfo.ca.gov/calaw.htmi. Sjgnatur%of Property Omer or Authorized Agent Date L eENMD CQNTMTOR'S DECLARATION I he�rebXaffirm unMlAnalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi ection 701010) of Division 3 of the Business n rofession Code, and my license is in full force and effect. • �8 9CV Contractor Si C L cense•Class • .. License No Date gnature WaRKFRS' CaNFPEMSATION DECLARATION WARNING: FAILURE TO SBOURE 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 C091•tlPC.0MPENSRTJd% gOMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herebyafFlrm undej 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 th rfo aftF`e of tPl��rdrkgor which this permit is issued. Policy No. lial•J�i � •add 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' compensatio ns ance carrier aadpejicy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the perfor a f the wo for which this 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 (hat, if I should becom su 'act to the rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro/y�Is/lgns. // ? � Signature of Applicant Dat@ X <i'^-� / �"— DECLARATION REGA ONSTRUCTI ENCY I 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 (S Lion 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the properly owner or authorized to act on the pr oar's behalf. I have read this application and the information I ha a provided is correct. I agree to comply with all applicable city an county ordi an s and state laws relating to building construction. I authorize representatives of this city or co ty to a ter abov = tified property for i pection purposes. Signature of PropertyOwner or Authorized Age Print Property Owner's or Authorized Agent's Name ✓ to ACTION DAIS 8Y DECLARATION OF COMPLIANCE WfTM CODE OF _ FOR OFFICE USE ONLY FEDERAL RE6UiAFlONSPART 6t OF FiTL€40AND PERM{FEXP{RED AQMD RULE 1403: 1[3 ASBESTOS NOIIFICA 3(5U8MIFFEDASB€STO5 NORFICATION FO:. PERMITCANCELLED ❑ EPA PERM{TEXTENDEU ❑ AQMD PERMtTFtNAt 'y 7/( PROPOSED DEMOLITION RONIS NOT APPLICABLETO CERTIFICATEQF SIGNATURE: OCCUPANCNISSUED