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Home My WebLink AboutH2020-0659 - Permits1y City of Newport Beach - Building IJiVISIOn H2O20-0659 o 100 Civic Center Drive, Newport Beach, CA 92660 Sy Permit Counter Phone (949)644-3288 �'Ibr�xru�� Job Address: 12 NAPOLI BIdg:1 Floor: Suite: Description of Work: MECH - (1) PACKAGE UNIT/(2) COMPRESSORS @ ROOF "TAMPER RES CAP REQUIRED) Inspector Area:4 6 Code Edit: 2019 Legal Description: N TR 9861 LOT 14 Owner: LAVAEE MOUSSA Contractor: Address: 12 NAPOLI Address: NEWPORT BEACH CA 92657 Phone: Phone: Con State Lie: Issued Date:11/09/2020 Lie Expire: ,/-.+ Bus Lie: Processed By: 6� Lie Exp Date: MECHANICAL Permit: H2O20-0659 Project No: 0599-2020 Inspection Requests Phone (949)644-3255 NICO DESIGNS Worker's Comp Insurance - PO BOX 51714 Carrier: STATE COMP. INS IRVINE CA 92619 Policy No: 1965493 a 949-378-2569 808380 Expire :08/24/2021 05/31/2022 . . BT30068318 07/31/2021 .... o° HVAC Items FEES Furnaces Boilers&Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 a ° W =' $0.50 ' Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $38.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0,00 .... a.° $0.560° °: 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: 1 $21.00 >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: $69.60 Up to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: N4H4/PGD4,PGS4 Issuance: $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $12.00 Manufacturer: DAY & NIGHT Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $207.85 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $207.85 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. DWNER-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 :he 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 far 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 mprovements 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 mproved 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 ;ell 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:hftp:/Aw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm Lr s penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and m se is in full force and effect. ' 4Mh%d glass • License No Date —Z� Contractor Signature rt WORKERS' COMPENSATION DECLARATION - rtARRIDIG:NAILURE TO'SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL sUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSAilOM,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES- - affirm un$lar penalty of perjury one of the following declarations: aL;;,e and IyN4paiotain 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 aeKormance of thewak 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' carried 9nd.0cPicy number are: ' Policy Number Expiration Date certify that, in the performance of the work , if I should become subject to tit mQ;kgrs' of 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 agree atioprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date �%—`?-Z(3 � IECLARATION REGARMNG 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). enders 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 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 county ordinances ands t aws relating to building construction. 1 I authorize representatives of this city or county fe he-atrD '� till for inspection purposes. ,(��- 14—w signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /%r}"� Lp r'F°"Date 1--�_ ACTION DATE BY DECLARATION OF COMPLIANCE VWTH CODE OF FOR OFRCE USE ONLY FEDERAL REGULATIONSPART 61 OFTITLE40AND AQMD RULE 1603. PERMITEXPIRED ❑ I SUBMITTEDASRESTOS NORFICA71ON TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NORFIC4RONISNOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL f— 4-2Z . —A. CER7 FICAT€OF SIGNATURE OCCUPANCYISSUED