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Home My WebLink AboutH2021-0584 - Permitsw ryt City of Newport Beach - Building Division H2O21-0584 a4' �� 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 r) 0 IN Job Address: 726 BISON AVE BIdg:1 Floor: Suite: Description of Work: MECH (1) NEW A/C UNIT *TAMPER PROOF CAP REQ* InspectorArea:4 Code Edit: 2019 Legal Description: N TR 4892 LOT 49 Owner: CID MANUEL/MICHELE Contractor: D L C BUILDERS INC Address: 726 BISON AVE Address: 11278 LOS ALAMITOS BLVD NEWPORT BEACH CA 92660 LOS ALAMITOS, CA 90720 Phone: 562-665-5532 Phone: 562-666-7174 Con State Lic: 985517 Issued Date:10/06/2021 Lic Expire: 04/30/2023 GG Bus Lic: BT30075945 Processed By: V Lic Exp Date: 01/31/2022 MECHANICAL Permit: H2O21-0584 Project No : 0887-2021 Inspection Requests Phone (949)644-3255 eeeem• Worker's Comp Insurance- Carrier: STATE COMP .... • a°•e.� Policy No: 9246308 .... o o Expire :02/26/2022 • . e o 0000 • e o eeom em o mmeoo ° ...era .. . ° o °meeoo HVAC Items FEES °OOOe° eem� FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 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: $19.14 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AULD60W2AIssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $131.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $131.14 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature. beloyv 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 sell a structumtNati rave 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.html. ST A:jre of ,rbogrTy.Owner or Authorized Agent Date �ICFNSED CCIRTRACTOR'S DECLARATION I hereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Pr fessions Code, and in arse is in full force anrieffect. .... //��,, n tipedse Class'.... License No Date W t Contractor Signature WdIiKERS' G@kWENSATION DECLARATION MRNTNP: FAILURE TU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS )$1 0010), IN ADDITION TO THE OOWCF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ,Nhepeby affirm Undewenalty of perjury one of the following declarations: I have ancT 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 �tMftjance of the wglk for which 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' compensatior jAsbfance carrier and policy number are: Policy Number Date ame of Agent I -none w I certify that, in the performance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpe ation laws of California, and agree lat, if I should become suJlb)ec�to//�'q'e^workers' c IrF�Lp psation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pi ovisio s. / 1 0 ig nature of Applicant,/ 9L�/` Date (C, r ECLARATION REGA ® CONSTRUCT E DING 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 (Sec n 3097, Civil Code). Ender's Name Lender's Address y 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 comply with all applicable city and counW ordinances and state laws relating to building construction. I authorize representatives of this city or cou eny�er� abo Ified roperty for inspection purposes. \ / ipnature of Property Owner or Authorized Agentty t // r Print Property Owner's or Authorized Agent's Name �/ ,Pf ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF - FOR OFFICE USE DAILY FEDERAL REGULATIONS PART 61 OF T17LE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ISUBMITTEDASEESTOSNOTIFICATIONTO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NORFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL ,'$ /1'Y CERTIFICATECIF SIGNATURE: OCCUPANCYISSUED