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Home My WebLink AboutH2021-0592 - Permitsw City of Newport Beach - Building Division 11111111111 IN 1111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 9 2 Permit Counter Phone (949)644-3288 V MECHANICAL Permit: H2O21-0592 Project No : 1603-2021 Inspection Requests Phone (949)644-3255 Job Address: 316 ISLAND AVE BIdg:1 Floor: Suite: Description of Work: MECH - INSTL A/C CONDENSER ON 2ND FL DECK. TAMPER -RESISTANT CAP REQUIRED InspectorArea:1 Code Edit: 2019 Legal Description: EAST NEWPORT BILK A LOT 78 Owner: GLADDING KRISTY Contractor: Address: 316 ISLAND AV Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lie: Issued Date:1011312021 Lie Expire: Bus Lie: Processed By: -Lie Exp Date: EVEN FLOW HEATING & AIR INC 1700 CENTERY AVE RIVERSIDE CA 92506 951-368-3584 917275 06/30/2022 BT30076923 10/31/2022 W k r C or e s omp rance - Carrier : NORGUARD INS Policy No: EVWC293925 Expire :0612012022 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 1OOK 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 I BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AULD60W2IAIssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over I OK 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 TEQST VALID CTION PERMITS Y Ro p.m.and Saturday from a.m. to, 6:CG a.m. Construction Hours: Mo IV HEAT PUMPS ' e q O ° S 00° GiOO ° aoo moo eeo � + •• •• •o• 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 (_) 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 -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 legall 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION - I hereby affirm under penalt of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ns Code, d my license is in full force and effect. q /72-7 5^ License Class License No [ ! 7 Date Contractor Signature r WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 the Rerfprmance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pe It is issued. My workers' compensation carrier and olicy number are: Policy Number ' �� J�� (/17a1i{,L� �. �i Expiration Date of I certify that, in the performanc9l the work fo hich 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 li that, if 1 should become s`u/(�Ject a workers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) Signature of Applicant ^ Date l 1� l DECLARATION REGA I CONSTRUCTIO DING AGENCY 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 (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 count1,nthe antes state laws relating to building construction. 1 authorize representatives of this city or county So e-identified property for inspection purposes. , ISianatureof PrODertv Owner or Authorized ADeri� / _ -- Print Property Owner's or Authorized Agent's Name Date ACTION I DATE I BY PERMITEXPIRED PERMIT CANCELLED P€RMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED FEDERAL REGULATIONS PART 51 OF T17LE40 AND AQMDRULE 9403. ❑ I SUBMITTEDASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORFICATIONISNOT APPLICABLE TO PROPOSED. DEMOLITION. SIGNATURE:.