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Home My WebLink AboutH2022-0253 - Permits%r City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111' G 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 5 3 t, n, Permit Counter Phone (949)644-3288 u. Job Address: 405 EDGEWATER PL BIdg:1 Floor: Suite: Description of Work: MECH NEW A/C UNIT ON ROOF *TAMPER PROOF CAP REQ* Inspector Area:1 Code Edit: 2019 Legal Description: Owner: EPIC ESTATES Contractor: Address: 405 EDGEWATER PL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:05/13/2022 Lie Expire: Bus Lie: Processed By: L U Lie Exp Date: MECHANICAL Permit: H2O22-0253 Project No: Inspection Requests Phone (949)644-3255 �i�yL WiG�® if �QiO. ALLISONAIRCONDITIONING&HEATINGWorker'sCompInsurance- 369 EAST HARRISON #B Carrier: INS CO OF THE WEST 00 P CORONA CA 92879 Policy No: WSD504558302 Expire:01/01/2023 545500 07/31 /2023 ° • BT30071452 °• °° ° 03/31/2023 ®O°®O DC•J°OO V• • O O V ® O C C • VV ®06C°6 HVAC Items FEES ° 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 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 25HCE418AP03 Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: CARRIER 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 160 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. U MOF 7-0 SRsQUIR�D oNE yFEnr ro �U/PAI, pM AND ��.;� 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 items) (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 U all of or U 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-Builderwill 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 t)eICN 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 structure the4l.heve 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 P,rpWlllons Codg js available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 9ignaturt of Prdl)eTty QWner or Authorized Agent - Date 4ICEN�SED CON,TRACTOR'S DECLARATION I• Bm affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business H ofesssions Code, and my license is in full force and effect. •: • • •: /� notSr / QcIftfl Class ' License No Date Contractor Si g WORKERS' C2DMPtNSATION DECLARATION Pjgpj W0.'FAILUR6?T0 SENRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .l eV6yeffirm under penalty of perjury one of the following declarations: „I, 4BYC and 44aifitain 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 tfu �FEAnnance of Ve noTtfor which this permit is issued. Policy No. Z=nd wilMainfain 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 uran,e cnsurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the perf ance of the work 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 that, if I should becom jec he rs' compensatio rovi ions of Section 3700 of the Labor Code, I shall forthwith comply with those pro/yxiy�ns. /,�, Signature of Applicant Dater'[ ��f27 DECLARATION REGARDING C NST UCTION I-EffiDING AGENCY \\ I hereby affirm under penalty of pe that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 c Inances and state laws relating to building construction. I authorize representatives of this city or court ent� above -identified pro inspection purposes.n Signature of Property Owner or Authorized Agent ��l��Ai/L—%S� , , N/.roperty Owner's or Authorized Agent's Namei(hS Date l3 2L ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 51 OF TITLE40AND AQMD RULE 1403 PERMIT EXPIRED ❑ ISUBAVTTEDASBESTOS NORFICATION TO:. ❑ EPA ❑'...AQMD PERMITCANCELLED PERMtTEXTENDED - OOPO5ETOSOTIFICANTIONIS NOTAPPLICABLE TO PERMIT FINAL L C€R77FICATEOF OCCUPANCYISSUED - SIGNAT�-