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Home My WebLink AboutH2021-0411 - Permitscsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'llll G 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 4 1 1 -3a Permit Counter Phone (949)644-3288 Job Address:1334 HAMPSHIRECIR Bldg:1Floor: Suite: Description of Work: MECH - R/R 20JC rnNnpW8fiR6 TAMPER -RESISTANT CAPS REQUIRED J"x InspectorArea:3 Code Edit: 2019 Legal Description: N TR 3852 LOT 32 Owner: LANNI MEGAN & SCOTT Contractor: DPL AIR CONDITIONING INC Address: 1334 HAMPSHIRE CIR Address: 4540 VIA BELLA VISTA NEWPORT BEACH CA 92660 YORBA LINDA CA 92886 Phone: Phone: 714-609-9795 Con State Lic: 801191 Issued Date:07108/2021 Lic Expire: 01/31/2022 Bus Lic: BT30056884 Processed By: Lic Exp Date: 10/31/2021 MECHANICAL Permit: H2021-041 1 Project No: 0447-2021 Inspection Requests Phone (949)644-3255 '��mp Insurance - Carrier: NORGUARD INS Policy No: DPWC177015 Expire :07/20/2021 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to IOOK BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 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: 2 $44.00 >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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AOUG48LMASI Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: FUJITSU Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $172.28 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: MoRCra y! riday.TV0®zr.,m.to 6:SO p-m.and Saturday from 8:00 a.m. to 6:00 p.m. P 6 6 Jy 40 B •• f•Y i i •.� •• •BO 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-Builderwill have the burden of proving that it was not built or limproved 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 legally 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.htm]. Signature of Property Owner or Authorized Agent Date,' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business d Profession and my license is in full force and effect. �� ( Date g License Class — >� - License No � Contractor Signal 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 HUN RED 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. I hereby affirm under penalty of perjury one of the following declarations: 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 Ice 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 permit is issued. My workers' compensa carrier and policy number are: Policy Number Date Te of Agent rnone n certify that, in th(pormance f t ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the w rke ' compensation laws of California, and agree t, if I should becoject to a rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �}nature of Applica oCLARATION REN ONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Iction 3097, Civil Code). lder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's b half. I have read this application and the information I hav vided co ect. I agree to comply with all applicable city and cou oIt es n fate laws relating to building construction. I authorize representatives of this city or coup entab identified property for inspection purposes.(nature of ProDertv Owner orAuthorized ADent Print Property Owner's or Authorized Agent's Name r d .!/V IV I D ✓"'� Date AC77ON DATE BY DECLARATION OF COMPLIANCE IMITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TI,TE.E jg,4ND AQMDRUL%•. �, PERMfTEXPIRED ❑ ISUQMVEQAS�W.5-T0S7+ TlFJCAhQN'1b:. ❑ %PA PERMIT CANCELLED ❑ AQMF PERMIT€XT€ND€D ❑ ASBESTOS N07IRCA77ON IS NOT APPLICABLE TO PROPOSEDD€KOLON. , a • • • • • a • PERMIT FINAL 'ZL CERTIRCATE OF SIGNATURE: • °e OCCUPANCYISSU€D °o