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Home My WebLink AboutH2021-0512 - Permitstyg q�rs$ City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O21-0512 .�" Per Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 1 2 Project No: 0147-2021 �.. �,'�; �. Permit Counter Phone (949)644-3288 �$LiYiJ4'�'k Inspection Requests Phone (949)644-3255 Job Address: 216 SAPPHIRE AVE BIdg:1 Floor: Suite: Description of Work: MECH - INSTL 2 A/C CONDENSERS ON ROOF. TAMPER -RESISTANT CAPS REQUIRED InspectorArea:2 Code Edit: 2019 Legal Description: BALBOA ISLAND SEC 2 BLK 8 LOT 10 +0 Owner: PERRY DANIEL Contractor: SOLSTICE HEATING & A/C orker's Comp Insurance - Address: 26073 SHADOW ROCK LN Addr310 W AVENIDA GAVIOTA r : SECURITY NATIONAL INS CO VALENCIA CA 91381 ✓� SAN CLEMENTE, CA 92672 Po WC1328473 Phone: 818-749-4139 Pho � 949-573-3607 Expire: / /2022 Co S L��9 8888 �1�®A, Issued Date:09/01/2021 Lic Ex i /2021 Bus Lic: B 21 Processed By: Lic Exp Date. 2 HVAC Items FEES $ Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 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 100K 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 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K 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 L.iST, VALID INSeeCTIQN Constructjon Hours: Monday- Friday 7:00 a.m. to 6:30 p.m.and Seturclay fror# 8:0.'0 A.m. 4),6:0,1°Am. 0 0 0 0 0 0 0 e0 0 ° 0 0 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). ❑ 1, 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-Builderwill 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 Iicensure 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 legal) 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 7000) of Division 3 of the Business and Prof sions Code, an y license is in full force and effect. License Class License No Date 1 i. Contractor Signatur 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 ATTORNEYS 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 tht ormance of the work for which this permit is issued. Policy No. ve 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' compensatior s ance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the ork 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 agre< that, if I should become subject to thew kers' compensa Islons Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G' I Signature of Applicant Date ,4. ECLARATION REGARDING UC1ftdN LENDIN 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 ender's Name Lender's Address y 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 pro ded is correct. I agree to comply with all applicable city and county ordi ices and state laws relating to building construction. I authorize representatives of this cityor count/to rite he abov dentified operty f inspection purposes. �ionature of Property Owner or Authorized Age4 Z Print Property Owner's or Authorized Agent's Name ACTION PERMfTEXTENDED PERMIT FINAL CERTIACATEOF OCCUPANCYISSUED HATE • BY • FEDERAL REGULATIONSPART 61 OF TI TLE40 ANU D.QMD RULE 1403. • �] I SUBMITTED ASBESTOS NOTIFICATION TO: • ❑ EPA ❑ AQM6 ❑ ASBESTOS N077RCAATION IS NOT APPLICABLE TO • PROPOSED DEMOLITION. Sj;GNATURE: Civil Code). I I9 L' CGO l �L Date C;t FOR OFFICE USE ONLY