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Home My WebLink AboutH2020-0579 - Permits0 City of Newport Beach - Building Division 111 1111111111111 MECHANICAL Permit: H2O20-0579 �" ' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 e 2 0 5 7 9 Project NO.: 1745-2019 r. g Permit Counter Phone (949)644-3288 '�tro4 _ Inspection Requests Phone (949)644-3255 JobAddress:CRESTVIEW R BUNTSFloor: Suite: Description of Work: MECH (2) ROOF MOUNTED A/C UNITS *TAMPER PROOF CAP REQ* (2)ROO f !V` INSPECT 0% Inspector Area:2 Code Edit: 2019 Legal Description: N TR 1140 LOT 44 Owner: PERKINS SCOTT Contractor: D L S HEATING & A/C Worker's Comp Insurance - Address: 3419 VIA LIDO #455 Address: 8542 LARTHORN DRIVE Carrier: STATE COMP ° NEWPORT BEACH, CA 92663 HUNTINGTON BEACH CA 92646 Policy No: 92GUV4642 ° • • • ° e Phone: Phone: 714-231-8002 Expire :01/06/2021 Con State Lie: 564220 ° Issued Date:10/08/2020 Lie Expire: 01/31/2022 °°•° Bus Lie: BT98040420 Processed By: Exp Date: 12/31/2020 ° ° m ° • ° m -Lie HVAC Items FEES °® • °°°°° FurnacesBoilers & Compressors Ventilation Other ° • ° Up to 1o0K BTU/hr: 0 $0.00 Up to 3HP: 2 $42.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ° .... $0.0@ • ° ° 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 $0.06 ... 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 IOOK 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: N4A53/565GKc Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: DAY & NIGHT 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 480 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 1 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). ❑ 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, 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 improved 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 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 Professions 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 LICENSED.gQDL12RACTOR'S DECLARATION I hereby affirm undePpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sectio? 700) of VO4Division 3 of the Business and /Pyofeesssions and m ' en9" in full force License t. .... License No Date' \ontractor Signature kyOWERS' COMPENSATION DECLARATION NARKING: FAILUR@TO GECURE 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 TH gOST.OF COMPBNS AT1V,, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ifargdy affirm undgL penalty of perjury one of the following declarations: ,and eill.meintain 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 to of the, work for which this permit is issued. Policy No. and will maittain 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' compensai carri9rarid policy number are: Policy Number Date 31 certify that, in the perfonna a of the wor f r which this permit is issued, I shall not pJnyL�nyperson in any manner so as to become subject to the workers' compensation laws of California, and ogre tat, if I should become su je to the work i� anon provision ES on 3700 of the Laborbode, I shall forthwith comply with those provi io /^ Q lignatureofApplicant Date 6/ !/ 2 � IECLARATIONREGARJDINr,CONSTRUCTION LENDING AGENCY 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 (Section 3097, Civil Code). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the pro rty owner's b Elf. 1 have read this application and the information I have prov d is cor ct. I agree to comply with all applicable city and cou t ordinanc s an state laws relating to building construction. 0 N, / j^Z I authorize representatives of this city or county t enter a e -identified property for inspection purposes. �t2 VICri�Y linnature of Prnnedv Owner or Authorized Acent Print Property Owner's or Authorized Agent's Name Date �,( AC770N DATE BY PERA41TEXPIRED PERMtTCANCELLED PERMITEXTENDED PERMIT FINAL o CERTIFICATEOF OCCUPANCY ISSUED AQMD RULE 7403. t SUBMITTED ASBESTOS N077F/CATION 7D: ❑ EPA ❑ AOMD ❑ ASBESTOS NO1119ICABONIS NOT APPLICABLE TO PROPOSED DEMOUTIOM SIGNATURE.