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Home My WebLink AboutH2021-0513 - PermitsCity of Newport Beach - Building Division III III 11111p111111111111111111111111111p111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 1 3 ' Permit Counter Phone (949)644-3288 u. Job Address: 317 APOLENA AVE Bldg:1 Floor: Suite: Description of Work: MECH - INSTL 2 A/C CONDENSERS ON ROOF, TAMPER -RESISTANT CAP REQUIRED InspectorArea:2 Code Edit: 2019 Legal Description: BALBOA ISLAND SEC 3 BLK 16 LOT 28 Owner: ROSE DAVID Contractor: Address: 318 AMETHYST AVE Address: NEWPORT BEACH CA 92662 Phone: 949-706-1984 Phone: Con State Lic: Issued Date:09/01/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: MECHANICAL Permit: H2O21-0513 Project No : 1899-2020 Inspection Requests Phone (949)644-3255 Al® C �°� ®%� j SOLSTICENTINIGA/C Worker'sComp Insurance �310 W AVTACarrier : S�s�y ITY NATIONAL INS�Oq,SAN CLEM672 Policy No: SW�1 73 , Pf949-573-3 (® Expire :03/19/2027 /� q �� 9388881013112021 ®�' BT30 41721 02/28/2022 HVAC Items FEES FurnacesBoilers &Compressors Ventilation JqS Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: $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: $38.28 Up to I BTU/hr: 0 $0.00 up to IOK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AULD36W2/Alssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over IOK 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: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.28 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LA$a ,VALID INS615,r TIQN Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Sjturdpj, frorr( 8:09 z?. m. t?),6:0L9 prm. a 0 0 "> o o OY C�aJ 4 G 60 UPS GUi IWNER-BUILDER DECLARATION i, 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 1 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, 'usiness 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 nprovements 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 nproved 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess' ns Code, and my license is in full force nd effect. .icense Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 IN e4ormance 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' carrier and policy number are: ie of Agent certify that, in the performance of the work , if I should become subject to the workers' iature of Applicant A/ Policy Number Date 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 agree Tips nsat! of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J Date n GlI/�ZI :reby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). Ider'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 behalf. I have read this application and the information I have p vided is correct. I agree to comply with all applicable city and county or nances d state laws relating to building construction. I authorize representatives of this city or county to en the b-ids 'fled property for inspection purposes. M �` ACTION Owner or Authorized DATE BY••• •• PERM€€EXPIRED I • • • • • PERMIT CANCELLED •• PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED Print Prooertv Owner's or Authorized • F•�EDERAL REGULATIONSPART 61 OF TITLE40AND :lQMD RULE 1403. g7 I SUBMITTED ASBESTOS N071FICATION TO: • ❑ EPA ❑ AQMD' ❑ ASBESTOS N07IF?CATONISNOT APPLICABLE TO • PROPOSED DEMOLITION. S•yGNATURE:: Date