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Home My WebLink AboutH2022-0061 - PermitsCity of Newport Beach - Building -Division III III 11111p11111111111111111111111p11111111111 100 Civic Center Drive, Newport Beach, CA 92660 ,H 2 0 2 2 0 0 6 1 Permit Counter Phone (949)644-3288 Job Address: 120 ONYX AVE BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (1) AIC 44dB (ACPRO; ACT36F/NaA) Inspector Area:2 Code Edit: 2019 Legal Description: BALBOA ISLAND SEC 4 BLK 1 LOT 20 Owner: YODER KRIS & VALERIE Contractor: SKY HEATING & COOLING INC Address: 126 ONYX AVE Address: 769 N GLASSELL ST NEWPORT BEACH, CA 92662 ORANGE CA 92867 Phone: Phone: 714-883-0623 Con State Lic: 1045281 Issued Date:02/08/2022 Lic Expire: 12/31/2023 Bus Lic: BT30065983 Processed By: Lic Exp Date: 02/28/2022 MECHANICAL Permit: H2O22-0061 Project No : 1053-2020 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : NORGUARD INSURANCE Policy No: SKWC350975 Expire :0210112023 HVAC Items FEES Furnaces Boilers & 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 10oK 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: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: 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!NSPECTION Construction Hours: Monday -Friday 7:00°a.n to: 6:36pxonAnd Satqela� R3om 8:00 a.m. to 6:00 p.m. p G O O O O 0 JQ fp 0 QO G 6b 41w9 O 6 O® B0 YNO 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 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 -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 legalh 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://w .leginfo.ca.gov/calaw.htmi. 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'700 ) of Division 3 of the Business and Profession ¢end my license is in full force and effect. License Class License No Datp Contractor Signature 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 ND D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the work for which this permit is issued. Policy No. Khave and will main 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' compensation insurance carrier and II v number areIn e1 I, �1�^ Tier I , S,o Iy f` &r Expiration Date TIe of Agent 7I LLv 1/ Phone # v certify that, in the performance of the wo k 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 ogre t, if I should become subject to he o p nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prpvisio S nature of Applicant Deaf \eT. L/ CLARATION REGARDI UCTION LENDING AGENCY ;reby affirm under penalt o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I c ify 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 ariP state laws relating to building construction. I authorize representatives of this city or county e d property for inspection purposes. /'' /3 /,�( �/, r mature of Property Owner or Authorized Agent - Print Property Owners or Authorized Agent's Nag// " t%dh l� paf�fL�(� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY _ ° • FED BRA GOLMIRNSPART61 OF TITLE40AND IPI E: PERMITEXPIRED • • • • ° • M 1 SJ BP-CTPD 4St%E IT@S NORFICATtON TO: 15 EPA + ElAOMD PERMIT CANCELLED I ° PERMtTIXT€NDED VIA❑ ASBESTOS NO718CATION IS NOT APPLICABLE TO •F'R,OP,OEt4�.a1d�Y.3T1@AI.s ° ° • ° PERMIT FtNAI °� CERT{FICATEOF + OCCUPAAlCYISSD€D oo- o0 oc o o coo o